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psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look
October 24, 2012 - This news article reports on how misdiagnosis may lead to patient harm, cognitive biases that can contribute … Citation
Related Resources From the Same Author(s)
Minnesota hospitals are testing
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psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
March 11, 2013 - Commentary
'More than words' - interpersonal communication, cognitive bias and diagnostic … ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. … Cognitive biases and poor communication among providers can lead to diagnostic errors . … ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. … November 11, 2020
Cognitive bias impact on management of postoperative complications,
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - He saw two different providers who did not order any additional diagnostic testing and treated him supportively … ) A separate survey study of diagnostic errors revealed that mistakes occur most frequently in the testing … There may have been a cognitive error of premature closure around the diagnosis of peripheral neuropathy … Solutions to premature closure and other cognitive biases and diagnostic errors are not straightforward … October 19, 2022
Dissemination of Lean methods to improve Pap testing quality and patient
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psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
July 25, 2011 - From the Same Author(s)
Crisis checklists for the operating room: development and pilot testing … July 25, 2011
Pilot testing of a model for insurer-driven, large-scale multicenter simulation … September 29, 2017
Factors associated with the use of cognitive aids in operating room
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
July 21, 2025 - Classic
The importance of cognitive errors in diagnosis and strategies to minimize them … This article summarizes a series of cognitive error types referred to as “cognitive dispositions to respond … System 1 and System 2 thinking, human factors, and cognitive biases are discussed. … ways evidence is collected based on the diagnostic purpose: optimal clinical care (e.g., usefulness of testing … – reports of return visits for the same or worsening symptoms, interpersonal issues, and diagnostic testing
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psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
March 09, 2022 - Study
Cognitive bias impact on management of postoperative complications, medical … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … Cognitive bias is an important source of medical error. … In this analysis of over 700 general surgical cases with complications, the authors attributed cognitive … Cognitive bias impact on management of postoperative complications, medical error, and standard of care
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - April 5, 2023
User-testing guidelines to improve the safety of intravenous medicines … patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing … December 11, 2024
Outcomes of medication misadventure among people with cognitive impairment
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psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
March 09, 2022 - October 19, 2022
Testing an intervention to improve health care worker well-being during … January 27, 2019
Usability testing of a mobile app to report medication errors anonymously … September 9, 2015
Why patient summaries in electronic health records do not provide the cognitive
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psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems
May 18, 2022 - Study
Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive … Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems … Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems … August 28, 2019
How common are cognitive errors in cases presented at emergency medicine … November 27, 2013
The evolution of error: error management, cognitive constraints, and
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Misdiagnosis over a long period of time can be exacerbated by stigma and cognitive bias. … The author discusses how clinician experience led to flagging of a different testing approach to reveal
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psnet.ahrq.gov/issue/patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise-awareness
September 04, 2013 - July 24, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … December 2, 2015
Development and testing of an objective structured clinical exam (OSCE
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psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
September 03, 2014 - how artificial intelligence presents clinicians with an opportunity to improve practice by reducing cognitive … August 21, 2019
Testing and improving the acceptability of a web-based platform for collective
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psnet.ahrq.gov/issue/scariest-hospital-risks
September 29, 2017 - Copy Citation
Related Resources From the Same Author(s)
Countering cognitive … December 30, 2014
Minnesota hospitals are testing ways to reduce return trips.
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psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
March 18, 2020 - January 18, 2023
Cognitive testing of older clinicians prior to recredentialing.
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psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
March 19, 2019 - September 11, 2019
Cognitive testing of older clinicians prior to recredentialing.
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psnet.ahrq.gov/innovations
February 26, 2025 - 2024
Discover how the TWISST process, combining simulation-based clinical systems testing … EMERGING INNOVATIONS
Demonstrating the value of a standardized cognitive assessment tool through … Pharmacy
(2)
Error Types
Active Errors
(7)
Cognitive … URL
Discover how the TWISST process, combining simulation-based clinical systems testing … Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional
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psnet.ahrq.gov/issue/covid-19-surge-could-lead-another-drop-patient-visits-doctors-fear-and-more-missed-pediatric
February 13, 2008 - December 12, 2007
Cognitive testing of older clinicians prior to recredentialing.
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psnet.ahrq.gov/node/867380/psn-pdf
December 18, 2024 - Cognitive biases and artificial intelligence.
December 18, 2024
Wang J, Redelmeier DA. … Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. … https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
Previous studies have raised … In this study, researchers tested AI models using clinical
vignettes involving 10 cognitive biases. … https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
June 08, 2022 - Special or Theme Issue
Situativity: A Family of Social Cognitive Theories for Clinical … Citation Text:
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. … Cite
Citation
Citation Text:
Situativity: A Family of Social Cognitive
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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors … Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors … https://psnet.ahrq.gov/issue/perception-usability-and-implementation-metacognitive-mnemonic-check-
cognitive-errors … https://psnet.ahrq.gov/issue/perception-usability-and-implementation-metacognitive-mnemonic-check-cognitive-errors … https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
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