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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
April 12, 2023 - September 9, 2020
The causes of errors in clinical reasoning: cognitive biases, knowledge
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - including holes that open or close with transient local circumstances (e.g., distractions, excessive cognitive … patients with complex medical problems requiring multiple laboratory tests, checklists can act as a useful cognitive … with reductions in diagnostic errors (in five of seven published studies) than checklists targeting cognitive
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - December 12, 2018
Cognitive tests predict real-world errors: the relationship between
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - staff nor the internal medicine team documented any rectal or genital examinations, and no additional testing … pseudo-exacerbation.” 3 However, once SARS-CoV-2 was ruled out by high-sensitivity polymerase chain reaction testing … The physical examination, laboratory testing, imaging, and other investigations are meant to support … Practitioners should remember that cognitive biases, such as anchoring bias, can prevent full consideration
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Often it's difficult to separate systems and cognitive factors that lead to errors; the latter tend to … assessment about whether they're good enough at it, you'd want to build in some layer where you're testing … the National Board of Medical Examiners starting to ask how can they do a better job assessing the cognitive
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psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
September 07, 2022 - Study
How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care.
Citation Text:
Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…
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psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
December 06, 2023 - Commentary
Measuring and improving patient safety through health information technology: the Health IT Safety Framework.
Citation Text:
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Testing revealed a cerebral air embolism, and the medical opinion was that damage was likely to be temporary … trained and obtained experience.( 7,8,12 ) Such training might include competency training, simulation testing … 2011, the FDA developed guidance to assist the medical device industry in conducting human factors testing … The user's physical, perceptual, and cognitive abilities; the clinical environment; interactions with … of the user and patient" and discusses performance criteria, defined user needs and intended uses, testing
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - therapy may be an issue for unhoused patients, but this is not a reason to withhold medically indicated testing … If iron deficiency anemia is confirmed, then further diagnostic testing to identify the source of presumptive … In cases where this is unclear, formal cognitive assessment may be needed, as cognitive disorders are
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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - 18, 2017
Nursing surveillance: a concept analysis
May 18, 2022
Cognitive
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psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review
July 27, 2022 - The Topic
Health Care Providers
Public Health
Psychological and Social Complications
Cognitive
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psnet.ahrq.gov/issue/artificial-intelligence-clinical-diagnosis-opportunities-challenges-and-hype
December 21, 2022 - Related Resources From the Same Author(s)
Pursuit of "endpoint diagnoses" as a cognitive
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psnet.ahrq.gov/issue/principles-conservative-prescribing
April 22, 2017 - RIS
Download Citation
Related Resources From the Same Author(s)
Cognitive
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psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
May 01, 2015 - August 7, 2013
Why patient summaries in electronic health records do not provide the cognitive
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - April 12, 2017
Cognitive tests predict real-world errors: the relationship between drug
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - Such patients are at high risk for negative outcomes including accelerated and permanent cognitive decline … Emotional distress Sustained sleep deprivation Nonmodifiable Risk Factors Dementia or cognitive … Delirium in Hospitalized Patients.( 4,6 ) Assessment Actions History Check baseline cognitive
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psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study
December 16, 2009 - January 27, 2019
Cognitive tests predict real-world errors: the relationship between
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - Understand how cognitive bias related to concussion can lead to a missed diagnosis and worsening neurological … normal and his difficulties with concentration and memory were attributed to the prior concussion (a cognitive … imaging is always indicated in a patient complaining of worsening symptoms after recent trauma – a cognitive … PCP, the patient had worsening headaches (as indicated by his increased ibuprofen use) and worsening cognitive … Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure
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psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
December 05, 2018 - The first review introduces cognitive bias and suggests interdisciplinary approaches to reducing error
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psnet.ahrq.gov/issue/identifying-diagnostic-errors-primary-care-using-electronic-screening-algorithm
April 04, 2011 - December 12, 2012
Cognitive errors and logistical breakdowns contributing to missed and