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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - This narrative review highlights cognitive and social skills that contribute to safe and effective … the Same Author(s)
Surgeons' non-technical skills in the operating room: reliability testing
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psnet.ahrq.gov/issue/lessons-americas-safest-hospitals
November 16, 2016 - Related Resources From the Same Author(s)
Misdiagnoses: a hidden risk of genetic testing … November 16, 2016
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical
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psnet.ahrq.gov/issue/lost-voice
March 21, 2007 - Doctors suffer from the same cognitive distortions as the rest of us. … December 11, 2019
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Many also have cognitive limitations and hence need assistance with activities such as medication management … several of its 20 independent housing buildings, finding that only 47 percent of residents could pass a cognitive … the state's Independent Living Assessment Tool used by Medicaid, the nurse conducts a functional and cognitive … list of medications taken, along with many validated risk screens, including nutrition, depression and cognitive … MacArthur Foundation, as well as small grants from local foundations to support program design and testing
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - Spotlight
Spotlight
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis … principles of effective communication between health care providers
Explain some of the reasons that cognitive … against administering prophylactic anticoagulation to patients with acute traumatic injuries
3
3
A Cognitive … Processes
18
EHRs and Cognitive Processes (1)
Lack of communication was probably compounded by a cognitive … variable levels of antithrombin during the post-injury systemic inflammatory response.16
Adjunctive testing
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement and
cognitive … The importance of cognitive errors in diagnosis and strategies to minimize them.
Croskerry P. … This article summarizes a series of cognitive error types referred to as “cognitive dispositions to
respond … The importance of cognitive errors in diagnosis and strategies to minimize them.
Croskerry P. … This article summarizes a series of cognitive error types referred to as “cognitive dispositions to
respond
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - In terms of recognizing it at the bedside, you really do need to do some formal cognitive testing even … You have to probe and check cognitive status to see if people have cognitive deficits to rule out delirium … level of arousal and prior performance to the cognitive exercise. … Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. … activity and cognitive therapy in the intensive care unit (ACT-ICU) trial.
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood. … Medical overuse as a physician cognitive error: looking under the hood. … https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
Medical overuse … This
commentary suggests that cognitive error is a key contributor to overuse. … https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - recommendations involved some changes in her anti-epileptic medications, but on hospital day 7, they recommended testing … In an academic health system, the ordering provider is often a trainee, who may be at high risk for cognitive … This phrase serves the same notational purpose as “continue to monitor”; it provides the author cognitive … patient, changing our internal narrative and giving the patient a new diagnosis can be a significant cognitive … Systems 1 and 2 thinking processes and cognitive reflection testing in medical students.
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - A Cognitive and Communication Blind Spot Contributes
to Permanent Paralysis
October 30, 2024
Utter … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. … https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis … We are not computers: Our fundamental
cognitive processes, along with time constraints, limit us to … variable levels of antithrombin during the post-injury systemic
inflammatory response.16 Adjunctive testing
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psnet.ahrq.gov/node/43858/psn-pdf
February 18, 2015 - Hospital system barriers to rapid response team
activation: a cognitive work analysis. … CE: Original research: hospital system barriers to rapid response team activation: a cognitive
work … https://psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work- … https://psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis … https://psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - Many also have cognitive limitations and hence need assistance with activities
such as medication management … several of
its 20 independent housing buildings, finding that only 47 percent of residents could pass a cognitive … the state's Independent Living
Assessment Tool used by Medicaid, the nurse conducts a functional and cognitive … of medications taken, along with many
validated risk screens, including nutrition, depression and cognitive … MacArthur Foundation, as well as small grants from local foundations to support
program design and testing
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - January 5, 2012
Developing and testing a tool to measure nurse/physician communication
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psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
March 05, 2014 - noted utility, the authors highlight that most tools still require greater reliability and validity testing … August 11, 2015
The evolution of error: error management, cognitive constraints, and
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psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
January 27, 2016 - principles, which emphasize designing standardized and reliable work processes by an iterative process of testing … the Same Author(s)
Advancing the next generation of handover research and practice with cognitive
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psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
December 03, 2014 - This paper describes the use of Lean A3 method to identify and reduce root causes of cognitive and … , 2022
Measuring the rate of manual transcription error in outpatient point-of-care testing
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psnet.ahrq.gov/issue/sleep-loss-and-performance-residents-and-nonphysicians-meta-analytic-examination
March 22, 2017 - the present and concludes that current work limits may not be completely effective in preventing cognitive … August 12, 2009
Hospital testing of the effectiveness of co-designed educational materials
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psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review
August 10, 2016 - strategies to improve infusion safety such as standardization , use of smart pump systems , and cognitive … April 18, 2018
Improving infusion pump safety through usability testing.
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - the diagnosis of aortic dissection: (i) perceived mildness of presenting symptoms; (ii) diagnostic testing … As a strategy to reduce error potential, ED providers often need to balance overzealous diagnostic testing … This case highlights how a focus on basic clinical skills, cognitive processes, and team-based care is … Cognitive debiasing 2: impediments to and strategies for change. … Health Information Technology Use for Improving Providers' Cognitive Processes ( 27 )
Assist
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psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
September 01, 2021 - December 16, 2020
Development and usability testing of the Agency for Healthcare Research … July 15, 2015
Cognitive interventions to reduce diagnostic error: a narrative review.