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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - report that informed them (knowledge deficit), or they were familiar with the anatomy but committed a cognitive … Anything that saps your cognitive energy—busy clinic or ED, fatigue, diverted attention—at the moment
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psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
January 17, 2024 - August 26, 2020
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - July 31, 2019
Cognitive error in an academic emergency department.
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - In addition, because gastric pH is lower than small-bowel pH, testing the pH of feeding tube aspirates … State practice variations in the use of tube feeding for nursing residents with severe cognitive impairment … WebM&M Cases
Agitated Delirium Contributes to Missed Testing
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psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
June 01, 2022 - June 16, 2019
The effect of cognitive load and task complexity on automation bias in
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psnet.ahrq.gov/issue/2022-updated-results-ahrq-surveys-patient-safety-culture-sops-diagnostic-safety-supplemental
April 06, 2022 - Book/Report
2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items.
Citation Text:
2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. Famolaro T, Hare R, Tapia A, et al.…
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psnet.ahrq.gov/issue/quantifying-and-monitoring-overdiagnosis-cancer-screening-systematic-review-methods
September 15, 2021 - June 17, 2014
Cognitive errors and logistical breakdowns contributing to missed and delayed
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psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
July 10, 2024 - November 20, 2019
Factors associated with the use of cognitive aids in operating room
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Krumholz—include derangement of physiological systems like sleep, nourishment, physical conditioning, and cognitive … And I started thinking that transient cognitive dysfunction was part of this syndrome. … Whether that would actually make a difference is worthy of testing.
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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - February 24, 2011
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
June 22, 2022 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive
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psnet.ahrq.gov/issue/experiences-physicians-investigated-professionalism-concerns-narrative-review
August 04, 2021 - October 10, 2018
Countering cognitive biases in minimising low value care.
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - February 1, 2023
Cognitive and implicit biases in nurses' judgment and decision-making
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psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
June 08, 2022 - December 21, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - June 30, 2021
Medication use and cognitive impairment among residents of aged care facilities
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psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence-reporttechnology
December 24, 2008 - January 10, 2024
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Review
Distracted practice: a concept analysis.
Citation Text:
D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153.
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psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
April 19, 2011 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - The labels should conform to the standards of the American Society for Testing and Materials (ASTM).( … Information processing and human-machine interaction: an approach to cognitive engineering. … American Society for Testing and Materials. … American Society for Testing and Materials. D477494,1995. 19. Gaba DM, Fish K, Howard S, eds.
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - The diagnosis of LAM can be made based on these characteristic CT findings along with blood testing for … This cognitive failure inappropriately limited further investigation. … Given the low pre-test probability of emphysema in a young non-smoking woman, particularly if testing