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Total Results: 340 records

Showing results for "cognitive testing".

261. Electronic Health Records | PSNet
     psnet.ahrq.gov/primer/electronic-health-records
     March 15, 2025 - to appreciate and account for the  complexity of patients and health care processes ; the depth of  cognitive … , communication, and collaboration 5 required to optimally support the work of health care; and the cognitive

262. Adverse Events, Near Misses, and Errors | PSNet
     psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
     March 30, 2022 - themselves, but the severity could have been reduced by planning to have the patient come in for lab testing

263. Another Fall | PSNet
     psnet.ahrq.gov/web-mm/another-fall
     June 01, 2010 - falls,( 1-4 ) including mobility impairment, muscle weakness, postural hypotension, visual deficits, cognitive … Risk factors can be thought of as being intrinsic (eg, leg weakness, poor balance, cognitive impairment … be to develop a checklist of safety-related information (eg, vision impairment, hearing impairment, cognitive … Use of assistive devices Postural hypotension Visual deficits Cognitive

264. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet
     psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
     July 01, 2008 - Identify and Combat Automation Complacency  Cognitive biases are implicated in errors across the clinical … 21 The tendency to over-rely on automated functions, known as automation complacency, is a form of cognitive … Cognitive bias in clinical medicine. … November 16, 2022 Point-of-care cognitive support technology in emergency departments

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49720/psn-pdf
     December 01, 2014 - How neurologists think: a cognitive psychology perspective on missed diagnoses. … Voluntary or reflexive (oculocephalic) eye movements will be scored, but caloric testing is not done … In case of visual defect, ensure testing is done in intact visual field. … Inattention (formerly Neglect): Sufficient information to identify neglect may be obtained during the prior testing

266. Patient Safety in Office-Based Care Settings | PSNet
     psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
     January 31, 2024 - ECRI Institute found that safety events in ambulatory care fall into four main categories: diagnostic testing … Diagnostic testing errors and delayed or missed diagnoses also lead to patient safety events in office-based … of frequently misdiagnosed conditions in primary care and developing tools to improve recognition of cognitive … The lack of continuity in diagnostic testing can lead to additional trauma to patients because there’ … s a physical trauma of needing to have repeated diagnostic or preventative testing and screening.

267. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - especially in patients who may not be able to communicate effectively with the nursing staff due to cognitive … WebM&M Cases Agitated Delirium Contributes to Missed Testing … WebM&M Cases Agitated Delirium Contributes to Missed Testing

268. A Loss of Trust and a Missed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
     October 31, 2023 - healthcare system System-related errors, which include technological or organizational barriers Cognitive … Because of the cognitive error made in this case, the PCP involved would benefit from feedback and further … have prompted consideration of the possibility of underlying systemic disease, even if no additional testing

269. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     April 27, 2022 - cultural or communication barriers, or implicit bias related to the patient's age or post-anesthesia cognitive … Emergency release blood and immediate transfusion should have been initiated with laboratory testing

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33567/psn-pdf
     June 15, 2024 - post-acute-transitional-services-safety-home-based-care-programs https://psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs

271. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet
     psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
     January 29, 2021 - problem Gathering and processing information, such as findings on the clinical examination and laboratory testing … Verifying the diagnosis by making sure that competing hypotheses can be reasonably excluded. 1 Cognitive … Beyond the cognitive biases outlined above, systems-level factors may also have played a role.

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50610/psn-pdf
     October 30, 2019 - Invasive procedures in preterm children: brain and cognitive development at school age.

273. Toolkits | PSNet
     psnet.ahrq.gov/toolkits
     March 01, 2025 - Pharmacy (10) Error Types Active Errors (37) Cognitive … Culture™ (SOPS®) Medical Office Survey (MOSOPS) examines elements contributing to time availability, testing

274. Rapid Response Systems | PSNet
     psnet.ahrq.gov/curated-library/rapid-response-systems
     September 15, 2024 - The accompanying commentary discusses the contribution of knowledge deficits and cognitive biases to

275. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
     January 31, 2024 - The lack of continuity in diagnostic testing can lead to additional trauma to patients because there’ … s a physical trauma of needing to have repeated diagnostic or preventative testing and screening. … ECRI Institute found that safety events in ambulatory care fall into four main categories: diagnostic testing … Diagnostic testing errors and delayed or missed diagnoses also lead to patient safety events in office-based … of frequently misdiagnosed conditions in primary care and developing tools to improve recognition of cognitive

276. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
     psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
     May 31, 2023 - The draft algorithms underwent several levels of testing that focused on interfaces, screen displays, … ‘Heads-Up-Displays (HUDs) and their Impact on Cognitive Load during Task Performance: A Protocol for

277. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
     psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
     March 01, 2017 - A group-level model of safety climate: testing the effect of group climate on microaccidents in manufacturing … Climate as a social-cognitive construction of supervisory safety practices: scripts as proxy of behavior … we bring people together, find collective solutions, and much more emphasis on using labs and pilot testing … September 18, 2024 Factors associated with the use of cognitive aids in operating room

278. Chest Pain in a Rural Hospital | PSNet
     psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
     June 02, 2021 - Number 1 patient safety concern in 2018, affecting up to 5% of US adults annually ( Table 3 ), and cognitive … The importance of cognitive errors in diagnosis and strategies to minimize them. … Topic Hospitals Physicians Cardiology Discontinuities, Gaps, and Hand-Off Problems Cognitive

279. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - September 18, 2024 Factors associated with the use of cognitive aids in operating room

280. A Stroke of Error | PSNet
     psnet.ahrq.gov/web-mm/stroke-error
     February 01, 2016 - How neurologists think: a cognitive psychology perspective on missed diagnoses. … Voluntary or reflexive (oculocephalic) eye movements will be scored, but caloric testing is not done. … In case of visual defect, ensure testing is done in intact visual field. … Inattention (formerly Neglect): Sufficient information to identify neglect may be obtained during the prior testing