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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Moreover, pilot testing of these systems would have quickly demonstrated high override rates (and tremendous … We had not anticipated this behavior, and our pilot testing led us to redesign the application to be … RW: Ten or twenty years from now, how much of the work that we presently think of as cognitive and the … DB: Most of the savings come from reduction in repeat and unnecessary testing.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - This case highlights multiple potential diagnostic errors and cognitive biases which may have contributed … October 16, 2024
Testing an intervention to improve health care worker well-being during
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - feelings of loneliness are a critical risk factor for negative health outcomes, and are directly linked to cognitive … from the Provider Relief Fund (PRF) to support nursing homes in providing PPE, increasing COVID-19 testing … CC : Missouri only requires widespread testing if you had a COVID-19 case. … So if you haven't recognized that you have a COVID-19 case, you're not doing mass testing and therefore … We are required to do mass testing until we go two weeks with no new cases.
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - March 25, 2017
Advancing the next generation of handover research and practice with cognitive
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - For example, one large health system incorporates human factors to
understand ergonomic or cognitive
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery.
Citation Text:
Leiserowitz GS, Hedriana H. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - each patient based on their co-morbidities, age, backgrounds, genomic profile, molecular/biological testing … Customized Alert Settings Help Improve Management of Sepsis
May 31, 2023
Error and cognitive
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psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
January 31, 2020 - each patient based on their co-morbidities, age, backgrounds, genomic profile, molecular/biological testing … Customized Alert Settings Help Improve Management of Sepsis
May 31, 2023
Error and cognitive
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Topic
Emergency Departments
Physicians
Cardiology
Radiograph Interpretation Error
Cognitive
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - some benefit, with less claustrophobia noted as well. 16 Some portion of anxiety can be attributed to cognitive … patient call button allows the patient to alert the technician of any concerns, decreasing anxiety. 18 Cognitive
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psnet.ahrq.gov/topics-0
March 03, 2025 - this topic
Active Errors Go to this topic
Cognitive
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Different team huddle approaches help providers avoid cognitive errors by allowing colleagues to confer
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psnet.ahrq.gov/classics
August 01, 2023 - Pharmacy
(16)
Error Types
Active Errors
(171)
Cognitive … Personnel understaffing led to increased use of workarounds, and expertise understaffing led to increased cognitive
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - chronic medical conditions, be functionally impaired, lack economic resources and family caregivers, have cognitive … (bed mobility, transferring, dressing, eating, and toileting).( 2 ) Nearly 70% are reported to have cognitive … May 26, 2011
Development and pilot testing of guidelines to monitor high-risk medications
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - Testing it in medicine has been relatively limited, but a couple of studies now have shown as long as … For example, performance on cognitive tests ( 1 ) and in laparoscopic surgery skills (measured via simulation … Young hospital doctors after night duty: their task-specific cognitive status and emotional condition
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - contemplate a full differential diagnosis) and not attribute signs and symptoms to a solitary diagnosis—a cognitive
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Pharmacy
(4)
Error Types
Active Errors
(7)
Cognitive
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - , 2024
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - for escalating IV opiates likely should have raised concerns for NF and prompted further diagnostic testing … Emergency Departments
Health Care Providers
Infectious Diseases
Clinical Misdiagnosis
Cognitive