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psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
August 30, 2023 - February 8, 2023
Promoting patient and nurse safety: testing a behavioural health intervention … December 2, 2014
Effects of CPOE on provider cognitive workload: a randomized crossover
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Cognitive factors may have been particularly important in this case. … Cognitive biases are commonly identified in patients who experience post-operative complications. … The focus on cognitive errors ignores the reality that heuristics are a powerful and useful component … Knowledge deficits and cognitive biases are both associated with diagnostic errors. … Nonetheless, knowledge deficit may be a greater factor in misdiagnosis than cognitive biases in cases
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psnet.ahrq.gov/node/60826/psn-pdf
August 19, 2020 - strategies clinicians use to enhance test result
management including paper-based manual processes, cognitive
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - This article describes the development, pilot testing, and implementation of a medication reconciliation … May 9, 2012
Why patient summaries in electronic health records do not provide the cognitive
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psnet.ahrq.gov/node/42498/psn-pdf
December 30, 2014 - electronic-health-record-based-triggers-detect-potential-delays-cancer-
diagnosis
Delayed diagnoses in cancer may commonly be caused by cognitive … errors-cancer-diagnosis-current-understanding-and-future-directions
https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
https://psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
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psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care
February 15, 2023 - authors identify several factors that can contribute to patient overtreatment (fear of uncertainty, cognitive … October 16, 2013
Cognitive debiasing; part 1 and part 2. … September 18, 2013
From mindless to mindful practice—cognitive bias and clinical decision … More
See More About The Topic
Health Care Providers
Medicine
Overtreatment
Cognitive
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - several prevention strategies to mitigate diagnostic error that
address systems causes and individual cognitive … – The most common cognitive problems in diagnosis were the result of faulty
information synthesis … – Other cognitive processes found to lead to diagnostic error included faulty
data gathering such … All in all, both system and cognitive
causes of diagnostic error led to the tragic outcome
presented … Systems Change/Quality Improvement Approach (3)
33
• Approaches to improve the cognitive aspect of
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psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
May 11, 2019 - October 19, 2012
Cognitive interventions to reduce diagnostic error: a narrative review … August 7, 2019
Cognitive error in an academic emergency department. … Emergency Departments
Facility and Group Administrators
Emergency Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - 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 … https://psnet.ahrq.gov//#8
https://psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-during-covid … Practitioners should remember that cognitive biases, such as anchoring bias, can prevent full
consideration
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - June 4, 2014
Development and testing of tools to detect ambulatory surgical adverse events … Journal Article
Study
Demonstrating the value of a standardized cognitive
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - September 27, 2017
The development and implementation of cognitive aids for critical … June 29, 2011
Development, testing, and findings of a pediatric-focused trigger tool
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psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
September 25, 2018 - January 31, 2018
Development and testing of tools to detect ambulatory surgical adverse … June 14, 2023
Cognitive bias impact on management of postoperative complications, medical
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psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
November 04, 2015 - September 15, 2011
Developing and testing a tool to measure nurse/physician communication … January 9, 2014
Teaching about how doctors think: a longitudinal curriculum in cognitive
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - April 21, 2015
Crisis checklists for the operating room: development and pilot testing … Operating Room
Surgery
Surgical Complications
Epidemiology of Errors and Adverse Events
Cognitive
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psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
May 01, 2017 - January 15, 2014
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … November 11, 2020
Flexibilization of science, cognitive biases, and the COVID-19 pandemic
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psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
April 20, 2011 - September 19, 2016
Awareness and use of a cognitive aid for anesthesiology. … October 23, 2018
Academic detailing to improve laboratory testing among outpatient medication
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psnet.ahrq.gov/issue/simulation-safety-first-imperative
February 13, 2014 - Download Citation
Related Resources From the Same Author(s)
Pilot testing … May 19, 2021
Factors associated with the use of cognitive aids in operating room crises
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - October 20, 2021
Development and testing of an objective structured clinical exam (OSCE … August 31, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - established only after health professionals use the medical history, physical examination, laboratory testing … Atypical Features 4 Visual, olfactory, and/or tactile rather than auditory hallucinations Prominent cognitive … While SLE with a psychotic prodrome is relatively well-known, but uncommon, routine testing for SLE-specific … Finally, psychotic and cognitive symptoms may have also impaired the patient’s ability to appropriately … Cognitive dysfunction in SLE: An understudied clinical manifestation.
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psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
February 06, 2014 - study, the use of checklists improved electrocardiogram interpretation by experts without increasing cognitive … Perception of the usability and implementation of a metacognitive mnemonic to check cognitive