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psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - Moreover, in the
training that does occur, cognitive aspects are underemphasized in favor of technical … Capnography testing (for exhaled carbon dioxide) is commonly used
in ICUs to test narrow-bore feeding … Practitioners aren’t trained well in the cognitive aspects of
common procedures, and learning often
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psnet.ahrq.gov/node/49622/psn-pdf
March 01, 2011 - First, it
wastes the time and cognitive effort of users, who have to defeat a dysfunctional system. … Usability testing with typical cases probably would have missed
this design flaw, as this was not a … A cognitive systems engineering (CSE) (9,10) approach
would have been more likely to catch this flaw … Cognitive systems engineering: new wine in new bottles. Int J Hum Comput
Stud. 1999;51:339-356. … Joint Cognitive Systems: Foundations of Cognitive Systems Engineering.
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psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
March 05, 2014 - Study
Development and validation of a taxonomy of adverse handover events in hospital settings.
Citation Text:
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - and communication technologies to find, evaluate, create, and communicate information, requiring both cognitive … Transactional literacy is the highest cognitive level of eHealth literacy, meaning it is informed and … displaying content clearly on the page, organizing content and simplifying navigation, engaging users, and testing … Transitions of Care: Challenges and Safety Practices
March 27, 2024
Hospital testing
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psnet.ahrq.gov/issue/non-technical-skills-surgery-during-covid-19-pandemic-observational-study
December 06, 2023 - August 12, 2020
Nonoperating room anaesthesia: safety, monitoring, cognitive aids and … August 12, 2020
Developing perioperative Covid-19 testing protocols to restore surgical
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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - These strategies include mitigating the
effects of subtle cognitive biases, addressing cognitive errors … substantially by the magnitude of the stressor and
the extent of underlying cardiac disease,22 so testing … bidirectional” communication between physicians facilitates effective patient triage,
identification of early testing … rather than patient-specific)
recommendations, missing an important opportunity for early diagnostic testing … Cognitive interventions
to reduce diagnostic error: a narrative review.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - • Laboratory testing showed normal white blood cell count of 8,500, but with 1.6%
abnormal metamyelocytes … preventing diagnostic errors and
improving diagnostic timeliness.
30
https://psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial … From mindless to mindful practice--cognitive bias and clinical decision making. … The Impact of Cognitive and Implicit Bias on Patient Safety and Quality. … Six Cognitive Challenges of Evidence-Based Approaches.
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psnet.ahrq.gov/issue/reflecting-diagnostic-errors-taking-second-look-not-enough
September 26, 2016 - These results suggest that a more robust cognitive debiasing curriculum may be needed to enhance diagnostic … A vignette study to assess recognition of cognitive biases in clinical case workups. … April 12, 2019
The causes of errors in clinical reasoning: cognitive biases, knowledge … February 13, 2019
Cognitive biases associated with medical decisions: a systematic review
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psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
August 30, 2006 - January 2, 2017
Pilot testing of a model for insurer-driven, large-scale multicenter
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Laboratory testing showed a normal
white blood cell count of 8,500, but with 1.6% abnormal metamyelocytes … psnet.ahrq.gov//#31
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov//#32
https://psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial … From mindless to mindful practice--cognitive bias and clinical decision making. … Believing in overcoming cognitive biases. AMA J Ethics. 2020;22(9):e773-
e778. … The impact of cognitive and implicit bias on patient safety and quality.
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psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
October 13, 2018 - Cognitive biases can affect clinical decision making. … About The Topic
Physicians
Organizational Behaviorists
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Contributing Factors
There are likely three processes that contributed to this “near miss”: cognitive … Cognitive factors may have been particularly important in this case. … Graber listed four categories of
cognitive errors5 including: faulty knowledge, faulty data gathering … Cognitive biases are commonly identified in patients who experience post-operative complications. … Knowledge deficits and cognitive biases are both associated with diagnostic errors.
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psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
September 30, 2020 - September 30, 2020
Flexibilization of science, cognitive biases, and the COVID-19 pandemic … June 10, 2020
Universal and serial laboratory testing for SARS-CoV-2 at a long-term care
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psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
December 14, 2022 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … , 2022
Measuring the rate of manual transcription error in outpatient point-of-care testing
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psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
March 20, 2019 - August 12, 2020
A simulation systems testing program using HFMEA methodology can effectively … The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive
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psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
March 17, 2021 - patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing … September 18, 2024
Physician antipsychotic overprescribing letters and cognitive, behavioral
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psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
April 14, 2021 - September 30, 2020
A simulation systems testing program using HFMEA methodology can effectively … July 7, 2021
Training induces cognitive bias: the case of a simulation-based emergency
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psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
November 16, 2022 - August 19, 2020
Nonoperating room anaesthesia: safety, monitoring, cognitive aids and … August 12, 2020
Developing perioperative Covid-19 testing protocols to restore surgical
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psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
March 24, 2021 - October 14, 2020
Flexibilization of science, cognitive biases, and the COVID-19 pandemic … experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - May 4, 2022
Promoting patient and nurse safety: testing a behavioural health intervention … The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive