-
psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - • Although the patient survived, she suffered another cardiac arrest with
residual cognitive impairment … is an unfortunate case of an obstetric hemorrhage with delayed recognition,
resulting in permanent cognitive … output,
physical examination findings (e.g., temperature, abdominal distention), or “stat”
laboratory testing … • Although this patient survived, she suffered cognitive impairment and loss of her
uterus. … signs could help prompt urgent
bedside evaluation and a pre-defined order set, including laboratory testing
-
psnet.ahrq.gov/issue/getting-diagnosis-wrong
January 20, 2021 - recommendation to improve reimbursement systems as a way to encourage physicians to spend more time on the cognitive … See More About The Topic
Ambulatory Care
Patients
Medicine
Diagnostic Errors
Cognitive
-
psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
January 20, 2021 - Study
Blame culture and defensive medicine.
Citation Text:
Catino M. Blame culture and defensive medicine. Cognition, Technology & Work. 2009;11(4). doi:10.1007/s10111-009-0130-y.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
-
psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - 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
-
psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - failure to order diagnostic tests or interpret them correctly; factors contributing to error included cognitive … February 17, 2011
Cognitive errors and logistical breakdowns contributing to missed and
-
psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - 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.
-
psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Perhaps more importantly, physicians who find diagnostic errors interesting tend to focus on the cognitive … House) or studying cognitive biases that can lead one astray. … The two reviewers identified cognitive factors as the cause of most diagnostic errors. … This restoration of performance represents a simple example of cognitive debiasing . … Addressing the Problem
As intellectually appealing as cognitive debiasing may be, addressing systems
-
psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - diagnostic algorithms achieve similar diagnostic accuracy to
physicians, although authors note more testing … new errors, an additional HIT challenge concerns whether these systems are
appropriately meeting the cognitive … example,
when prescribing a medication, the ability to review previous prescriptions, recent diagnostic testing … organizations, and funding agencies will be critical to
improving this complex process and supporting the cognitive … Aaron Zachary Hettinger, MD, MS, FACEP, FAMIA
Assistant Professor
Medical Director and Director of Cognitive
-
psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - diagnostic algorithms achieve similar diagnostic accuracy to physicians, although authors note more testing … new errors, an additional HIT challenge concerns whether these systems are appropriately meeting the cognitive … example, when prescribing a medication, the ability to review previous prescriptions, recent diagnostic testing … organizations, and funding agencies will be critical to improving this complex process and supporting the cognitive … Aaron Zachary Hettinger, MD, MS, FACEP, FAMIA
Assistant Professor
Medical Director and Director of Cognitive
-
psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - August 11, 2021
Medication use and cognitive impairment among residents of aged care … December 2, 2020
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning
-
psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - Laboratory testing showed a normal white blood cell count of 8,500, but with 1.6% abnormal metamyelocytes … Believing in overcoming cognitive biases . … The impact of cognitive and implicit bias on patient safety and quality. … Six cognitive challenges of evidence-based approaches. … Cognitive forcing strategies in clinical decisionmaking.
-
psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - We looked at the history and physical, lab testing, assessment, and follow-up. … In terms of cognitive support and visual display, think about what a profound display tool the lab flowsheet … We have to really think of supporting the infrastructure to make cognitive work in medicine easier and
-
psnet.ahrq.gov/issue/patient-factors-and-hospital-outcomes-associated-atypical-presentation-hospitalized-older
June 29, 2022 - October 7, 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
-
psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving
March 03, 2021 - April 5, 2023
Development and usability testing of the Agency for Healthcare Research … December 16, 2020
Education initiatives in cognitive debiasing to improve diagnostic
-
psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - A case describing how cognitive biases and anti-
coagulation use in high-risk scenarios contributed to … • Checklists are cognitive aids with demonstrated efficacy as tools to
prevent medical error
• … The importance of cognitive errors in diagnosis and strategies to minimize them. … The use of cognitive aids during emergencies in anesthesia: a review of the literature. … Cognitive forcing strategies in clinical decisionmaking.
-
psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Solutions
There are two promising approaches to reducing the risk of cognitive error. … to quote Croskerry, use
"cognitive pills for cognitive ills."
Focus on the final common pathway. … The importance of cognitive errors in diagnosis and strategies to minimize them. … The cognitive psychology of missed diagnoses. Ann Intern
Med. 2005;142:115-120. … What types of
cognitive processes
are used to make the
decision?
-
psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals
August 26, 2020 - Cognitive and system elements in radiology can contribute to overuse , diagnostic error , and delays … Related Resources From the Same Author(s)
Situativity: A Family of Social Cognitive
-
psnet.ahrq.gov/issue/diagnostic-error-medicine
October 22, 2013 - June 29, 2016
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning … Diagnostic Safety and Quality
April 26, 2023
Effect on diagnostic accuracy of cognitive … See More About The Topic
Educators
Diagnostic Errors
Missed or Critical Lab Results
Cognitive
-
psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - (e.g., observations, task analysis, and other ethnographic techniques) and engage in iterative user testing … of the interface throughout the development process.( 4-6 )
Integrating formative usability testing … developers are increasingly following these design principles, and beginning to perform adequate interface testing … These efforts must leave adequate time for testing the systems during the development process, and should … Applications of Cognitive Work Analysis. Boca Raton, FL: CRC Press; 2008.
-
psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - (e.g., observations, task analysis, and other ethnographic techniques) and engage in iterative user testing … of the interface throughout the development process.( 4-6 )
Integrating formative usability testing … developers are increasingly following these design principles, and beginning to perform adequate interface testing … These efforts must leave adequate time for testing the systems during the development process, and should … Applications of Cognitive Work Analysis. Boca Raton, FL: CRC Press; 2008.