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psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
July 12, 2023 - Challenging working conditions and increased cognitive workload can result in stress and burnout. … This article describes a conceptual framework in which working conditions and cognitive workload impact … Potential uses and testing of the framework are described.
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Study
The nature, causes, and clinical impact of errors in the clinical laboratory testing … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading … Diagnostic testing errors can contribute to delays in diagnosis and to serious patient harm. … The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading … May 15, 2013
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace
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psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
November 01, 2017 - unneeded screenings, clarifying the definition of overdiagnosis, and adjusting cultural expectations for testing … 2019
Accuracy of practitioner estimates of probability of diagnosis before and after testing … April 21, 2021
Medical overuse as a physician cognitive error: looking under the hood … December 12, 2012
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - The majority of issues were a related to providers’ cognitive processing, revealing an important area … June 8, 2022
Development and usability testing of the Agency for Healthcare Research … Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Adapting cognitive … February 6, 2019
Mind the overlap: how system problems contribute to cognitive failure … See More About The Topic
Information Professionals
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable … Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. … This commentary explains why implementing a formal process for substance abuse testing following an adverse … Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. … April 12, 2023
Physicians and cognitive decline: a challenge for state medical boards
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - case presented provides a sobering reminder of the limitations of our available tools and our own
cognitive … Reasonable options would have
been either immediate stress testing, expedited outpatient stress testing … Borrowing from cognitive psychology, it appears that the management of this patient is a demonstration … , serial tracings and biomarker testing followed by either immediate or expedited stress testing
should … The importance of cognitive errors in diagnosis and strategies to minimize them.
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - Testing Flexor and Extensor Tendons
18
Clockwise from top left: FDS (flexor
digitorum superficialis … is a key component of functional testing … aids, and
– the use of cognitive forcing strategies.16
• One example of a cognitive forcing strategy … ● If a tendon injury cannot be ruled out after wound exploration and functional testing, assume an … Additional training, cognitive
forcing, checklists and visual aids, and awareness of cognitive biases
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psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
June 21, 2017 - This commentary describes cognitive errors contributing to a patient’s death and provides an overview … of the modes of decision making and cognitive shortcuts . … January 12, 2022
Pilot testing of a model for insurer-driven, large-scale multicenter … Health Care Executives and Administrators
Safety Scientists
Medicine
Nurse Care
Cognitive
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psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
November 18, 2016 - Errors in the clinical laboratory testing process can lead to delays in diagnosis and treatment. … improved engagement between clinicians and laboratory personnel to augment the reliability of the testing … November 18, 2016
System-related and cognitive errors in laboratory medicine. … April 22, 2009
Quality indicators to detect pre-analytical errors in laboratory testing … February 15, 2010
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/node/60956/psn-pdf
September 30, 2020 - assessing-and-supporting-late-career-practitioners-four-key-questions
https://psnet.ahrq.gov/issue/aging-surgeon
https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
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psnet.ahrq.gov/issue/crisis-checklists-operating-room-development-and-pilot-testing
April 21, 2015 - Study
Crisis checklists for the operating room: development and pilot testing. … Crisis checklists for the operating room: development and pilot testing. … Crisis checklists for the operating room: development and pilot testing. … April 21, 2015
Pilot testing of a model for insurer-driven, large-scale multicenter simulation … July 25, 2012
Factors associated with the use of cognitive aids in operating room crises
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psnet.ahrq.gov/issue/antidote-medical-errors
May 02, 2017 - This feature article explains how cognitive errors contribute to medical mistakes and describes ways … December 30, 2014
Minnesota hospitals are testing ways to reduce return trips. … Organizational Behaviorists
Patients
Diagnostic Errors
Psychological and Social Complications
Cognitive
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psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
June 08, 2022 - Errors were more frequently made during the assessment and testing phases of the diagnostic process. … April 6, 2022
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … September 14, 2022
Development and usability testing of the Agency for Healthcare Research … providers' reported emotions and implications for patient safety
February 26, 2020
Cognitive
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - Review
Countering cognitive biases in minimising low value care. … Countering cognitive biases in minimising low value care. Med J Aust. 2017;206(9):407-411. … Heuristics and cognitive biases can contribute to uninformed decision making . … Countering cognitive biases in minimising low value care. Med J Aust. 2017;206(9):407-411. … August 11, 2021
Cognitive biases in surgery: systematic review.
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psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
June 24, 2010 - Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. … Cognitive shortcuts, or heuristics , are often used by experts to make decisions. … Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. … June 26, 2019
Testing and improving the acceptability of a web-based platform for collective
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psnet.ahrq.gov/issue/diagnosis
June 08, 2022 - research and commentary covering such topics as diagnostic error , clinical reasoning , and unnecessary testing … Quality
April 26, 2023
'More than words' - interpersonal communication, cognitive … Health Care Providers
Quality and Safety Professionals
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - Testing Flexor and Extensor Tendons
https://psnet.ahrq.gov//#5
Source: Courtesy of David K. … Cooperation with range of motion testing is a key component of functional testing. … Solutions to avoid mistakes include additional training,
simulation, use of cognitive aids, and the … use of cognitive forcing strategies.16 One example of a cognitive
forcing strategy is found in our electronic … Additional training, cognitive
forcing, checklists and visual aids, and awareness of cognitive biases
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psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
May 25, 2022 - Citation
Related Resources From the Same Author(s)
Development and usability testing … September 8, 2021
Education initiatives in cognitive debiasing to improve diagnostic … January 4, 2017
Dual-process cognitive interventions to enhance diagnostic reasoning: … July 3, 2016
The evolution of error: error management, cognitive constraints, and adaptive
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - March 1, 2023
Cognitive biases in surgery: systematic review. … March 1, 2023
Adapting cognitive task analysis to investigate clinical decision making … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … , 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance testing
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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - Recommendations include mandatory cognitive and psychomotor testing for
surgeons age 65 and older, respectful … In an accompanying editorial, an older physician supports mandatory testing and suggests individual-level