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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - training is an effective strategy to improve team and interdisciplinary communication, technical and cognitive
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Cognitive biases are widely recognized as playing an important role in diagnostic error . … Topic
Health Care Providers
Emergency Medicine
Internal Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Discussing treatment plans
before taking action permitted control for potential cognitive bias or any … a second clinician to improve
clinical decisions: Pat Croskerry’s dual process model of reasoning, cognitive … fast-thinking) and analytical (slow-thinking) processes to make better decisions.1 Many experts
believe that cognitive … avoid these biases.1 The red team/blue team method comes from
the fields of military and cybersecurity testing
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - This case highlights how breaches in professionalism are often associated with cognitive or emotional … However, his dressing down of the RN suggests emotional impairment leading to cognitive dysfunction. … Most of us have experienced brief cognitive impairment when sleep is suddenly interrupted. … The RN mitigated the attending physician's cognitive error. … telephone operators, and other team members; for example, the National Board of Medical Examiners is testing
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psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized
March 04, 2015 - January 23, 2019
System-related and cognitive errors in laboratory medicine.
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - applied as formative experiences to develop foundational clinical skills as
well as more advanced cognitive … Usability testing,
which refers to testing new equipment and technology under real-world conditions, … and clinical systems
testing can be thought of as a form of simulation designed to identify latent … successful simulation education are those of successful curricula in
general: individualized feedback, cognitive
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psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
July 28, 2010 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive … January 9, 2014
Teaching about how doctors think: a longitudinal curriculum in cognitive … More
See More About The Topic
Hospitals
Physicians
Educators
Medicine
Cognitive
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psnet.ahrq.gov/node/44573/psn-pdf
October 21, 2015 - recommendation to improve reimbursement systems as a way
to encourage physicians to spend more time on the cognitive
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psnet.ahrq.gov/node/865411/psn-pdf
March 27, 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
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - November 15, 2017
Countering cognitive biases in minimising low value care.
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - stretches the human limit for effective data management and likely degrades work performance due to
cognitive … Barriers to effective management of laboratory test results are time pressures and cognitive overload … Testing process errors and their harms and consequences
reported from family medicine practices: a study
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - You had a high-stakes exam at the end of medical school and it didn't matter how well you did on the cognitive … If you view medicine as largely a cognitive exercise of getting certain numbers, figures, and facts and … RW : The demise of the physical exam—the embrace of more testing to get at some of the same information … Not to mention all of the vested monetary interests that drive all the kinds of testing we do. … Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - often the product of a series of errors (both human and technical), and why it is important to mitigate cognitive … Clinicians should have a low threshold to repeat diagnostic testing such as routine bloodwork and 12- … lead ECG, particularly when the risks of testing are minimal relative to the risks of misdiagnosis and … If hemolysis is detected, clinical laboratory workflows should exist to automatically prompt repeat testing … Educational case: hemolysis and lipemia interference with laboratory testing.
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - 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
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psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal
May 11, 2005 - The Topic
Hospitals
Patients
Medical Oncology
Diagnostic Test Interpretation Error
Cognitive
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - This paper describes five types of cognitive biases, with accompanying case study and images, that … August 5, 2020
The role of cognitive bias in breast radiology diagnostic and judgment
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psnet.ahrq.gov/node/836835/psn-pdf
March 30, 2022 - psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - about cholecystitis
Can present with right upper quadrant pain, nausea, vomiting, and fever
The initial testing … 2012.
17
Methods to Identify & Estimate Errors
Autopsies
Surveys
Standardized patients
Diagnostic testing … diagnostic errors in diagnosing aortic dissection:
Perceived mildness of presenting symptoms
Diagnostic testing … Cognitive debiasing 2: impediments to and strategies for change. … display of information
Aid generation of different diagnoses
Support intelligent selection of diagnostic testing
-
psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Sleep deprivation has long been known to impair various cognitive functions, including mood,
motivation … Most healthy adults1
need between 7.5–8.5 hours of sleep per night and will experience deficits in cognitive … Given the importance of sleep and its known effect on cognitive performance, the link between sleep and … These cognitive activities place significant
loads on prefrontal cortex functions, such as memory and … In contrast to dynamic, naturalistic decision-making, certain types of cognitive performance are less
-
psnet.ahrq.gov/node/50870/psn-pdf
February 05, 2020 - Common systems-level contributors
identified were cognitive burden associated with the electronic health