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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - May 19, 2021
Technical Evaluation, Testing, and Validation of the Usability of Electronic … Deprescribing as a Patient Safety Strategy
October 27, 2021
Medication use and cognitive
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psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
June 16, 2021 - June 8, 2011
Testing the association between Patient Safety Indicators and hospital structural … April 1, 2010
Description of inpatient medication management using cognitive work analysis
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - December 2, 2020
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … 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/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - February 15, 2023
Society for Maternal-Fetal Medicine Special Statement: cognitive bias … experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing
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psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
October 20, 2021 - November 16, 2022
Development and usability testing of the Agency for Healthcare Research … View More
Related Resources
WebM&M Cases
A Cognitive
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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
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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.
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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/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/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/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/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/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - November 25, 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/sex-bias-pain-management-decisions
June 07, 2023 - June 7, 2023
Cognitive tests predict real-world errors: the relationship between drug … February 26, 2020
The Healthcare Complaints Analysis Tool: development and reliability testing
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psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - May 4, 2022
Development and usability testing of the Agency for Healthcare Research and … April 27, 2022
Investigating the impact of cognitive bias in nursing documentation on
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
August 26, 2020 - October 19, 2022
User-testing guidelines to improve the safety of intravenous medicines … Safety and Quality
April 26, 2023
Impact of interruptions, distractions, and cognitive
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - appropriate diagnostic test and inadequate follow-up planning, many of which could be ascribed to physician cognitive … February 17, 2011
Cognitive errors and logistical breakdowns contributing to missed and … November 20, 2013
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/issue/impact-diagnostic-decision-support-system-consultation-perceptions-gps-and-patients
June 28, 2017 - Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive … August 28, 2019
Testing and improving the acceptability of a web-based platform for collective
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psnet.ahrq.gov/issue/rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety
February 27, 2008 - January 4, 2017
Awareness and use of a cognitive aid for anesthesiology. … October 13, 2010
Testing the association between Patient Safety Indicators and hospital
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - 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