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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - Based on findings in this study, researchers suggest that use of a blood product compatibility cognitive … November 18, 2015
Testing an intervention to improve health care worker well-being during … Topic
Hospitals
Health Care Providers
Emergency Medicine
Transfusion Complications
Cognitive
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - August 17, 2022
System-related and cognitive errors in laboratory medicine. … September 14, 2016
Laboratory testing in general practice: a patient safety blind spot … November 4, 2015
When diagnostic testing leads to harm: a new outcomes-based approach … September 18, 2013
Quality indicators to detect pre-analytical errors in laboratory testing
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psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
February 17, 2021 - This conceptual paper examines how systems approaches and cognitive science can inform the diagnosis … Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing … January 21, 2015
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - This article reviews empirically-tested strategies from healthcare and cognitive psychology that can … February 24, 2021
Development and usability testing of the Agency for Healthcare Research … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive
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psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
May 15, 2024 - February 7, 2024
The causes of errors in clinical reasoning: cognitive biases, knowledge … A vignette study to assess recognition of cognitive biases in clinical case workups. … March 13, 2024
Testing an intervention to improve health care worker well-being during
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - April 3, 2018
When diagnostic testing leads to harm: a new outcomes-based approach for … November 21, 2018
Cognitive interventions to reduce diagnostic error: a narrative review … February 18, 2017
The evolution of error: error management, cognitive constraints, and
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psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
February 16, 2022 - Study
Detection rates of mild cognitive impairment in primary care for the United … Detection rates of mild cognitive impairment in primary care for the United States Medicare population … approximately 20% of primary care patients aged 65 and older are expected to have a diagnosis of mild cognitive … prevents patients from receiving appropriate care, including newly FDA-approved medications to slow cognitive … Detection rates of mild cognitive impairment in primary care for the United States Medicare population
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - An argument to support CT use here is that even if it will not alter
subsequent testing (i.e., MRI will … increasingly pressing problem in the context
of rising US health care costs.(18) Eliminating redundant testing … Root causes are often cognitive biases, and premature closure is one of the most common cognitive
predispositions … (e.g., instrument miscalibration)
Teamwork/communication/transition-of-care failures
Inefficient testing … Cognitive Biases and Failed Heuristics.
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psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
May 29, 2015 - identified five domains: provider–patient interaction (e.g., missing important symptoms ); diagnostic testing … RIS
Download Citation
Related Resources From the Same Author(s)
Cognitive … December 3, 2014
Cognitive diagnostic error in internal medicine.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - in medicine that laboratory tests should be ordered as part of a Bayesian reasoning process to guide testing … Unnecessary (particularly "shotgun") testing risks missing important findings and confounding the diagnostic … The importance of cognitive errors in diagnosis and strategies to minimize them. … An elderly woman with 'heart failure': cognitive biases and diagnostic error. … To the Editor: Cognitive bias and diagnostic error. Cleve Clin J Med. 2016;83:407-408.
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psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
May 18, 2022 - August 11, 2021
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … , 2022
Measuring the rate of manual transcription error in outpatient point-of-care testing … 6, 2015
Clinical impact associated with corrected results in clinical microbiology testing … December 3, 2008
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/issue/health-care-providers-negative-implicit-attitudes-and-stereotypes-american-indians
January 18, 2023 - October 21, 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 … Topic
Researchers
Medicine
Public Health
Psychological and Social Complications
Cognitive
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psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
May 25, 2022 - Citation
Related Resources From the Same Author(s)
Development and usability testing … July 15, 2015
Cognitive interventions to reduce diagnostic error: a narrative review. … October 31, 2014
The evolution of error: error management, cognitive constraints, and
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psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
January 23, 2017 - The authors advocate for testing the use of collective intelligence for diagnosis in clinical settings … February 27, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control
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psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
July 05, 2017 - December 21, 2016
System-related and cognitive errors in laboratory medicine. … September 9, 2011
Quality indicators to detect pre-analytical errors in laboratory testing … March 20, 2019
System-related and cognitive errors in laboratory medicine.
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psnet.ahrq.gov/issue/attitudes-teamwork-and-safety-operating-theatre
December 22, 2010 - December 22, 2010
Surgeons' non-technical skills in the operating room: reliability testing … December 22, 2010
Discovering healthcare cognition: the use of cognitive artifacts to … reveal cognitive work.
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psnet.ahrq.gov/issue/patient-safety-helping-medical-students-understand-error-healthcare
December 16, 2009 - April 18, 2011
Surgeons' non-technical skills in the operating room: reliability testing … July 24, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Nevertheless, after laboratory testing and a right upper quadrant ultrasound showed gallbladder sludge … results comport with the history, physical examination, and any abnormal labs, and consider additional testing—including … of 16.8% and 9.5%, respectively, in one surgical series.19
When clinical information and diagnostic testing … Based on certain clinical and testing parameters, the use of lactate levels can be considered in the … The importance of cognitive errors in diagnosis and strategies to minimize them.
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. … cognitive failure to recognize the importance of the exam finding. … variable levels of antithrombin during the post-injury systemic inflammatory response. 16 Adjunctive testing
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psnet.ahrq.gov/issue/guided-reflection-interventions-show-no-effect-diagnostic-accuracy-medical-students
September 20, 2016 - Download Citation
Related Resources From the Same Author(s)
Dual-process cognitive … Perception of the usability and implementation of a metacognitive mnemonic to check cognitive … February 27, 2019
Development and testing of an objective structured clinical exam (OSCE