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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - /fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
https://psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
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psnet.ahrq.gov/node/846757/psn-pdf
March 29, 2023 - This
article reviews empirically-tested strategies from healthcare and cognitive psychology that can
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - Switching from one method of task completion to another then requires extra cognitive effort to recall … Transitioning between two modes of order completion (e.g., free-form and templates) necessitates extra cognitive … Design of CPOE interfaces according to cognitive usability principles of human-computer interaction is … A framework for analyzing the cognitive complexity of computer-assisted clinical ordering. … Health System
January 1, 2008
WebM&M Cases
Cognitive
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Cognitive Overload in the ICU
August 21, 2016
Patel VL, Buchman TG. … Cognitive Overload in the ICU. PSNet [internet]. 2016. … https://psnet.ahrq.gov/web-mm/cognitive-overload-icu
Case Objectives
Identify the role of cognitive … Offer insights based on cognitive science principles that allow readers to understand the inevitable … environments such as ICUs and emergency departments.(3,4) In this
case, a major source of cognitive
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psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - clinician decision-making in a
time of increased stress and urgency, when critical decision-making and cognitive … patient in the second case likely would have benefitted from securing his airway while he was
awake, the cognitive … Airway Algorithm should be used to guide the management of
these emergency situations, helping to avoid cognitive … Jeanna Blitz, MD
Medical Director, Pre Admission Testing
Department of Anesthesiology, Perioperative … Cognitive processes in anesthesiology decision making. Anesthesiology.
2014;120:204-217.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - This clinic did not have an electronic medical record (EMR).
6
7
Background: Ambulatory Testing ( … Testing process errors and their harms and consequences reported from family medicine practices: a study … Intern Med. 2006;145:488-496. http://www.ncbi.nlm.nih.gov/pubmed/17015866
8
Background: Ambulatory Testing … to patient harm
Barriers to effective management of laboratory test results are time pressures and cognitive
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psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
August 11, 2021 - August 11, 2021
Countering cognitive biases in minimising low value care.
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - January 9, 2019
Peer training using cognitive rehearsal to promote a culture of safety
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - 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/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
May 31, 2017 - 2017
Improving our understanding of multi-tasking in healthcare: drawing together the cognitive
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - Switching from one method of task completion to another then requires extra cognitive
effort to recall … Transitioning between two modes of order completion (e.g., free-form and templates) necessitates
extra cognitive … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Design of CPOE interfaces according to cognitive … A framework for analyzing the cognitive complexity of
computer-assisted clinical ordering.
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psnet.ahrq.gov/issue/between-demarcation-and-discretion-medical-administrative-boundary-locus-safety-high-volume
June 14, 2017 - September 1, 2016
Cognitive tests predict real-world errors: the relationship between
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psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction
January 07, 2015 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … March 10, 2021
Adapting cognitive task analysis to investigate clinical decision making
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psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - normalization of deviance,” a phenomenon that shares many features with the “status quo bias”
discussed in cognitive
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - March 6, 2019
The development and implementation of cognitive aids for critical events
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psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
September 12, 2011 - April 14, 2011
Physician antipsychotic overprescribing letters and cognitive, behavioral
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psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
March 06, 2005 - December 30, 2014
Minnesota hospitals are testing ways to reduce return trips.
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psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
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psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals
December 19, 2018 - June 16, 2011
Developing and testing a tool to measure nurse/physician communication
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - June 10, 2020
Portable advanced medical simulation for new emergency department testing