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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - Laboratory testing showed only abnormal transaminases. … This case is demonstrative of cognitive errors
associated with lack of knowledge of the features of, … Many of these errors are best categorized as cognitive and relate to a clinician’s
decision-making, … testing
those with risk factors or symptoms that suggest SEA. … Cognitive errors in diagnosis: Instantiation, classification, and
consequences.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - Centeredness/Autonomy, Equity, Access, and Quality of Life
Populations: Elders with physical or cognitive … States Currently Using: Texas
Psychometric Testing: Psychometric testing of both consumer tools. … Providers, Timeliness
Populations: Adults with acquired brain injuries, elders with physical and cognitive … Limited cognitive testing of consumer survey tool. … Psychometric Testing: Original NCI items subjected to psychometric testing; State specific measures
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive … Primary care physicians use of an electronic medical record system: a cognitive task analysis. … DESIGN: Cognitive task analysis using semi-structured interviews and field observations. … Physicians perceived EMR use as reducing the cognitive load associated with clinical tasks. … "Overall, study participants felt the EMR system reduced their cognitive loads.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/phenylketonuria_executive.pdf
February 01, 2012 - We defined measurements of
Phe reported in studies as concurrent (<6 weeks) with
IQ testing or historical … negative association between Phe and IQ is
strongest when Phe is measured at least 1 year prior to IQ
testing … The Phe level obtained more than 1 year before IQ
testing is likely to be a better indicator of how … negative association between Phe and IQ is strongest when
Phe is measured at least 1 year prior to IQ testing … The Phe
level obtained more than 1 year before IQ testing is likely
a better indicator of how well
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Medical Care
Cognitive errors during emergency care are a significant contributor to patient harm. … litigation brought against emergency physicians arises from delayed or
missed diagnoses.2 Traditionally, cognitive … demonstrated that formal trauma patient algorithms encourage
consistency, reduce error rates, prevent cognitive … of the time.10 An important reason for preventable
adverse events in clinical care was found to be cognitive … The importance of cognitive errors in
diagnosis and strategies to minimize them.
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - Biases in the Diagnostic Process
Clinician decision-making often relies on cognitive thought processes—called … This process has been described as “cognitive debiasing” or “meta-cognition.” … In current circumstances, this cognitive (anchoring) bias may lead clinicians to miss the diagnosis of … 19-gl-ag-testing-v1.0.0-.pdf
33. … Self Testing.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024062-mazur-final-report-2017.pdf
January 01, 2017 - Scientific disciplines: Cognitive and Behavioral Sciences; Human Factors.
1. … i)
unacknowledged abnormal test results (identified by a failure to order a referral or additional testing … Supporting real-time cognitive state classification on
a mobile participant. … Integrating cognitive load theory and concepts of
human–computer interaction. … Products of this research should be used to inform the design, testing, and use of health
IT within the
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 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 … 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/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Laboratory testing showed only abnormal
transaminases. … – This case is demonstrative of cognitive errors associated with lack of
knowledge of the features … – Returning patients predispose clinicians to cognitive errors such as premature closure
caused by … for testing those with risk factors or symptoms
that suggest SEA … Cognitive errors in diagnosis: Instantiation, classification, and consequences.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
July 07, 2002 - Cognitive Artifacts’ Implications for Health Care Information Technology: Revealing How Practitioners … Twelve case
Cognitive Artifacts
283
Figure 2. … Cognitive Artifacts
287
Resource availability and flexibility. … The future of cognitive artifacts and technical work
As described above, cognitive artifacts are physical … Cognitive artifacts. Article on the MIT
COGNET Web site, 2002. pp. 126–7.
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psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
June 15, 2022 - May 18, 2022
Testing and improving the acceptability of a web-based platform for collective … August 28, 2019
Testing and improving the acceptability of a web-based platform for collective … Ambulatory Clinic or Office
Information Professionals
Primary Care
Diagnostic Errors
Cognitive
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - We used a series of cognitive interviews to refine the questions and revised the draft form in response … Cognitive interviews are a form of pre-testing in which the investigator asks a sample of likely respondents … The cognitive interviews took place in February and March 2012. … We also refined question content in response to the cognitive interviews. … Regression testing was performed along with functional testing to ensure that any changes made or “bugs
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digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2012
January 01, 2012 - These include information and cognitive barriers such as the failure to identify that a patient is at … osteoporosis-related treatment decision support that incorporates the needs of clinicians in order to minimize cognitive … These findings will inform the development and pilot testing of a new tool.
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psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
April 24, 2018 - history, incomplete physical examination performance or documentation, and lack of needed laboratory testing … Consistent with prior studies , failure to order laboratory testing and plan follow-up were associated … December 12, 2012
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/issue/communicating-critical-test-results
May 24, 2006 - September 6, 2023
A perfect storm averted: flawed systems, a dropped ball, and cognitive … February 15, 2010
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - The Commentary by Stephen Bacak, DO, MPH, and Loralei Thornburg, MD Cognitive errors or biases are … The cognitive error of premature closure (rush to diagnosis without consideration of alternatives) … Falsely low levels can be seen when testing is conducted too early in ingestion (less than 4 hours after … Cognitive errors in clinical decision-making are a major contributor to patient safety events. … Quick Safety 28: Cognitive biases in health care.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - patient histories, observational skill in physical examination, and data interpretation in diagnostic testing … The extent to which cognitive shortcuts and unconscious thinking impact medical decisions has not been … Few studies examining cognitive checklists found improved diagnosis; task-based checklists were more … incorporating a human factors approach through work system analysis, iterative design, and usability testing … A cognitive forcing tool to mitigate cognitive bias-a randomised control trial.
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www.ahrq.gov/nursing-home/resources/search.html?page=6
January 01, 2022 - Revisions in Response to the COVID-19 Public Health Emergency Related to Long-Term Care (LTC) Facility Testing … Rule from the Centers for Medicare & Medicaid Services (CMS) establishes Long-Term Care (LTC) facility testing … Interim Guidance on Testing Healthcare Personnel for SARS-CoV-2 This document is intended to provide … guidance on the appropriate use of testing among healthcare personnel. … confidence among CNAs and overcome barriers to vaccination by applying insights from social, behavioral and cognitive
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiij.html
June 01, 2010 - Centeredness/Autonomy, Qualified Providers, Health and Welfare
Populations: Elders with physical and cognitive … Need, Person Centeredness/Autonomy, Quality of Life, Access
Populations: Elders with physical and cognitive … : Field testing still ongoing
Summary: Survey is a modified version of the Participant Experience … States Currently Using: Wisconsin
Psychometric Testing: Not specified
Summary: This interview … States Currently Using: Wisconsin
Psychometric Testing: Not specified
Summary: The purpose of
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - This work has been informed by the field of cognitive psychology , which studies how individuals process … While heuristics are ubiquitous and useful, researchers have used categories developed in cognitive psychology … several types of errors that clinicians commonly make due to incorrect applications of heuristics: Cognitive … While cognitive biases on the part of individual clinicians play a role in many diagnostic errors, underlying … Recent systematic reviews have assessed the evidence base of interventions to prevent cognitive errors