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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - 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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psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse
June 09, 2021 - Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations. … March 30, 2022
When no news is bad news: improving diagnostic testing communication through
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digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2011
January 01, 2011 - They include process barriers, such as workflow and organization, and information and cognitive barriers … Specific cognitive barriers to identifying and treating osteoporosis include failure to identify that … The findings will inform the development and pilot testing of a new tool.
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2011
January 01, 2011 - Design guidelines for the IMM were determined by analyzing providers' cognitive processing of information … Specific Aims:
Identify cognitive components of providers' therapeutic decisionmaking in the field … IMM presents this information in a manner that reduces the cognitive effort to consider data across time … VA-specific terminologies and knowledge bases are used to relate concepts and provide the basis for cognitive … Findings: The translation of the theory "Hollnagel's Contextual Control Model" to analyze clinicians' cognitive
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psnet.ahrq.gov/issue/mistakes-some-deadly-haunt-county-jails
March 01, 2017 - March 1, 2017
Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing … January 16, 2019
Clinical reasoning in dire times- analysis of cognitive biases in clinical
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep4.html
June 01, 2010 - The subjectivity of satisfaction measures makes them challenging for individuals with cognitive disabilities … An additional challenge could include assessing (via psychometric testing) existing experience measures … A decision to adopt a true cross-disability approach could argue for additional testing of population-specific … Decisions about who reports on experience and development and testing of tools for populations facing … Aligning the reporting constraints of disparate populations with collection costs and the data from testing
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psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
May 13, 2020 - November 18, 2015
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning … Resources
Measuring the rate of manual transcription error in outpatient point-of-care testing
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1406.pdf
February 01, 2015 - Patients with the ApoE-ε4 allele show cognitive response to lower doses of
insulin than do patients … All patients showed cognitive improvements
when administered 20 IU intranasal insulin, but only males … This trial, testing the effects of twice-daily 20 IU intranasal insulin
administrations on cognition … Effect of intranasal insulin on cognitive
function: a systematic review. … Intranasal
insulin therapy for Alzheimer disease and
amnestic mild cognitive impairment: a pilot
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www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
June 01, 2017 - Early testing on these measures with consumers indicates a range of responses to them:
Patient safety … Cognitive interviews are the gold standard in survey testing. … Then develop a protocol for cognitive testing and recruit 10 to 15 subjects who reflect a cross-section … Disciplined testing and use of evidence-based practices will help improve the likelihood that the report … The use of cognitive testing to develop and evaluate CAHPS ® 1.0 core survey items.
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - of preventable errors are diagnostic errors (Harvard Medical
Practice Study)
- Rooted in several cognitive … biases
- Address cognitive errors with objective information to assist medical decision-
making
- … much as 51% of
curbside consultations
- Asymmetric information can lead to unnecessary, expensive testing … Take-Home Points (3)
26
• Cognitive biases—availability bias, anchoring bias,
confirmation bias, … Cognitive interventions to reduce diagnostic error: a narrative review.
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Cognitive errors and system factors (e.g., inefficient processes and high workload) were prevalent. … These results demonstrate the need to address diagnostic safety with both cognitive training interventions … July 15, 2015
Cognitive interventions to reduce diagnostic error: a narrative review. … January 9, 2019
Cognitive error in an academic emergency department. … October 10, 2018
How common are cognitive errors in cases presented at emergency medicine
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psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
September 09, 2015 - Study
Hospital system barriers to rapid response team activation: a cognitive work … CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis … CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - The term "cognitive bias" is often used to describe a heuristic that, when applied in a specific situation … In general, there are three main types of cognitive biases that lead to diagnostic errors: (i) hasty … This involves the conscious, effortful generation and testing of diagnostic hypotheses. … The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking … A vignette study to assess recognition of cognitive biases in clinical case workups.
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - The term "cognitive bias" is often used to describe a heuristic that, when applied in a
specific situation … In general, there are three main types of cognitive biases that lead to diagnostic errors: (i) hasty … This involves the conscious, effortful generation and testing of diagnostic
hypotheses. … The causes of errors in clinical
reasoning: cognitive biases, knowledge deficits, and dual process thinking … A
vignette study to assess recognition of cognitive biases in clinical case workups.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
December 01, 2019 - In studies of the effects of cognitive behavioral
11
therapy among adolescents, remission … plan testing results.
6.A. … A clinical psychotherapy trial for adolescent depression
comparing cognitive, family, and supportive … Cognitive behavioral psychotherapy for anxiety and
depressive disorders in children and adolescents: … Cognitive-behavioral treatment for depressed
adolescents. Behav Ther 1990; 21(4):385-401.
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - Cognitive Errors
Trying to perform a cognitive autopsy to understand why the resident committed the … Armed with this understanding, they can apply cognitive forcing strategies to reduce the occurrence of … Cognitive forcing strategies in clinical decisionmaking. … The importance of cognitive errors in diagnosis and strategies to minimize them. … January 15, 2009
Portable advanced medical simulation for new emergency department testing
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psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
December 27, 2018 - attention to the issue, provider use of known strategies to improve practice, and pharmaceutical company testing … May 2, 2018
Cognitive tests predict real-world errors: the relationship between drug
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-hays-slides.pdf
October 01, 2017 - Cognitive
Interviews
Are draft survey questions interpreted correctly and
consistently across respondents … Provides value-added information helpful to both
patients and clinicians
• Experimental and field testing … Feedback loop: testing a patient
experience survey in the safety net. … cahps
Plans for Future Research (1)
• Narratives
• Screening for actionable content in comments
• Testing
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psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
September 15, 2021 - pediatricians (CAPs) to intervene and address potential errors (e.g., history taking, injury identification, testing … for occult injuries , and cognitive analysis) and to identify patients who require immediate intervention
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www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/autism-spectrum-disorder-in-young-children-screening
February 16, 2016 - those based on applied behavior analysis have the highest-quality data supporting their effects on cognitive … in children, reported potential harms include misdiagnosis and the anxiety associated with further testing … after a positive screening result, particularly if confirmatory testing is delayed because of resource … Four RCTs reported cognitive and language outcomes for early intensive behavioral interventions delivered … Potential harms include misdiagnosis and the time, effort, and anxiety associated with further testing