-
psnet.ahrq.gov/node/839330/psn-pdf
November 02, 2022 - diagnosis-reducing-errors-and-improving-quality
The task of performing a safe diagnosis has gone beyond the use of technical skill and knowledge
-
psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - Robust research data now
exist showing that physicians, like all people, do not self-assess their knowledge … step is often skipped, especially by experienced physicians,
who may be overly confident in their knowledge … experienced in another discipline that uses toxic, high-risk medications believes he or she has
the knowledge … instituted maintenance-of-certification (MOC) programs that require
physicians to self-assess their knowledge … Who can I consult to
help me acquire new knowledge and skills?
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - frequency than other occupational groups.( 11 )
Reasons for Presenteeism: Logistics, Culture, and Knowledge … health care worker presenteeism occurs are complex and include a combination of logistic, cultural, and knowledge-based … and it is not always clear what is "too sick" to work or truly risky for patients.( 6 ) The lack of knowledge … Reducing it will require attention to all drivers of the problem: logistics, culture, and knowledge. … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - the background may compare entered data with information in electronic medical
records or clinical knowledge … and intending for the patient’s previous regimen to be discontinued)
but apparently had inadequate knowledge … This tacit knowledge (not explicit but implicitly acquired through the
knowledge of the domain) may … however, that order entry systems may create possibilities for error if users
have incomplete conceptual knowledge
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Practitioner Factors
Knowledge, skills, rules
Attention
Strategy
Motivation & attitude
Physical … Commitment
Every team member is committed to attaining the goals
Competence
Every team member has knowledge … Key Components of Clinical Competence
Knowledge application
Problem-solving skills
Decision-making … Key Components of Clinical Competence
Situation awareness
Preparedness
Knowledge alone is not sufficient
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - major categories that contributed to the error (see next slide)
*
Wrong regimen
ordered
Handoffs
Knowledge … Care location
Fellow lack of knowledge about
penile Ca regimens
Rare cancer: inpatient attending … lack of content expertise
Resident and team
attending lack of
oncology knowledge
Outpatient
oncologist … Case
A standardized process may have prevented this error
Unfortunately, because it arose from a knowledge
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psnet.ahrq.gov/node/72585/psn-pdf
December 16, 2020 - This news story
discusses how a lack of health care workers’ virus status knowledge could contribute
-
psnet.ahrq.gov/node/47492/psn-pdf
August 07, 2019 - pediatric-clinician-perspectives-communicating-diagnostic-uncertainty
https://psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
-
psnet.ahrq.gov/node/73354/psn-pdf
June 02, 2021 - Discussions addressed the need for better data collection, evidence-based
practice, and social determinants knowledge
-
psnet.ahrq.gov/node/837867/psn-pdf
August 17, 2022 - The knowledge of the team as a unit, or
distributed cognition, is considered as an asset to diagnosis
-
psnet.ahrq.gov/node/851059/psn-pdf
June 28, 2023 - safety: delay of care, coordination and
management of care, and scarcity of supply, personnel, and knowledge
-
psnet.ahrq.gov/node/72796/psn-pdf
March 03, 2021 - identified several factors they perceived as contributing to
medical errors, including workload and knowledge
-
psnet.ahrq.gov/node/73450/psn-pdf
June 30, 2021 - influence-shift-duration-cognitive-performance-emergency-physicians-prospective-cross
https://psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
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psnet.ahrq.gov/issue/attitudes-toward-safety-and-teamwork-maternity-unit-embedded-team-training
November 20, 2013 - November 20, 2013
More to teamwork than knowledge, skill and attitude. … February 20, 2019
Nurses' knowledge and teaching of possible postpartum complications
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psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-patient
January 14, 2014 - November 20, 2015
An anesthesia preinduction checklist to improve information exchange, knowledge … A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from
-
psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
November 05, 2013 - climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge … November 2, 2010
Lack of patient knowledge regarding hospital medications.
-
psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - September 7, 2022
Enhancing high alert medication knowledge among pharmacy, nursing, … Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge
-
psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - September 26, 2016
The causes of errors in clinical reasoning: cognitive biases, knowledge … June 12, 2019
Pediatric faculty knowledge and comfort discussing diagnostic errors: a
-
psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
April 14, 2011 - December 29, 2014
An exploratory study of knowledge brokering in hospital settings: facilitating … knowledge sharing and learning for patient safety?
-
psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-urethral-injuries
August 02, 2015 - Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge … February 23, 2018
Nurses' knowledge and teaching of possible postpartum complications