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Cognitive error emergency

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https://www.readbyqxmd.com/read/27902662/surveillance-a-nursing-intervention-for-improving-patient-safety-in-critical-care-environment
#1
Dale M Pfrimmer, Maren R Johnson, Martha L Guthmiller, Joanna L Lehman, Vickie K Ernste, Lori M Rhudy
BACKGROUND: Nursing surveillance has been identified as a key intervention in early recognition and prevention of errors/adverse events. Nursing Intervention Classification (NIC) defines surveillance as "the purposeful and ongoing acquisition, interpretation, and synthesis of patient data for clinical decision making." Because nurses are the main staffing constant in the critical care environment, the importance of surveillance as an intervention is fundamental. OBJECTIVE: The aim of this study was to explore how surveillance is expressed by critical care nurses...
January 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27897988/reciprocally-benefited-secure-transmission-for-spectrum-sensing-based-cognitive-radio-sensor-networks
#2
Dawei Wang, Pinyi Ren, Qinghe Du, Li Sun, Yichen Wang
The rapid proliferation of independently-designed and -deployed wireless sensor networks extremely crowds the wireless spectrum and promotes the emergence of cognitive radio sensor networks (CRSN). In CRSN, the sensor node (SN) can make full use of the unutilized licensed spectrum, and the spectrum efficiency is greatly improved. However, inevitable spectrum sensing errors will adversely interfere with the primary transmission, which may result in primary transmission outage. To compensate the adverse effect of spectrum sensing errors, we propose a reciprocally-benefited secure transmission strategy, in which SN's interference to the eavesdropper is employed to protect the primary confidential messages while the CRSN is also rewarded with a loose spectrum sensing error probability constraint...
November 25, 2016: Sensors
https://www.readbyqxmd.com/read/27893500/the-effect-of-reported-sleep-perceived-fatigue-and-sleepiness-on-cognitive-performance-in-a-sample-of-emergency-nurses
#3
Lisa A Wolf, Cydne Perhats, Altair Delao, Zoran Martinovich
OBJECTIVE: The aim of this study is to explore the relationship between reported sleep, perceived fatigue and sleepiness, and cognitive performance. BACKGROUND: Although evidence suggests that fatigue and sleepiness affect the provision of care in inpatient units, there is a lack of research on the sleep patterns of emergency nurses and the effects of disturbed sleep and fatigue on their cognitive abilities and susceptibility to medical errors. METHODS: A quantitative correlational design was used in this study; in each of 7 different statistical models, zero-order relationships between predictors and the dependent variable were examined with appropriate inferential tests...
November 23, 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27890805/predicting-brain-age-from-multimodal-imaging-data-captures-cognitive-impairment
#4
Franziskus Liem, Gaël Varoquaux, Jana Kynast, Frauke Beyer, Shahrzad Kharabian Masouleh, Julia M Huntenburg, Leonie Lampe, Mehdi Rahim, Alexandre Abraham, R Cameron Craddock, Steffi Riedel-Heller, Tobias Luck, Markus Loeffler, Matthias L Schroeter, Anja Veronica Witte, Daniel S Margulies
The disparity between the chronological age of an individual and their brain-age measured based on biological information has the potential to offer clinically-relevant biomarkers of neurological syndromes that emerge late in the lifespan. While prior brain-age prediction studies have relied exclusively on either structural or functional brain data, here we investigate how multimodal brain-imaging data improves age prediction. Using cortical anatomy and whole-brain functional connectivity on a large adult lifespan sample (N=2354, age 19-82), we found that multimodal data improves brain-based age prediction, resulting in a mean absolute prediction error of 4...
November 23, 2016: NeuroImage
https://www.readbyqxmd.com/read/27884632/strategies-for-improving-the-value-of-the-radiology-report-a-retrospective-analysis-of%C3%A2-errors-in-formally-over-read-studies
#5
Suraj Jay Kabadi, Arun Krishnaraj
PURPOSE: The radiology report is a critical component of the Imaging Value Chain. Unfortunately, the quality of this aspect of a radiologist's work is often heterogeneous and fails to add significant value to the referring provider and, ultimately, the patient. Gauging what defines quality can be elusive; however, we elucidate techniques that can be employed to ensure that reports are more comprehensible, actionable, and useful to our customers. METHODS: Four hundred consecutive studies (July-August 2015) submitted to our institution with request for a formal over-read were reviewed retrospectively, specifically focused on analyzing differences in language, organization, and impression between the outside reports and the formal over-reads performed at our institution...
November 21, 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27867102/neural-correlates-of-response-inhibition-in-current-and-former-smokers
#6
Christina R Weywadt, Kent A Kiehl, Eric D Claus
Loss of behavioral control is a hallmark of addiction. Individual differences in basic cognitive processes such as response inhibition may be important for interrupting automatic behaviors associated with smoking and supporting prolonged abstinence. To examine how response inhibition and error monitoring processes differ as a function of smoking status, current smokers, former smokers and never smokers (N=126) completed a simple Go/No-Go task while undergoing functional magnetic resonance imaging. All groups performed similarly on the task and similarly engaged the inferior frontal gyrus and dorsal anterior cingulate cortex, regions traditionally associated with response inhibition and error monitoring, respectively...
November 17, 2016: Behavioural Brain Research
https://www.readbyqxmd.com/read/27824937/gazing-into-thin-air-the-dual-task-costs-of-movement-planning-and-execution-during-adaptive-gait
#7
Toby J Ellmers, Adam J Cocks, Michail Doumas, A Mark Williams, William R Young
We examined the effect of increased cognitive load on visual search behavior and measures of gait performance during locomotion. Also, we investigated how personality traits, specifically the propensity to consciously control or monitor movements (trait movement 'reinvestment'), impacted the ability to maintain effective gaze under conditions of cognitive load. Healthy young adults traversed a novel adaptive walking path while performing a secondary serial subtraction task. Performance was assessed using correct responses to the cognitive task, gaze behavior, stepping accuracy, and time to complete the walking task...
2016: PloS One
https://www.readbyqxmd.com/read/27777275/human-error-as-an-emergent-property-of-action-selection-and-task-place-holding
#8
Franklin P Tamborello, J Gregory Trafton
OBJECTIVE: A computational process model could explain how the dynamic interaction of human cognitive mechanisms produces each of multiple error types. BACKGROUND: With increasing capability and complexity of technological systems, the potential severity of consequences of human error is magnified. Interruption greatly increases people's error rates, as does the presence of other information to maintain in an active state. METHOD: The model executed as a software-instantiated Monte Carlo simulation...
October 24, 2016: Human Factors
https://www.readbyqxmd.com/read/27766587/brain-injury-in-women-experiencing-intimate-partner-violence-neural-mechanistic-evidence-of-an-invisible-trauma
#9
Eve Valera, Aaron Kucyi
Traumatic brain injury (TBI) in women experiencing intimate-partner violence (IPV) is common, and IPV afflicts 30 % of women worldwide. However, the neurobiology and related sequelae of these TBIs have never been systematically examined. Consequently, TBI treatments are typically absent and IPV interventions are inadequate. There has been a call for a comprehensive assessment of IPV-related TBIs and their relationship to aspects of women's cognitive and neural functioning. In response, we examined brain-network organization associated with TBI and its cognitive effects using clinical interviews and neuropsychological measures as well as structural and functional Magnetic Resonance Imaging (fMRI) in women experiencing IPV-related TBI...
October 20, 2016: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/27751195/longitudinal-executive-function-and-episodic-memory-profiles-in-behavioral-variant-frontotemporal-dementia-and-alzheimer-s-disease
#10
Siddharth Ramanan, Maxime Bertoux, Emma Flanagan, Muireann Irish, Olivier Piguet, John R Hodges, Michael Hornberger
OBJECTIVES: With comparable baseline performance on executive functions (EF) and memory between Alzheimer's disease (AD) and behavioral-variant frontotemporal dementia (bvFTD), it is currently unclear if both diseases can be distinguished longitudinally on these measures reliably. METHODS: A total of 111 participants (33 AD, 31 bvFTD, and 47 controls) were followed-up annually over a 4-year period and tested on measures of EF, memory, and orientation. Linear mixed-effect models were constructed using disease severity as a nuisance variable to examine profiles of neuropsychological performance decline...
October 18, 2016: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/27720794/mindfulness-based-stress-reduction-in-post-treatment-breast-cancer-patients-immediate-and-sustained-effects-across-multiple-symptom-clusters
#11
Richard R Reich, Cecile A Lengacher, Carissa B Alinat, Kevin E Kip, Carly Paterson, Sophia Ramesar, Heather S Han, Roohi Ismail-Khan, Versie Johnson-Mallard, Manolete Moscoso, Pinky Budhrani-Shani, Steve Shivers, Charles E Cox, Matthew Goodman, Jong Park
CONTEXT: Breast cancer survivors (BCS) face adverse physical and psychological symptoms, often co-occurring. Biological and psychological factors may link symptoms within clusters, distinguishable by prevalence and/or severity. Few studies have examined the effects of behavioral interventions or treatment of symptom clusters. OBJECTIVES: The aim of this study was to identify symptom clusters among post-treatment BCS and determine symptom cluster improvement following the Mindfulness-Based Stress Reduction for Breast Cancer (MBSR(BC)) program...
October 5, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27711982/association-of-anticholinergic-burden-with-cognitive-impairment-and-health-care-utilization-among-a-diverse-ambulatory-older-adult-population
#12
Noll L Campbell, Anthony J Perkins, Pamela Bradt, Sinem Perk, Ronald C Wielage, Malaz A Boustani, Daniel B Ng
STUDY OBJECTIVE: To determine the association between Anticholinergic Cognitive Burden (ACB) score and both cognitive impairment and health care utilization among a diverse ambulatory older adult population. DESIGN: Retrospective cohort study. DATA SOURCE: Medication exposure and other clinical data were extracted from the Regenstrief Medical Record System (RMRS), and cognitive diagnosis derived from a dementia screening and diagnosis study...
October 6, 2016: Pharmacotherapy
https://www.readbyqxmd.com/read/27687552/a-computer-human-interaction-model-to-improve-the-diagnostic-accuracy-and-clinical-decision-making-during-12-lead-electrocardiogram-interpretation
#13
Andrew W Cairns, Raymond R Bond, Dewar D Finlay, Cathal Breen, Daniel Guldenring, Robert Gaffney, Anthony G Gallagher, Aaron J Peace, Pat Henn
INTRODUCTION: The 12-lead Electrocardiogram (ECG) presents a plethora of information and demands extensive knowledge and a high cognitive workload to interpret. Whilst the ECG is an important clinical tool, it is frequently incorrectly interpreted. Even expert clinicians are known to impulsively provide a diagnosis based on their first impression and often miss co-abnormalities. Given it is widely reported that there is a lack of competency in ECG interpretation, it is imperative to optimise the interpretation process...
September 26, 2016: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/27676979/visual-verticality-perception-after-stroke-a-systematic-review-of-methodological-approaches-and-suggestions-for-standardization
#14
Dominic Pérennou, Céline Piscicelli
OBJECTIVE: Visual vertical (VV) measurements are being increasingly used for routine clinical assessment of spatial cognition, to investigate otolithic vestibular function and identify altered verticality perception as a possible cause of postural disorders after stroke. The objective of this paper was to synthesize knowledge of assessment methods for testing VV after stroke. MATERIAL/PATIENTS AND METHODS: This systematic review, following the PRISMA statement, involved a search for articles in Medline via PubMed published up to November 2015 by using the search terms "visual vertical", "verticality perception" and "stroke"...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27659884/exploring-cognitive-bias-in-destination-therapy-left-ventricular-assist-device-decision-making-a-retrospective-qualitative-framework-analysis
#15
Molly Magid, Colleen K Mcllvennan, Jaqueline Jones, Carolyn T Nowels, Larry A Allen, Jocelyn S Thompson, Dan Matlock
BACKGROUND: Cognitive biases are psychological influences, which cause humans to make decisions, which do not seemingly maximize utility. For people with heart failure, the left ventricular assist device (LVAD) is a surgically implantable device with complex tradeoffs. As such, it represents an excellent model within which to explore cognitive bias in a real-world decision. We conducted a framework analysis to examine for evidence of cognitive bias among people deciding whether or not to get an LVAD...
October 2016: American Heart Journal
https://www.readbyqxmd.com/read/27631855/therapeutic-self-disclosure-in-integrative-psychotherapy-when-is-this-a-clinical-error
#16
Sharon Ziv-Beiman, Golan Shahar
Ascending to prominence in virtually all forms of psychotherapy, therapist self-disclosure (TSD) has recently been identified as a primarily integrative intervention (Ziv-Beiman, 2013). In the present article, we discuss various instances in which using TSD in integrative psychotherapy might constitute a clinical error. First, we briefly review extant theory and empirical research on TSD, followed by our preferred version of integrative psychotherapy (i.e., a version of Wachtel's Cyclical Psychodynamics [Wachtel, 1977, 1997, 2014]), which we title cognitive existential psychodynamics...
September 2016: Psychotherapy
https://www.readbyqxmd.com/read/27590302/analyses-of-rule-breaks-and-errors-during-planning-in-computerized-tower-tasks-insights-from-neurological-patients
#17
Lena Köstering, Charlotte S M Schmidt, Cornelius Weiller, Christoph P Kaller
OBJECTIVE: Planning as a prototypical executive function is frequently compromised in clinical samples. Analyses of rule breaking during performance on tower tasks are highly informative for clinical inferences on planning deficits, but are as yet only available for manual task versions. Therefore, the present study investigated whether valid rule-break information can also be gained using a computerized Tower of London (TOL) version. METHOD: For patients with stroke (N = 60), Parkinson's disease (PD; N = 51), and Mild Cognitive Impairment (MCI; N = 29), rule breaks (e...
September 1, 2016: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/27570959/-on-the-university-of-recovery
#18
Jean-François Pelletier, Christine Boisvert, Marie-Claude Galipeau-Leduc, Christian Ducasse, Denis Pouliot-Morneau, Julie Bordeleau
Objectives Located at the heart of a mental health university institute in Montreal, Canada, the University of Recovery (UR) is a peer-run agency of service users who came together as a private non-profit organization to promote their experiential knowledge in science and public health, and to transform the academic milieu as an inclusive work environment conducive to recovery and full citizenship. UR students can thus have access to scientific conferences and classes on various topics and invite scientists or other professionals to further discuss new discoveries and techniques, and possible ways of improving healthcare from a patients' and service users' perspective...
2016: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/27562292/application-of-human-factors-engineering-hfe-to-the-design-of-a-naloxone-auto-injector-for-the-treatment-of-opioid-emergencies
#19
Robert B Raffa, Robert Taylor, Joseph V Pergolizzi, Srinivas Nalamachu, Eric S Edwards, Evan T Edwards
The increased use of opioids for chronic treatment of pain and the resulting epidemic of opioid overdoses have created a major public health challenge. Parenteral naloxone has been used since the 1970's to treat opioid overdose. Recently, a novel naloxone auto-injector device (EVZIO, kaleo, Inc., Richmond, VA) was approved by the Food and Drug Administration. In this article, we review the Human Factors Engineering (HFE) process used in the development and testing of this novel naloxone auto-injector currently used in nonmedical settings for the emergency treatment of known or suspected opioid overdose...
August 25, 2016: Drug Delivery and Translational Research
https://www.readbyqxmd.com/read/27560356/adult-neurogenesis-in-mammals-variations-and-confusions
#20
Hans-Peter Lipp, Luca Bonfanti
Mammalian adult neurogenesis has remained enigmatic. Two lines of research have emerged. One focuses on a potential repair mechanism in the human brain. The other aims at elucidating its functional role in the hippocampal formation, chiefly in cognitive processes; however, thus far it has been unsuccessful. Here, we try to recognize the sources of errors and conceptual confusion in comparative studies and neurobehavioral approaches with a focus on mice. Evolutionarily, mammalian adult neurogenesis appears as protracted juvenile neurogenesis originating from precursor cells in the secondary proliferation zones, from where newly formed cells migrate to target regions in the forebrain...
August 24, 2016: Brain, Behavior and Evolution
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