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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Cognitive aids and checklists that list indications, contraindications, and maternal and fetal criteria … Use cognitive aids such as checklists, algorithms, or protocols to guide a systematic approach to management … Cognitive aids such as checklists, algorithms, or protocols may improve team response and management … Use of cognitive aids (e.g., checklists, protocols) for guiding clinical management and documentation
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/hospice/index.html
December 01, 2023 - Cognitive testing. … The team conducted three rounds of cognitive interviews to test interpretation and comprehension of survey
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
January 01, 2018 - big differences in scores between HSOPS 1.0
and 2.0
– Decided to continue further development and cognitive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
October 05, 2016 - and Their Families
Kathryn McDonald
Stanford University
What We Know:
Key Shaping Factors for
Cognitive … critical for building in diagnostic safety culture
Organizations
What We Know:�Key Shaping Factors for Cognitive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/schiff-summit2016.pdf
January 01, 2013 - cases
Schiff Arch Intern Med 2009
What went wrong: DEER Taxonomy Localization
8
Art Elstein
Cognitive … negative mammogram and/or ultrasound
• Atypical presentation
• Addison’s disease presenting with cognitive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/2_mark_schuster.pdf
January 22, 2015 - Cognitive interviews
7. Pilot test
8. Revised draft survey
9. National field test
10. … End-user cognitive testing
17
National Field Test
• 69 hospitals, 34 states
• Mail or telephone
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
January 01, 2013 - Total Errors: _______
SCORING * :
0-2 errors: normal mental functioning
3-4 errors: mild cognitive … impairment
5-7 errors: moderate cognitive impairment
8 or more errors: severe cognitive impairment
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=474
January 01, 2024 - public reporting on physical restraints and antipsychotic use in nursing home residents with severe cognitive … the unintended consequence of increasing antipsychotic use in nursing home (NH) residents with severe cognitive … Physical restraint use declined significantly from 1999 to 2008 in NH residents with severe cognitive … use had the unintended consequence of increasing use of antipsychotics in NH residents with severe cognitive … public reporting on physical restraints and antipsychotic use in nursing home residents with severe cognitive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Create Independent Checks (CUSP Science of Safety)
Key Perinatal Safety Elements
Examples
Provide cognitive … A sample cognitive aid with NICHD nomenclature is provided in the Appendix of this tool. … communication related to—
· situational awareness;
· ability to get additional help quickly;
· use of cognitive … Sample Cognitive Aid for Electronic Fetal Monitoring Nomenclature
Based on 2008 National Institute for
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
July 01, 2017 - Lack of insurance;
Lack of primary care physician;
Psychiatric illness;
Substance abuse;
Cognitive … intoxication, alcohol withdrawal, narcotic overdose
|___| Difficulties in Self-Care [physical impairment, cognitive … impairment, complexity of medical condition]
Refer to physical/cognitive impairment tool (next page … coverage
Prefer the ED care over PCP care (if checked, asked why)
Other (specify)
Physical/Cognitive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - Diagnosis relies heavily on clinicians’ cognitive processes: the depth and breadth of their
knowledge … Although cognitive processes are clearly an appropriate target for addressing diagnostic error, few … pitfalls.52 Many cognitive errors arise from unconscious tendencies that can
be avoided or at least … Cognitive interventions to reduce diagnostic error: a narrative review. … Situativity: a family of social cognitive theories for clinical reasoning and diagnostic
error.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-hays.pdf
October 05, 2023 - Released in 2020
• Iterative refinements
► Pilot study in 2021 with 367 adult patients (27%) at UCLA
► 8 cognitive
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
January 01, 2024 - Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018 Sep;48(3):225-232. … Cognitive biases associated with medical decisions: a systematic review. … Annals Clinical Decision Making: Avoiding cognitive errors in clinical decision making. … A vignette study to assess recognition of cognitive biases in clinical case workups. … A cognitive forcing tool to mitigate cognitive bias - a randomised control trial.
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ce.effectivehealthcare.ahrq.gov/nursing-home/resources/invest-in-trust.html
June 01, 2021 - confidence among CNAs and overcome barriers to vaccination by applying insights from social, behavioral and cognitive
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-gurses.html
November 01, 2023 - Her team helped improve the understanding of pediatric care teams’ demanding cognitive work and identify … Gurses and her interdisciplinary team used cognitive task analysis and field studies in urban, suburban
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Have no cognitive impairment? … flagged as “high risk” using this criterion if they have at least 3 of the 4 following conditions:
Severe cognitive … Factors ADL Decline and Other Clinical Information
Mental: Unsafe Behaviors Mental: Cognitive … Calculation Details
Displays the following data for Existing Conditions:
Mental: Unsafe Behaviors
Mental: Cognitive … Factor Additional Info Within 30 Days Injury Totals
Mental: Unsafe Behaviors Mental: Cognitive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-guiding-concepts.pdf
September 01, 2015 - Cognitive
Interviews
Are draft survey questions interpreted correctly and
consistently across respondents
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
March 01, 2015 - and survey development process by using the
RAND-UCLA Modified Delphi Method17 (described below) and cognitive … conceptual framework, extensive literature reviews, a
modified Delphi panel for indicator selection, cognitive … retained by the Delphi panel were operationalized into survey items that were included in structured
cognitive
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=1
January 01, 2024 - They discussed progress made in three potential use cases in the ED: falls, cognitive impairment, and … deployment vary by use case, ranging from deployed solutions in falls screening to algorithmic validation in cognitive
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
July 01, 2023 - Demonstrate the efficient use of checklists, protocols, or similar cognitive aids for responding to a … During the simulation, participants are encouraged to practice the use of protocols, checklists, or cognitive … Team initiates appropriate clinical response per any protocols, checklists, or cognitive aids. … Team initiates appropriate clinical response per any protocols, checklists, or cognitive aid.