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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
November 01, 2017 - Have no cognitive impairment? … “high risk” using this criterion if they have at least 3 of the 4 following conditions:
Severe cognitive … Details
Displays the following data for Existing Conditions:
Mental: Unsafe Behaviors
Mental: Cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-3-closing.pdf
June 01, 2017 - Closing
Updating the Hospital Survey and
Nonpunitive Response to Error
• HSOPS 2.0
– Conducting cognitive
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www.ahrq.gov/research/publications/pubcomguide/pcguide2apb.html
May 01, 2023 - Address cognitive, language, and learning disabilities.
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www.ahrq.gov/talkingquality/translate/web/pathways/composites.html
May 01, 2019 - rarely have more than four or five elements, letting people look at all them at once does not create cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - time and work with patients and physicians to address it
Plans (public and private payers) Undervalue cognitive … work of communication among providers Increase compensation for cognitive work of coordinating care … time and work with patients and physicians to address it
Plans (public and private payers) Undervalue cognitive … work of communication among providers Increase compensation for cognitive work
Purchasers (employers … health-related social needs
Polypharmacy and prescribing cascades
Clinician factors
Ageism/age biases
Cognitive
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www.ahrq.gov/talkingquality/translate/display/index.html
May 01, 2019 - For instance, a bar that shows the average score would seem self-explanatory, but cognitive testing with … Learn how to test symbols with your audience in The Purpose and Process of Cognitive Testing . … Both laboratory studies and cognitive testing of this approach show that it is extremely easy to understand … Model_Report_Composite.pdf
When developing model reports for the AHRQ Quality Indicators, researchers learned through cognitive
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - discomfort, with little added benefit. 10,13
Create Independent Checks (CUSP Element)
Use cognitive … The evidence suggests that cognitive aids such as checklists, flow sheets, protocols, and algorithms … Several professional organizations and initiatives offer of training materials and cognitive aids for … Use of cognitive aids, checklists, and protocols to focus clinical management.
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www.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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www.ahrq.gov/cpi/about/nac/pcortf-snac/jacobson.html
November 01, 2022 - Subcommittee Member: Mireille Jacobson
Mireille Jacobson, Ph.D., M.A.
Associate Professor
The Leonard Davis School of Gerontology
Co-Director
Aging and Cognition Program
Schaeffer Center for Health Policy and Economics
University of Southern California
Mireille Jacobson, Ph.D., M.A., is an associate p…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - The
following section explores key aspects of human psychology and cognitive bias that can
influence … Functional fixedness—a cognitive trap in which individuals struggle to think beyond the
most obvious … Just as the
realization of cognitive biases helped explain errors in traditional diagnostic reasoning … This raises new concerns about cognitive biases,
such as automation bias and complacency, which can … Diagnostic Failure: A Cognitive and Affective Approach.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-behavioral-health.html
May 01, 2024 - approach treats chronic pain syndrome as a brain disorder, which has been reinforced though negative cognitive … Using eHealth to Expand Access to Cognitive Behavioral Therapy for Insomnia in Hispanic Primary Care … Professions Examines the effectiveness of an electronic health intervention to provide culturally adapted cognitive
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www.ahrq.gov/talkingquality/translate/labels/index.html
March 01, 2016 - Learn how to test measure labels and definitions with your audience in The Purpose and Process of Cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sleep.pdf
June 02, 2025 - Sleep Patterns and Cognitive Development
■ Development of sleep-wake cycles likely has major impact
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www.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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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study.docx
March 01, 2017 - She has cognitive issues from a stroke she had 2 years ago.
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www.ahrq.gov/sites/default/files/2024-10/klein-report.pdf
January 01, 2024 - Attention is commonly conceptualized as “energy” that is
available for cognitive information-processing2 … Doppler sonography (TCDS) has been used for
assessing BFV changes of the cerebral arteries during cognitive … Research has indicated that (1) BFV of the MCA increases as
participants engage in cognitive activities15 … The increased blood flow is triggered by cognitive task performance;
neural activity leads to increases … Transcranial Doppler ultrasonography monitoring of
cerebral hemodynamics during performance of cognitive
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - Using grounded theory and mixed-methods case study protocols, they mapped cognitive and contextual contributors … patients. 7 These sessions led to the development of novel sociotechnical prototypes that addressed the cognitive
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www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
January 01, 2024 - Older adults, who
tend to have more visual and cognitive impairment, can become overwhelmed when faced … OTC Decision Process Mapping
Using data from the older adult interviews, a cognitive task analysis37- … Cognitive task analysis
Table 3. … Working minds a practitioner's guide to cognitive task analysis. … Perspectives on cognitive task analysis : historical origins and modern
communities of practice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
June 01, 2010 - The cognitive burden of this task is extremely high for almost anyone.10
Efforts have been made to … The best way to test is through cognitive interviews.14 This technique
was initially created to assess … Cognitive interviews are the gold standard in survey testing. … Saturation (where
little more can be learned) is reached after 10 to 15 individual cognitive tests. … The use of cognitive testing to develop and evaluate
CAHPS 1.0 core survey items.