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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Preliminary analysis reveals various system and cognitive errors, plus
multiple error mechanisms and … Cognitive issues in diagnostic error
We conclude where most diagnostic error discussions begin—with … cognitive errors.
1) Hindsight bias and difficulties weighing prior probabilities bedeviled our efforts … Preliminary analysis revealed various system and cognitive errors, plus multiple error
mechanisms and … The importance of cognitive errors in diagnosis and strategies to minimize them.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - and development of the TR & R Project are described
Safety and Errors in Emergency Medical Care
Cognitive … litigation brought against emergency physicians arises from delayed or
missed diagnoses.2 Traditionally, cognitive … demonstrated that formal trauma patient algorithms encourage
consistency, reduce error rates, prevent cognitive … of the time.10 An important reason for preventable
adverse events in clinical care was found to be cognitive … The importance of cognitive errors in
diagnosis and strategies to minimize them.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
June 01, 2018 - for major depressive disorder when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral … Using cognitive-behavioral therapy ( Tarrier, et al., 2008 ). … Ongoing research shows promising results for Internet-based cognitive-behavioral therapy and psychoeducation … Cognitive-behavioral interventions to reduce suicide behavior: a systematic review and meta-analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - diagnosis
Create Independent Checks (CUSP Element)
Key Perinatal Safety Elements
Examples
Use cognitive … · Cognitive aids such as checklists, algorithms, or protocols may improve clinical team response and … communication related to—
· situational awareness,
· ability to get additional help quickly,
· use of cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
May 01, 2017 - This tool also offers a sample cognitive aid for
standardized EFM nomenclature as an
appendix. … A sample cognitive
aid with NICHD nomenclature is provided in
the appendix of the Safe EFM tool. … related to the following:
• Situational awareness
• Ability to get additional help quickly
• Use of cognitive
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - very real
Slide 27
Mindfulness
A mode of thinking based on sorting and prioritizing cognitive … with acute awareness of external events”
Slide 28
Becoming Mindful
Mindful practice is a cognitive
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - And finally, it mitigates the longer term physical, cognitive, and functional disabilities from critical … mitigate both short- and long-term complications from critical illness, such as muscle weakness and cognitive
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www.ahrq.gov/talkingquality/resources/design/general-tips/index.html
October 01, 2019 - The need to check on what’s in the footnote puts a greater cognitive burden on the users. … What Cognitive Science Tells Us About the Design of Reports for Consumers by Vaiana ME, McGlynn EA.
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www.ahrq.gov/talkingquality/measures/understand/patient-comments.html
February 01, 2016 - Understanding patients’ decisions: Cognitive and emotional perspectives.
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www.ahrq.gov/talkingquality/plan/your-audience/what-to-know.html
November 01, 2018 - and use the information in a quality report card. [1] For instance, because of the complexity of the cognitive
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www.ahrq.gov/sites/default/files/2024-01/sangasubana-report.pdf
January 01, 2024 - questionnaires that can
test experimentally manipulated information in elderly subjects with diminished cognitive … risk perceptions of
OTCs, especially for the elderly, who are high-risk patients with diminished cognitive … To address the issue of the elderly's diminished cognitive ability, the questionnaire was revised with … for them, because there was confusion over label and scenario risk manipulations due to
diminished cognitive … research, because it tested experimentally
manipulated information in elderly subjects with diminished cognitive
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www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - items that were developed through extensive literature
review, content analysis of existing tools, cognitive … Content validity was established through cognitive interviews
with PCPs and primary care experts.39 … Cognitive Technol. 1998;3:24-32.
18. Reason J. Human error: models and management. … Cognitive and initial psychometric testing of the
Errors of Care Omission Survey (ECOS): a new patient
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www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
January 01, 2024 - that the use of electronic prescription writing tools decreases
medication errors by improving the cognitive … interactions or allergies, may be significantly decreased when pharmacists are made aware of the
cognitive … Those errors include cognitive errors (wrong medication, no medication for an
appropriate indication … Modernization
Act.16 Despite the advantages that e-prescribing with decision support may confer to the
cognitive … dispensing errors when that activity was associated with
interruptions.20
The inability to communicate the cognitive
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www.ahrq.gov/news/blog/ahrqviews/long-covid-care-network.html
March 01, 2024 - we know that the condition can include more than 200 symptoms, including severe cardiovascular and cognitive
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - The report includes composite measures, which reduce the cognitive load to process the
report’ … Technique #1: Cognitive testing
Cognitive testing is conducted through one-on-one, in-person meetings … See Text Box 4 for sample questions that cognitive testing can
answer.
Text Box 4. … Cognitive testing can be used
throughout the development process. … What cognitive science tells us about the design of reports for consumers.
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www.ahrq.gov/ecareplan/about/index.html
August 01, 2024 - information to inform care and assess outcomes, including health-related social needs, functional and cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/overview-questionnaires-cg40-3350.pdf
November 01, 2020 - The team then tested the comprehensibility of the draft survey questions in cognitive
interviews with … While the
CAHPS team has conducted cognitive testing of the wording, further testing,
including field
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-introducing.pdf
March 01, 2020 - 2012)
Focus groups (2012 - 2013)
Multiple Technical Expert Panels (2012, 2017, 2018, 2019)
Cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascitems_sptrans.pdf
January 01, 2015 - pretest.
2) Pretest of the Translation, Analysis of Findings, and Recommended Changes
Westat bilingual cognitive … documented their findings.
3) Final Review and Decisions
The Westat translation team analyzed the cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-spanish.pdf
January 01, 2015 - pretest.
2) Pretest of the Translation, Analysis of Findings, and Recommended Changes
Westat bilingual cognitive … documented their findings.
3) Final Review and Decisions
The Westat translation team analyzed the cognitive