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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - care; ambulatory versus inpatient care;
patient transitions), to core theory (e.g., human factors; cognitive
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
October 01, 2014 - Perform a general exam; assess level of consciousness and cognitive and physical function.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3tab3.html
June 01, 2014 - (not mutually exclusive): children with special health care needs; the frail elderly; persons with cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Kirchner
Overview of the SOPS Surveys
Jess Kirchner, M.A.
SOPS Program Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What are the SOPS Surveys?
• Surveys of providers and staff about the extent to which their
organizational cu…
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www.ahrq.gov/cpi/about/nac/pcortf-snac.html
November 01, 2022 - Subcommittee of the National Advisory Council on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities
The National Advisory Council’s (NAC) Subcommittee on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities (the subcommittee) was established to provide inp…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount)
Introducing the AHRQ SOPS
Health IT Patient Safety
Supplemental Items
Naomi Yount, PhD
Westat
Health IT Patient Safety
Supplemental Items
• Supplemental item set that can be added
to the end of the Hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
July 01, 2024 - Examples of barriers included difficulty managing
cognitive aids while wearing personal protective … More than half (6 of 11) reported latent safety threats
involved a cognitive aid. … Hazards embedded in the
cognitive aids included recommending an incorrect
dose or route for epinephrine
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Finally, we performed
human reliability and cognitive task analyses to establish quantitative models … Though the direct observations provided some empiric data for modeling aspects of cognitive
reliability … models.
5
Some of these sources provided empiric data from non-healthcare domains in which the
cognitive
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - Yes
No
Cognitive impairment
|__|
|__|
Impulsivity
|__|
|__|
Visual impairment
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2025 - For Project 2, the aims were to: Evaluate whether a meta-cognitive intervention using a structured checklist … 09/30/18-07/31/23 Description: IDEA-LL planned to address diagnostic decision making, associated cognitive … They also will perform cognitive engineering analysis to identify cognitive work challenges and their … Resilient EMS PSLL: Using a Systems Engineering Approach To Enhance EMS Cognitive Work and Safety for … Work with key stakeholders to support the cognitive work of emergency medical services (EMS) professionals
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www.ahrq.gov/sites/default/files/2024-12/johnson-report.pdf
January 01, 2024 - nausea/vomiting, appetite/weight loss, constipation/diarrhea, dyspnea); Psychological,
Psychiatric, and Cognitive … Aspects of Care (depression, anxiety, cognitive status—orientation, delirium,); Spiritual,
Religious … Physical, psychological, psychiatric, and cognitive
domains were the most frequently reported as “always … Among the six domains, the domains of Physical
Symptoms and Psychiatric, Psychological, and Cognitive
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www.ahrq.gov/talkingquality/distribute/placement/settings.html
January 01, 2023 - Settings: Finding the Audience for a Health Care Quality Report
Reconfirming Who Your Audience Is
Before you can identify appropriate settings, you need to have a clear and shared sense of the audience you are trying to reach. Assuming your resources are limited, you’ll probably need to set priorities within …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
14
What are the SOPS Surveys?
• Surveys of providers and staff about the extent to which their
organizational …
-
www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - How do we understand and measure the cognitive burden imposed by IT systems in the delivery of healthcare … What hospital-based support systems best reduce cognitive load for clinical staff?
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
April 15, 2024 - importance of
effective data gathering and synthesis,
time pressures, competing priorities and
various cognitive … professionals to
receive brief education about paediatric bipolar
disorder, versus education about cognitive … studies were
conducted within low-fidelity simulations, they
join a larger body of work suggesting that cognitive … A randomized controlled trial
of cognitive Debiasing improves assessment and treatment
selection for … Dual-process
cognitive interventions to enhance diagnostic reasoning: a
systematic review.
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www.ahrq.gov/ncepcr/care/coordination.html
November 01, 2024 - Care Coordination
Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs and preferences are known ahead of time and communicate…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - These authors acknowledged
the relationship of diagnostic errors with the cognitive process and complexity … Cognitive errors and the decisionmaking process can be seen as failures in perception, failed
heuristics … Despite the seemingly esoteric view of cognitive failures, often problems seen in offices and
clinics … The importance of cognitive errors in
diagnosis and strategies to minimize them.
-
www.ahrq.gov/talkingquality/translate/web/index.html
May 01, 2019 - Classic research in cognitive psychology indicates that people can keep seven, plus or minus two, ideas
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/pt-experience-measures.pdf
March 20, 2017 - Cognitive testing with parents indicated that the use of these groupings made
it easier for respondents … of 3 items)
2 To learn more about reducing the cognitive
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
March 20, 2017 - Cognitive testing with parents indicated that the use of these groupings made
it easier for respondents … of 3 items)
2 To learn more about reducing the cognitive