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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-2025-surv-rep-update-executive-sum.pdf
January 01, 2025 - • Other key adverse event outcomes (psychosis, cannabis use disorder, cognitive
deficits) and outcomes … Other prioritized adverse
events (cannabis use disorder [CUD], psychosis, cognitive deficits) and the … function or disability, effect on opioid use, and
longer-term adverse events, such as CUD, psychosis, and cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - complexity and the interdisciplinary scope of
the patient safety problem, including factors related to the cognitive … action); and organizational structures (reporting
mechanisms, barriers, and outcome measures).3
Cognitive … related to patient safety and medical
errors.12
The interplay among factors
These three domains—cognitive
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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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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - review, the pooled prevalence of psychotic disorders was 12.7% [ 9 ]), and the potential for subtle cognitive … A systematic review of cognitive deficits in homeless adults: implications for service delivery.
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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
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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
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - This responsibility
includes a commitment to cognitive and technical competence in all clinicians, to … Take-Home Points
As a professional responsibility, clinicians should commit to cognitive and technical
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/FExZhpEq2337V-hwkaPQ8y
May 01, 2002 - • Treatment may include antidepressants or specific
psychotherapeutic approaches (eg, cognitive
behavioral … Evidence for treating
adolescents comes from school and community
settings where SSRIs and cognitive-behavioral
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digital.ahrq.gov/sites/default/files/docs/hit-aging-adults-qa-071717.pdf
July 17, 2017 - We know from past clinical experience that an elder’s cognitive ability may wax and wane
over time. … of a keystone user whom
the proxy feels should no longer have access to the system because of their cognitive
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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?
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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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digital.ahrq.gov/ahrq-funded-projects/synthesizing-lessons-learned-using-health-information-technology/annual-summary/2011
January 01, 2011 - Synthesizing Lessons Learned Using Health Information Technology - 2011
Project Name
Synthesizing Lessons Learned Using Health Information Technology
Principal Investigator
Nemeth, Lynne
Organization
Medical University of South Carolina
Funding Mechanism
PAR: HS08-2…
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digital.ahrq.gov/ahrq-funded-projects/synthesizing-lessons-learned-using-health-information-technology/annual-summary/2012
January 01, 2012 - Synthesizing Lessons Learned Using Health Information Technology - 2012
Project Name
Synthesizing Lessons Learned Using Health Information Technology
Principal Investigator
Nemeth, Lynne
Organization
Medical University of South Carolina
Funding Mechanism
PAR: HS08-2…
-
digital.ahrq.gov/ahrq-funded-projects/synthesizing-lessons-learned-using-health-information-technology/annual-summary/2010
January 01, 2010 - Synthesizing Lessons Learned Using Health Information Technology - 2010
Project Name
Synthesizing Lessons Learned Using Health Information Technology
Principal Investigator
Nemeth, Lynne
Organization
Medical University of South Carolina
Funding Mechanism
PAR: HS08-2…
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psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
March 29, 2023 - Review
Classic
Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies.
Citation Text:
de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events in…
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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 …
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - Study
Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.
Citation Text:
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
-
psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - care physician (PCP) suspected that the patient might have dementia, and the results of a Montreal Cognitive
-
psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - medical history including congenital heart disease, poor feeding requiring a gastric tube, and
delayed cognitive