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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025136-ratwani-final-report-2024.pdf
January 01, 2024 - Improving Patient Safety and Clinician Cognitive Support through eMAR Redesign - Final Report
Improving … Patient Safety and Clinician Cognitive Support through eMAR Redesign
Principal Investigator … including qualitative analysis of patient safety
event reports, interviews with clinicians, and usability testing … areas of importance and optimization
efforts should be focused on these areas with rigorous iterative testing … Further, they can include usability assessments in their real-world testing
provision.
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digital.ahrq.gov/ahrq-funded-projects/use-dense-display-data-and-information-design-principles-primary-care-health/annual-summary/2010
January 01, 2010 - systematic evidence has been gathered on the usability of EHRs in practices and how their design affects cognitive … to measure the impact of usability and information design on ergonomic (navigating, documenting) and cognitive … are inadequate adherence to formal user-design processes and a lack of diversity in end users during testing … Include variety of end users in the design and testing process and collect their feedback throughout … Encourage formal usability testing early in design and development as a best practice and discourage
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digital.ahrq.gov/program-overview/research-stories/choosing-what-clinicians-see-electronic-health-record-can-reduce-cognitive-burden-and-improve
January 01, 2023 - Choosing What Clinicians See in an Electronic Health Record Can Reduce Cognitive Burden and Improve Decision … Giving clinicians the ability to customize the patient electronic health record display reduces cognitive … Increased provider cognitive burden risks to patient safety from poor EHR design
While the use of EHRs … The disjointed process adds to the cognitive load for clinicians, increases the time needed to develop … Customizing displays of information to reduce cognitive burden
The research team studied clinicians
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
January 01, 2019 - Methods: Cognitive task analysis interviews, supplemented by standardized surveys, were
performed with … We
developed and pilot tested with 6
participants a patient-centered cognitive
task analysis (P-CTA … For cognitive ease, we performed the scenarios interview using conversational roleplaying
elements. … In this case, a standard human factors method called “cognitive task analysis”
was adapted to older … Patient Decision-Making
Personas: An Application of a Patient-Centered Cognitive Task Analysis (P-CTA
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - Analysis
► EHR Data & Prototype Design
20
Cognitive Support - ED Triage/Workload
21
Cognitive … IT “Bloat” Causing Cognitive Strain and Lack
of Cognitive Support
If you miss the difference between … ground displays
• Rapid change – meet new needs, safety (suboptimal exposure)
• Fit to task, rapid testing … Centered View-Focus on Communication
Cognitive Support –Temporal Analysis
Cognitive Support –Team … IT “Bloat” Causing Cognitive Strain and Lack of Cognitive Support
Summary
Contact Information
Cognitive
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digital.ahrq.gov/national-webinars/optimizing-data-visualization-improve-care
January 01, 2023 - a panel discussion on the use of visualization tools within a digital healthcare system to improve cognitive … Describe creation and testing of intuitive health data visualization and explain how the visualization
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information
January 01, 2023 - Guided by a human factors-based conceptual model, this project conducted cognitive task-analysis among … The specific aims of the project were as follows:
Understand the cognitive factors that affect the … Barriers to test followup were identified throughout the testing process and most frequently occur at … Document Type: Report Research Method: Interview , Mixed Methods , Survey , Think Aloud Protocol/Cognitive … Development and field testing of a self-assessment guide for computer-based provider order entry.
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digital.ahrq.gov/population/medically-underserved-populations
January 01, 2023 - Principal Investigator
Alcantara, Carmela
Project Name
Using eHealth to Expand Access to Cognitive … and Prevention Among Hospitalized Patients
Using eHealth to Expand Access to Cognitive … Using eHealth to Expand Access to Cognitive Behavioral Therapy for Insomnia in Hispanic Primary Care … Principal Investigator
Alcantara, Carmela
Project Name
Using eHealth to Expand Access to Cognitive … High-Need, High-Cost Patients
AR-CPR: Refinement and Large-Scale Simulation-Based Testing
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digital.ahrq.gov/type-care/tertiary-care
January 01, 2023 - usability of a machine learning based clinical decision support tool designed to reduce laboratory testing … display these data through intuitive visualizations on a custom-built interface to reduce clinicians’ cognitive … Design
Description
This research used a human-centered design approach to understand the cognitive
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digital.ahrq.gov/type-care/pediatrics
January 01, 2023 - usability of a machine learning based clinical decision support tool designed to reduce laboratory testing … display these data through intuitive visualizations on a custom-built interface to reduce clinicians’ cognitive … AR-CPR: Refinement and Large-Scale Simulation-Based Testing of a Novel Augmented Reality Point of Care … Implementation of Electronic Health Screening in Primary Care to Improve STI Testing
Description … Louis metropolitan area, successfully increasing screening and testing among adolescents in this high-incidence
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digital.ahrq.gov/ahrq-funded-projects/optimizing-electronic-health-record-cardiac-care
January 01, 2023 - design to inform the creation of prototype electronic and personal health records was found to reduce cognitive … The planned wireframes for testing proved insufficient for clinicians to react to and, thus, the researchers … reference as documentation was completed, without needing to open and close applications, thus reducing cognitive … Included in the evaluation was eye-tracking to measure cognitive load, which allowed the researchers … to alter their PHR design to reduce patient cognitive load.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
January 01, 2012 - Cognitive function. … Tortuosity in
movement paths is related to cognitive impairment. … A standard
procedure for using TURN180 Testing dynamic
postural stability among elderly people. … Tortuosity in
movement paths is related to cognitive impairment. … Path tortuosity and cognitive functioning.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive … Primary care physicians use of an electronic medical record system: a cognitive task analysis. … DESIGN: Cognitive task analysis using semi-structured interviews and field observations. … Physicians perceived EMR use as reducing the cognitive load associated with clinical tasks. … "Overall, study participants felt the EMR system reduced their cognitive loads.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024062-mazur-final-report-2017.pdf
January 01, 2017 - Scientific disciplines: Cognitive and Behavioral Sciences; Human Factors.
1. … i)
unacknowledged abnormal test results (identified by a failure to order a referral or additional testing … Supporting real-time cognitive state classification on
a mobile participant. … Integrating cognitive load theory and concepts of
human–computer interaction. … Products of this research should be used to inform the design, testing, and use of health
IT within the
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digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2012
January 01, 2012 - These include information and cognitive barriers such as the failure to identify that a patient is at … osteoporosis-related treatment decision support that incorporates the needs of clinicians in order to minimize cognitive … These findings will inform the development and pilot testing of a new tool.
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digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results/citation/usability
January 01, 2023 - Association of the usability of electronic health records with cognitive workload and performance levels … Association of the usability of electronic health records with cognitive workload and performance levels
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018831-czaja-final-report-2013.pdf
January 01, 2013 - provided guidance for the
redesign of these tools, prior to the large-scale and more formal usability testing … Cognitive Battery. … For Diabetes Scenario participants (those testing the Mr. … For MS Scenario participants (those testing the Spartag.us Notebook search engine (n = 40),
no difference … Princeton, NJ: Educational Testing Service.
1976.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-support-population-based-clinical-practice/annual-summary/2012
January 01, 2012 - reporting system for pediatric and adult respiratory infections that captures routine microbiological testing … mentorships with experts in advanced epidemiologic and statistical methods, health services research, cognitive … what additional content and tools (e.g., patient education, ARI guidelines, information about viral testing … and deployed a mobile antibiogram application that provides the last full year’s data on antibiogram testing … They are currently testing the application and devising an evaluation plan.
Dr.
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digital.ahrq.gov/ahrq-funded-projects/massachusetts-quality-e-measure-validation-study/annual-summary/2011
January 01, 2011 - The project included primary analyses with formal hypothesis testing and secondary analyses to identify … The patient survey instrument, including revisions based on feedback gathered from cognitive testing,
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digital.ahrq.gov/ahrq-funded-projects/use-patient-buddy-application-disseminate-knowledge-prevent-readmission
January 01, 2023 - Due to patient cognitive dysfunction from the illness, caregiver involvement is essential to understanding … They were trained on entering medication adherence, daily sodium intake, vital signs, and weekly cognitive … User testing indicated that some patients found the data entry requirements to be too demanding, but