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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - family caregivers of someone over age 50 who needs help because of a limitation in physical, mental, or cognitive … comes to reporting patterns of older adults’ day-to-day lives and recognizing any acute changes in cognitive … Additional issues include knowledge gaps among clinicians, cognitive fatigue of clinicians evaluating
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www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
July 01, 2018 - This new in-house training standardized the mechanical and cognitive concepts of the triage process and … the strategy to a large staff-level performance improvement team brainstorming various strategies, testing
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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 … If you are testing your site, you can ask about the navigation link labels to make sure your audience
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-7.html
November 01, 2017 - Field testing (minimum of three sites). … Importance of topic to young adults and parents as ascertained from cognitive interviews and focus groups
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www.ahrq.gov/sites/default/files/2024-11/becker-bix-report.pdf
January 01, 2024 - Becker, PhD, Professor, Cognitive and Cognitive Neurosciences Area, Department of Psychology,
Michigan … Cognitive Research: Principles and Implications (CRPI): Special issue: Visual search in real-
world and … Consumer testing of the
acceptability and effectiveness of front-of-pack food labelling systems for … Cognitive
Science. 2004; 28:241-58.
73. … Cognitive Research: Principles and Implications. 2021 Dec;6(1):1-20.
74.
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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 … To Test Systems and Prepare Staff for a New Hospital Transition
Simulation-Based Clinical Systems Testing … Reliability and validity testing of the Creighton
Competency Evaluation Instrument for use in the NCSBN
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - . * Hazard Assessment and Remediation Tool [HART] for Simulation-Based Healthcare Facility Design Testing … Tools Task analysis, including cognitive task analysis . * Medications at Transitions and Clinical Handoffs
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent
Search All Impact Case Studies
July 2018
Patient falls resulting in injury were reduced by 21 percent at Madonna Rehabilitation Hospital after the Lincoln, NE, facility implemented AHRQ’s Preventing Falls in Hospitals To…
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www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
January 01, 2025 - to note that our data cannot directly measure whether a diagnostic error
corresponds to a specific cognitive … For instance, testing process faults might lead to problems
in clinical assessment, and vice versa. … presentation faults (e.g., incorrect triage, failure or delay in
seeking care), and problems with testing … able to generate models with c-
statistic greater than 0.57, so we did not proceed with subsequent testing … Finally, the priority areas we identified — testing and assessment — provide an initial
roadmap for
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - electronic health record (EHR) system for the management of abnormal test results with physicians’ mental (cognitive
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
June 01, 2010 - show, for example, that 37%-38% of elderly recipients of Medicaid HCBS waiver services had a level of cognitive … Since most diseases and conditions that cause dementia are progressive, the cognitive, functional, and … National Health Policy Group: proportion of persons screened to identify impairments in physical and cognitive … Measures:
Ideal measure that should be developed and validated: proportion of persons whose cognitive … and evaluated: HCBS programs and service providers have routine procedures for evaluating a person's cognitive
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief2.html
July 01, 2024 - Examples of barriers included difficulty managing cognitive aids while wearing personal protective equipment
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Checklists or cognitive aid.
Increased staffing or reduced workload.
Redundancy. … New device usability testing before purchasing. … Checklists or cognitive aid.
Increased staffing or reduced workload.
Redundancy. … New device usability testing before purchasing.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Cognitive psychology classifies tasks as either involving schematic behavior or attentional behavior. … Use of cognitive aids, such as checklists.
Communication with rapid responders. … To reiterate, cognitive aids support standardization and a shared mental model. … Use of cognitive aids.
Communication with rapid responders. … Use of cognitive aids.
Communication with rapid responders.
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www.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient … Introduction
Previous Page Next Page
Table of Contents
Developing and Testing the Health … No implementation recommendations were made other than strongly encouraging pilot development and testing … recommendations for expansion of such a system (or systems) nationwide, based on the results of the prototype testing … groups to identify important domains and language to be included in the event reporting form and used cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/about-hospital-health-literacy-item-set.pdf
October 30, 2017 - • Stakeholder meeting to obtain feedback
• Development of domains and an initial set of items
• Cognitive … testing of items in English and Spanish
• Field testing
• Construction of composite measures
CAHPS
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
April 02, 2025 - Interventions
Weaker Actions
Intermediate Actions
Stronger Actions
Double check
Checklists or cognitive … care map
Additional study or analysis
Software enhancement or modifications
New device usability testing
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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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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Sample cognitive aid. … specific to EFM use. 1
Slide 12: Key Safety Elements: Create Independent Checks
Providing cognitive … aids for standard EFM terminology and interpretation at the point of care
A sample cognitive aid … Use of cognitive aids for nomenclature to use for interpreting and communicating EFM findings.
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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…