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www.ahrq.gov/cahps/surveys-guidance/oas/index.html
November 01, 2023 - To ensure the usefulness of the draft instrument, the team responsible for its development conducted cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - .13 These
reports are typically comprehensive, covering reviews of features, functionalities,
and testing … representation relies on
more efficient perceptual processes, hence mitigating cognitive load. … and traditional treatments of human error to a deeper
cognitive level. … A cognitive
taxonomy of human errors in medicine. … Representations in distributed
cognitive tasks. Cognitive Science 1994;18(1):87–122.
24.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-hays.pdf
June 02, 2025 - Released in 2020
• Iterative refinements
► Pilot study in 2021 with 367 adult patients (27%) at UCLA
► 8 cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-apr2025.pdf
August 01, 2025 - focus on all aspects
of errors relevant to emergency care ranging from the definition of errors,
cognitive … Testing practices that are not FDA-approved
CDC has noted that providers, including those at nursing … This testing is not
FDA-approved and is being performed at private laboratories as laboratory-
developed … CDC has investigated this practice using CMS data and can
confirm that this testing is occurring, and … There are concerns that this testing may lead to inappropriate
antibiotic use.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
March 01, 2022 - These largely relate to clinical reasoning and ways to mitigate the harmful effects of clinicians' cognitive … Finally, the importance of reflection and cognitive humility is emphasized. … Avoiding common cognitive pitfalls. 52 Many cognitive errors arise from unconscious tendencies that
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - These include a cognitive knowledge base, problem formulation and
decisionmaking abilities, appropriate … psychosocial relationships, and other
attributes that can be measured with objective testing, such … while an intentional adverse situation cannot be induced
in a patient for the purpose of training or testing … will achieve a level of
performance in the next few years that will make them suitable for surgeon testing … Teaching and testing technical skills. Am
J Surg 1993;(165):358–62.
5.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Post-discharge social and environmental conditions significantly influence cognitive outcome. … Testing
Adjust an infant's age for prematurity until he/she is 2 years adjusted age. … Err on the side of caution, and refer the infant for formal testing early rather than waiting. … Have a high rate of impaired visual-motor integration and neuromotor and cognitive functions; problems … Sleep Patterns and Cognitive Development
Development of sleep-wake cycles likely has major impact
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Post-discharge social and environmental conditions significantly influence cognitive outcome. … Testing
Adjust an infant's age for prematurity until he/she is 2 years adjusted age. … Err on the side of caution, and refer the infant for formal testing early rather than waiting. … Have a high rate of impaired visual-motor integration and neuromotor and cognitive functions; problems … Sleep Patterns and Cognitive Development
Development of sleep-wake cycles likely has major impact
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
June 01, 2014 - of care: 8
Support self-management goals: 8
Medication management: 6, 7
Development and Testing … , follow up, and respond to change: 1,2
Teamwork focused on coordination: 3
Development and Testing … : Coordination measures were adapted from validated surveys and underwent cognitive interview testing … 3
Support self-management goals: 23
Teamwork focused on coordination: 8
Development and Testing … follow up, and respond to change: 22
Support self-management goals: 11, 17
Development and Testing
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
January 01, 2017 - narrative information back to clinicians to support improvement
activities
If you are interested in testing … However, rather than creating confusion or cognitive dissonance for respondents, the complexity of the … This testing was done for both the original protocol and a revised
version that reflected findings from … the initial round of testing. … As part of the development and testing process, the Elicitation Protocol was administered by Web and
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Scope: Testing of a nurse-led fall prevention toolkit across three diverse healthcare systems
Methods … York-Presbyterian, and Brigham and Women’s Hospital achieved excellent inter-rater
reliability with a set of testing … • Staff Cognitive Experience – This theme identified management attitudes, messaging, and type of … Experience – This theme highlighted aspects of the patient cognitive
experience related to Fall TIPS … Pilot Testing Fall
TIPS (Tailoring Interventions for Patient Safety): A Patient-Centered Fall Prevention
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www.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - confidence among CNAs and overcome barriers to vaccination by applying insights from social, behavioral and cognitive … Vaccination and Testing Learning Modules
This series of two learning modules focuses on considerations
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www.ahrq.gov/opioids/implementing-what-works/compendium.html
November 01, 2024 - Develop specific workflows to screen for opioid use related risks in older adults, such as falls and cognitive … Educate Clinicians & Staff - Train staff on workflow
Train staff on workflow to screen for falls, cognitive … such as falls risk,
- calculating Morphine Milligram Equivalents,
- monitoring with urine drug testing
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - Continuity of care Team Care
Stable
relationships
Effective EHR
High reliability
systems
Optimize cognitive … Cognitive Load and Diagnostic Accuracy
“Diagnostic reasoning has historically been treated
as intrinsic … However, there is now growing
recognition that cognition is complex and affected by
context, cognitive … All rights reserved.18
Everyday examples, obstacles, and cognitive overload
I am frequently
interrupted … Workflows
Key workflows to save time and share the work:
• Pre-visit planning and pre-visit laboratory testing
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Status” was granted in July 2016 under the category of research involving the
use of educational tests (cognitive … Usability Testing (~30 minutes). … Process
The study used a cognitive walkthrough approach in which participants viewed different parts … Validation Testing
Validation testing included three independent sessions. … in a realistic manner was limited, data collection focused on subjective participant feedback via
cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-4-ef.pdf
January 01, 2015 - Studies have shown that untreated
maternal depression negatively affects an infant’s cognitive, neurologic … ● The face validity of the measure was assessed using expert and public opinion.4
Measure Testing
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www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - While the failure to
correctly interpret a diagnostic test result may reflect knowledge gaps or cognitive … Reflex testing
refers to further testing that is performed automatically (i.e., according to algorithm … mediated only through the treating oncologist.44-47
Distinct from reflex testing, reflective testing … , each increased appropriate use of testing. … Cognitive biases encountered by physicians in the emergency
room.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
June 01, 2014 - Development and Testing: Questions were selected for each subscale based on content validity. … coordination: 14d, 15a, 15b, 16, 17a, 17b, 17c, 18b, 19a, 19b, 19c, 19d, 20b, 21, 22, 23
Development and Testing … Informal cognitive testing was performed with the expert panels, and the resulting consensus feedback … Development and Testing: An expert panel developed the standards for the Joint Commission’s PCMH option … respond to change: 23, 24
Align resources with patient and population needs: 10
Development and Testing
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-behavioral-health.html
May 01, 2024 - approach treats chronic pain syndrome as a brain disorder, which has been reinforced though negative cognitive … Using eHealth to Expand Access to Cognitive Behavioral Therapy for Insomnia in Hispanic Primary Care … Professions Examines the effectiveness of an electronic health intervention to provide culturally adapted cognitive … Materials developed by the AHRQ Older Adult Opioid Initiative Identifying and Testing Strategies for
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - Using grounded theory and mixed-methods case study protocols, they mapped cognitive and contextual contributors … patients. 7 These sessions led to the development of novel sociotechnical prototypes that addressed the cognitive … prototypes reflected human-centered, real-world priorities, and were designed with a clear path to testing