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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
September 30, 2024 - Memory-Based
Approach to
Reducing Medication
Errors
2020-2023
$71,223
Final Report
Purpose: Use a cognitive … Prehospital Pediatric
Medication Errors
2023-2026
$500,000
Purpose: Develop and test a highly dynamic cognitive … This project has implications for (1) emphasizing the importance
of testing measures prior to adoption … residents of
15 Veterans Affairs Community Living Centers age 65 and over with a diagnosis of
dementia/cognitive … Rajender Aparasu
University of
Houston
Houston, Texas
R01 HS21264
[Grant]
Anticholinergics and
Cognitive
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www.ahrq.gov/sops/international/hospital/translators-version-2.html
October 01, 2024 - Hospital Survey Version 2.0: Background and Information for Translators
Prepared by: Westat, under contract number GS-00F-009DA/75Q80123F80005 for the Agency for Healthcare Research and Quality
Contents
Purpose and Use of This Document
Background on the Survey
More Information About the Items
Pur…
-
www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - literacy, typicality of presenting
symptoms, complexity, and behaviors), provider/care-team (e.g., cognitive … Trigger testing and refinement: We selected six triggers and extracted a sample data set
to perform … Developing and
Testing a Bundle of E-Triggers to Identify Diagnostic Errors in Emergency Departments
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0
Agency for Healthcare Research and Quality (AHRQ)
Surveys on Patient Safety Culture™ (SOPS®)
Hospital Survey Version 2.0
Background and Information for Translators
August 2023
Purpose and Use of This…
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - .
– Developing and testing measures and methods for evaluating the
quality of care and enhancing patient … devise recommendations for stakeholders
on topics such as:
– Clarifying definitions
– Education and cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - templates
Anderson
et al., 201511
• Primary care;
FQHC
• Treatment agreement
• Urine drug test/testing … 2010) found opioid misuse was modestly reduced after treatment agreements (with or
without urine drug testing … Systematic review: treatment agreements and urine
drug testing to reduce opioid misuse in patients … A randomized trial of cognitive behavioral therapy in
primary care-based buprenorphine. … management
were necessary,
such as
implementing a
monitored
induction
protocol, on-site
drug testing
-
www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - advantages to clinical practice, including improving teamwork and communication, as well as reducing the cognitive
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www.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - The draft survey was pretested during cognitive interviews with medical office staff to ensure that items
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - The study also was the first randomized study testing an intervention to decrease
potentially inappropriate … In addition, pilot testing of the MySafeCare dashboard to assess stakeholder
engagement, increase awareness … record, conflicts in the record, specific event detection,
case-based reasoning on an errors database, cognitive … Key Findings/Impact: Investigators successfully developed and were testing a
fingerprint identification … Key Findings/Impact: Prospective risk analysis and usability testing improved
the implementation of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - • Development: Physical, emotional and cognitive development change dramatically
across childhood
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - most effective, it should be delivered and
displayed in a manner that is timely, consistent, reduces
cognitive … intervention, residents indicated improved comfort
with sharing feedback and self-efficacy in identifying
cognitive … Emergency physicians'
acute coronary syndrome testing threshold and diagnostic
performance: acute
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD
Workplace Safety Supplemental Item Set
for the SOPS Nursing Home Survey
Naomi Yount, PhD
Senior Study Director
Westat
31
Workplace Safety Supplemental Item Set
• Designed as a supplemental item set that can be added towa…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
September 01, 2015 - they want
• Do not judge ideas for change
• Do not make them agree with you
• Team consensus on testing … Try it in the next testing cycle.
5. If it doesn't work, try another.
6. … publishing, 2001
19
Thoughts on Team QI Literacy
• People can read and function above their cognitive
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
January 01, 2021 - activities,the design team developed draft survey items to measure the key
composites and conducted cognitive … Cognitive interview participants included physicians, other providers, office managers, nurses,
medical … Survey preparation and testing time. … Use a large screen resolution of 800 pixels by 600
pixels when testing the Web survey, because this … When testing:
Use the same type of computer that will be available to providers and staff taking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
April 02, 2025 - Have no cognitive impairment? … Mental: Cognitive Impairment. … If the BIMS score is equal to or less than 7, the
resident meets the definition of cognitive impairment … would count: impairment in ability to make self-
understood, short-term memory, long-term memory, or cognitive … Behaviors and cognitive impairment issues are
captured in this item.
-
www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Field testing.
Focus groups.
Cognitive testing. … Jiajie Zhang, PhD, cited the idea of making the testing of patient safety systems mandatory.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - patients more mobility and the ability to maintain use while traveling to other areas of the hospital for testing … hospital is a risk factor for delirium, decubiti, ileus, deconditioning, bone loss, and prolonged loss of cognitive
-
www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - The draft survey was pretested during cognitive interviews with hospital staff to ensure that items were
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/meta/meta04.html
December 01, 2012 - A pilot trial of bupropion added to cognitive behavioral therapy for smoking cessation in schizophrenia … Effectiveness of a 24-hour transdermal nicotine patch in conjunction with a cognitive behavioural programme … Nortriptyline and cognitive-behavioral therapy in the treatment of cigarette smoking.
-
www.ahrq.gov/prevention/resources/vision/resources/vision5.html
October 01, 2002 - Cognitive rehabilitation for memory deficits following stroke (Cochrane Review). … Cognitive rehabilitation for attention deficits following stroke (Cochrane Review).