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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - , 83-86 Other examples of possible e-triggers that are either in development or approaching wider testing … enhanced reviews are advantageous because they can allow development of potential measures for wider testing … flags. 16 Depending on an HCO’s priorities, safety leaders could consider additional development, testing … Nevertheless, the science of understanding the complex mix of cognitive and sociotechnical contributory
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Cognitive analyses and case-based reasoning were also applied. … Cognitive
studies revealed complex causation for errors and flawed decision-making processes. … A
cognitive team used direct observation and review of documents to collect data and cognitive analysis … Cognitive studies
We (led by Vimla Patel) addressed the cognitive issues surrounding the reporting … To appear in the Proceedings of Cognitive Science Society, August, 2002.
9.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-5-appendix-1.pdf
October 12, 2013 - Guidelines and Measure-Specific Testing Results
Use of First-Line Psychosocial Care in Children and … and/or vocational training programs may be indicated for some children or
adolescents to address the cognitive … o=5653 (Accessed Oct 12, 2013)
Measure-Specific Testing Results
Table 1.
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www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
April 01, 2018 - Designing and Testing Methods to Stratify Risk of Surgical Site Infections
Chapter 4. … July 2010
Task 2: While algorithm development and testing was planned to use SLC VAMC and Intermountain … is documented need for enhanced risk factor assessment (surgeon focus group) and receptivity toward cognitive
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www.ahrq.gov/nursing-home/resources/search.html?page=9
January 01, 2022 - Overview of Testing for SARS-CoV-2 (COVID-19) This webpage provides guidance on the different types … Positive Behavioral Control Checklist for Long-Term Care Facility Staff Interacting with Residents with Cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/safford.pdf
December 17, 2014 - Chronic Pain
Description
Medications are a mainstay of chronic pain therapy in
diabetes; however, cognitive-behavioral
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www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
January 01, 2024 - that the use of electronic prescription writing tools decreases
medication errors by improving the cognitive … interactions or allergies, may be significantly decreased when pharmacists are made aware of the
cognitive … Those errors include cognitive errors (wrong medication, no medication for an
appropriate indication … After pilot testing, the form was organized into
itemized sections composed of Insurance, Rule Violations … Therefore, we delayed the start of phase 2 to accommodate all
testing and the months of actual use.
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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/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - Interventions
Weaker Actions Intermediate Actions Stronger Actions
Order verification Checklists/cognitive … of care maps
Additional study/analysis Software enhancement or modifications New device usability testing
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www.ahrq.gov/es/nursing-home/resources/search.html?page=9
January 01, 2022 - Overview of Testing for SARS-CoV-2 (COVID-19) This webpage provides guidance on the different types … Positive Behavioral Control Checklist for Long-Term Care Facility Staff Interacting with Residents with Cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
January 01, 2025 - and highlight critical and recent data, including for users with specific needs, such as those
with cognitive … successfully implement, pilot-test, and evaluate first-
generation versions of two eCP apps developed by Cognitive … laboratory results and medications by
diagnosis and alphabetically sorting medications could reduce the cognitive … prioritize and visually
highlight important data,
especially for specific
audiences (e.g., people
with cognitive … and highlight critical and recent data,
including for users with specific needs, such as those with cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
August 01, 2024 - iiMore information on cognitive burden is available in Issue Brief 17: Cognitive Load Theory and Its … identify signals of diagnostic error,66 and
■ Predictive analytics to help prioritize diagnostic testing … Mind the
overlap: how system problems contribute to cognitive failure and diagnostic errors. … Sources of variation in primary care clinical workflow: implications for the design of cognitive
support … Developing, pilot testing, and
refining requirements for 3 EHR-integrated interventions to improve diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
November 01, 2018 - In 2016, AHRQ invested
about $12 million over 3 years in a series of grants that are
exploring and testing … least 1 month when used for—
Chronic low back pain: Exercise, psychological
therapies (primarily cognitive … Fibromyalgia: Exercise, cognitive behavioral
therapy, myofascial release massage, tai chi,
qigong
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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/emergency-dept/frequent-use.html
July 01, 2017 - Lack of insurance;
Lack of primary care physician;
Psychiatric illness;
Substance abuse;
Cognitive … intoxication, alcohol withdrawal, narcotic overdose
|___| Difficulties in Self-Care [physical impairment, cognitive … impairment, complexity of medical condition]
Refer to physical/cognitive impairment tool (next page … Prefer the ED care over PCP care (if checked, asked why)
Other (specify)
Physical/Cognitive
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www.ahrq.gov/faqs/index.html?page=5
June 12, 2025 - We conducted cognitive testing with Spanish speaking participants in the United States to ensure that
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
August 01, 2023 - investigators have started to address include:
Pediatric transitions of care. 132
Clinicians’ cognitive … and communication. 135
The clinical work environment and culture. 2
Disparities in diagnostic testing
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - For Project 2, the aims were to: Evaluate whether a meta-cognitive intervention using a structured checklist … These include identification errors, delayed or missed diagnoses, redundant testing, treatment delays … Using grounded theory and mixed-methods case study protocols, the team mapped cognitive and contextual … They also will perform cognitive engineering analysis to identify cognitive work challenges and their … Resilient EMS PSLL: Using a Systems Engineering Approach To Enhance EMS Cognitive Work and Safety for
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - Validate a multidisciplinary, proficiency-based simulation curriculum, incorporating skills
training, cognitive … knot-tying and suturing models (12
tasks) followed by laparoscopic exercises (12 tasks) along with cognitive … following curricula: 1) open knot-tying and suturing, 2) Lap I basic skills, 3) Lap II basic
skills, 4) Cognitive … Lap Chole Video curriculum, and 5) FLS Cognitive curriculum. … All trainees also met the 75%
minimum passing score threshold established for the cognitive components