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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-outpt-mhs-webcast-hargraves.pdf
August 22, 2022 - testing and focus groups to understand
relevance of survey content given changes in mental
health … care landscape
2017 Cognitive testing and focus groups with a revised survey
2017 Online survey to … modes
2018 Technical Expert Panel reviewed developments and made
recommendations
2018 Additional cognitive … testing and a new draft instrument
2018 Field test of a revised survey using online panel and with … • Cognitive interviews showed problems with
wording
► For example, participants didn’t understand “using
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www.ahrq.gov/cahps/surveys-guidance/dental/about/Development-of-the-Dental-Plan-Survey.html
April 01, 2020 - Cognitive testing. … narrowing the instrument down to 61 questions, the survey developers submitted it to two rounds of cognitive … testing with TRICARE Dental Plan enrollees. … Field testing . … Additional testing of patient experience measures.
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www.ahrq.gov/talkingquality/index.html
Comparative Report Profiles
Writing Tips
Design Tips
Cognitive Testing
Presentations … Conducting Cognitive Testing for Health Care Quality Reports
How can you use cognitive … testing to get feedback on your report?
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www.ahrq.gov/cahps/surveys-guidance/surgical/about/Development-of-the-CAHPS-Surgical-Care-Survey.html
February 01, 2018 - Cognitive testing. Two rounds of cognitive testing were conducted in English and Spanish. … instrument according to findings from the interviews, resulting in the 44-item questionnaire used for field testing … Field testing. … from the Consortium, ACS and AIR made some revisions to the questionnaire; they also did additional testing
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2020 - Usability testing of the prototype was promising, highlighting its potential to inform clinical decision … The research team conducted a design workshop and usability testing with primary care providers to characterize … work, workflow, and decision making needs, rather than requiring them to adapt their cognitive work … challenges related to existing health IT, as well as strategies to improve the methods for developing and testing … Usability testing of the EHR prototype showed positive results that underscore the need for technology
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
January 01, 2024 - diagnostic error
diagnostic safety/error + reporting diagnostic error
diagnostic safety/error + cognitive … process
diagnostic safety/error + cognitive biases
diagnostic safety/error + cognitive burden … patient centered communication
diagnostic safety/error + technology tools
diagnostic safety/error + testing … interventions
diagnostic safety/error + interventions educational
diagnostic safety/error + interventions cognitive
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Diagnostic Error in the Testing … should target breakdowns in the testing process that lead to diagnostic error. … The total testing process (Figure 1) is a model that can help identify and classify failure points in … The total testing process Source: Lubin IM, Astles JR, Bunn JD, et al. … While the failure to correctly interpret a diagnostic test result may reflect knowledge gaps or cognitive
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www.ahrq.gov/talkingquality/resources/design/testing.html
September 01, 2019 - Testing the Design of a Quality Report By Getting User Feedback
User testing with people who … Moreover, user testing can be done efficiently and cost-effectively. … To learn about the advantages of interviews as a method for user testing, go to Writing Tip 7. … , you can do more user testing to find out how well the report is working. … Cognitive testing of statistical graphs: methodology and results.
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www.ahrq.gov/cahps/surveys-guidance/american-indian/about/Development-AI-Care-Survey.html
April 01, 2018 - Cognitive testing. … In the summer of 2004, the RAND members of the CAHPS team conducted cognitive testing of the first draft … Field testing.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - Then,
the clinician generates a working diagnosis, creates a testing plan, formulates an accurate diagnosis … Human factors engineers and system usability
testing can create technology that decreases
clinician … closely with frontline clinicians
during the development of new technology to ensure adequate system
testing … testing before implementation. … Comparing diagnostic performance and the utility of clinical vignette-based as-
sessment under testing
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - Processes
Frameworks and Cognitive Biases
Cognitive Burden
Concepts To Improve Clinical Reasoning … Cognitive Processes
Cognitive processes encompass mental processes related to medical decision making … For example, cognitive debiasing strategies can help mitigate the risks of cognitive biases. 90 Additional … Testing
Diagnostic testing is complex, involves multiple disciplines, and is known to be a contributing … Cognitive Interventions
Cognitive interventions provide support to reduce clinicians’ cognitive burden
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digital.ahrq.gov/population/nurse
January 01, 2025 - Hettinger, Aaron Zachary
Project Name
Improving Patient Safety and Clinician Cognitive Support … Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. … Implementation of Electronic Health Screening in Primary Care to Improve STI Testing … Implementation of Electronic Health Screening in Primary Care to Improve STI Testing – Final Report. … Project Name
Implementation of Electronic Health Screening in Primary Care to Improve STI Testing
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022542-hettinger-final-report-2020.pdf
January 01, 2020 - This model is limited by the use of a
single health system as a data source and will require further testing … strong sense that the patient will either be
discharged or admitted to the hospital once diagnostic testing … These results demonstrate the value of work-centered usability testing of an
electronic system that … The tool was
initially developed to create de-identified use cases for testing the other prototypes, … Additionally, the patient-centered display
demonstrated the value of leveraging work-centered usability testing
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - How to Address Cognitive Errors
Although the cognitive biases that lead to misdiagnosis take many … forms, many experts agree that effective diagnosticians are good at “iterative hypothesis testing”: periodic … Gathering accurate information, forming thoughtful differential diagnoses, and iteratively testing hypothetical … Teaching clinical medicine by iterative hypothesis testing. Let's preach what we practice. … From mindless to mindful practice--cognitive bias and clinical decision making.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
January 01, 2017 - Results: A total of 21 participants completed testing of the Sophie RA-CBT system. … A total of 21 participants enrolled in the study and
completed testing. … The testing sessions lasted 4 hours in duration. … Cognitive and Behavioral Practice. 2009;
16(4):394-407.
5. … Pilot testing:
D.4. Outcomes Measures and Data Collection:
E. Results:
E.1.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - When definitive tests exist, such tests may expose children to greater risks than similar testing in … rarely have knowledge of the evidence supporting diagnostic testing recommendations. … reliance on heuristic-driven diagnostic reasoning. 16 , 40 When heuristics fail, they are often called cognitive … Suboptimal cognitive acts such as frequency gambling are not unique to pediatrics. 42 However, pediatric … preponderance of previous good outcomes (e.g., outcome bias, ascertainment bias) more routinely than other cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
April 02, 2025 - ■ 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. … ■ Parental concerns about language, fine-motor, cognitive, and emotional-behavioral
development are … ■ Err on the side of caution, and refer the infant for formal testing early rather than waiting. … Outcomes
Poor head growth by 8 months corrected age is a strong predictor of poor cognitive function,
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023708-senathirajah-final-report-2021.pdf
January 01, 2021 - E.1.4 Study Four: Testing Clinical Reasoning with Composable and Conventional EHR Approaches
Measure … E.2.4 Study Four: Testing Clinical Reasoning with Composable and Conventional EHR Approaches with high … testing
methods. … The Future of Mobile Usability, Workflow and Safety Testing. … Remote
Usability Testing Method for an EHR Platform. In AMIA.
• Collins S.
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www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
February 01, 2024 - engaged key stakeholders to identify threats to the diagnostic process and guide the design, development, testing … ICU operational conditions may contribute to cognitive overload and affect clinical decision making. … factors, such as admission rates and patient severity of illness, may affect the critical care team’s cognitive … Investigating the cognitive capacity constraints of an ICU care team using a systems engineering approach … Investigating the cognitive capacity constraints of an ICU care team using a systems engineering approach
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/PCMHFactSheet.pdf
September 01, 2010 - • Cognitive testing (English and Spanish): In August 2010,
the CAHPS Team conducted cognitive testing … The draft PCMH questionnaires will
be revised as needed based on the findings from the cognitive
interviews.This … testing version will be available in Fall 2010 … • Field testing: NCQA will conduct a field test of the instru-
ment in late 2010. … The CAHPS Team is planning to do
further field testing to inform implementation issues.