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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - these indicators, using the Windows software
provided by the Agency for Healthcare Research and Quality … The examples and guidance provided by this tool should help you
work more easily with the Windows software … Indicator Data Generated by the Windows Software
The Windows software provided by AHRQ for calculation … This variable is not required by the
software but is useful for merging discharge records in the patient-level … This report is generated by the software and can be saved in
rich text format (RTF).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - An example of a safe cesarean section checklist is provided in the Appendix of this tool. … The timeout is typically led by the circulating nurse once all staff members are present in the operating … safe cesarean section checklists are provided in the Appendix of this tool. … for guiding the safe surgery perioperative process, and
· is taken seriously by the surgical team, … timing and location as shown in the following figure:
This sample tool is based on the framework of
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - and follow the NRE are captured on video and in computer data records for
subsequent review and analysis … Much like the flight data recorder in an aircraft records audible
and systems data during a flight, … As a supplement to the video record, the
observer continuously records all of the subject’s activities … Unfortunately, this individual is no longer working for
us, so we now must train a new data collector … for
the early detection of risks to patient safety before serious patient harm occurs is provided.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
January 01, 2003 - In this section we describe each step, followed
by a case study. … In 1997, the VHA implemented computerized patient record system (CPRS),13
which is integrated with the … it and heard the following
reply): “This is the lab, can I talk to the nurse caring for Mr. … actual tests, and the data collected during the pilot
testing is not usually included in the data analysis … Data in the test account must be representative of the data that is
available to practitioners in the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Indicators
Note: This tool was updated based on test software provided by AHRQ as of March 2016 (alpha … This tool should be used in conjunction with the other
tools for applying QIs to hospital data (B tools … Coders must use the documentation provided by the treating providers, in compliance with
coding guidelines … A sample
query form is provided below that might be used in that process. … Sepsis is documented but not supported by the clinical evidence in the record.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - The purpose of this study is to
investigate the
1
Methods
Study Population
The ASIPS project, … Unknown or no known harm
An unlabeled lab specimen for gonorrhea and Chlamydia PCR
is discovered by … Types of Errors Associated with Harm
For purposes of the following analysis, we concentrated on the … provided to new
employees in the area, the process was considered a “system.” … We posit that this is a step in the critical path
toward identifying and isolating those clinical processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - In this article, we discuss each
population of interest separately for ease of reading. … for educational purposes. … event reporting should be
provided by the State. … • To reduce public confusion and fear, help should be provided for hospitals, so that a
consistent … This could include the availability of a Web site that could provide in-depth
information that is available
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - and teaspoons provided by research
staff. … In each of these studies, measurement instruments were provided by research staff, so problems
with … The percent of doses
taken, the primary outcome for this part of the study, is calculated in the following … — the
medications the child is taking in the home are compared with the medical record medication list … The primary measure for this portion of the study is percent of
home visits where the prescription medication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - this cost is likely to be shouldered by hospitals. … :
o Identifies the purpose, goals, and scope and defines the target population for this
guideline … results of the final count in the surgical record or operative note.2
Toolkit for Using the AHRQ … o Document all appropriate steps taken to retrieve the object in the patient’s medical
record. … (Prepared by Telligen under contract to the Centers for Medicare & Medicaid
Services.)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - This urgency is, in part, precipitated
by the confluence of market pressures to demonstrate value in … the purposes of this report, the completeness measure is based on the
actual case data and is not … data set for
each of the randomly selected inpatient records. … data in both the clinical record
and the administrative claims data set with a high degree of inter-rater … of this problem is the medical
record.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - For
purposes of this training program, change equated to a shift in the patient safety culture on the … The previous culture provided for complete privacy while the
patient was using the toilet, so that even … “It is worth an entire day off the unit. It shows how important this is.” … For example, three of the falls in Q2 occurred
while the patient was being attended by staff who had … Continuing data collection in the quarters ahead will show whether
this intervention contributes to
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - is operating as intended by its designers
and in the absence of human factors or work practices problems … This problem leads to the two, broad, long-term objectives for this
project:
1. … sites, but this plan was seriously challenged by the somewhat chaotic
organizational changes in the … As
previously reported, this seriously impacted these efforts in several ways: a loss of local
IT leadership … In addition, the team is notified anytime a page is modified and the wiki
software records all change
-
www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - In this case, the risk is dominated by the possibility
of two (or more) patients being confused with … This occurs as a work-around for
the lack of flexibility in data entry when the allocated data entry … In this case, previous records for the patient may not be requested from the
hospital records (so, for … On their return, there is no active record of them,
their condition, and the plan for treatment. … is well developed and could easily have been provided in the computer-based system.
-
www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - the services provided by the
organization. … Multiple records for one patient can be prevented, because there is one set of … This procedure is illustrated in Figure 11. … As an
example, the patient may not be asked for their name by a busy worker, and this does not stop … data for
matching.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - (AEs) are multifaceted, the search
for a solution is compounded by systemic breakdowns in health care … ., for purposes of a standard terminology.) … , and that the integrity of
data, information, and medical records be preserved; these States impose … 2005.39 As the data
suggest, however, the system is still in the preliminary implementation phase. … The potential for conflict among the sources of regulation is compounded by
lack of consensus about
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www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
July 01, 2018 - sessions provided in person or by telephone. … If use of pharmacy data is feasible, then it is sensible to use these data for evaluating the program's … (laboratory or medical record data) are needed for a number of these measures, however, and such data … an electronic medical record is available. … purposes is that it may take years for many of these outcomes to show the effects of improved self-management
-
www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
January 01, 2024 - Data analysis for this study is still underway. Final results will be
published separately. … We also demonstrated that the models provided an excellent fit to the observed data. … We extracted 10 years of medication order data from the electronic health record at the University of … The patient received cycloserine for 4
months, but there was no notation in the medical record as to … Instead, it looks at claims data for any drug that is not justified by an active diagnosis.
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - the time to collect
data 30% and improved time monitored by 18%. … This allows for “maturing” the core capabilities over time. … allowed for a consistent location in the
chart to see who is responsible and who is responding at all … upper arm and a bedside unit that
allowed for vitals integrated into the electronic medical record were … Summary
The checker found no problems in this document.
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www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - Trigger data
were extracted for all records as detailed below. … Of
these 5,582 records, 5,449 had >1 trigger and 133 had none for comparison purposes. … We
improved yield to over 50% by selecting records with higher risk scores, weighing this increase in … seeking to characterize harm and non-harm events in their EDs for quality
improvement purposes. … with structure order
Character encoding Passed Reliable character encoding is provided
Tagged multimedia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - information reported is of limited value.5
Use of ICD-9-CM codes in hospital discharge
data for … For this paper, the authors have used
published values for number and percentage of NIS discharges by … by medical records coders,14 whereas the panel for
the AE Classes includes pharmacists, nurses, medical … Also, only conditions documented by physicians in patients’ medical records are
coded; conditions in … Acknowledgments
This project is supported by grant number U18 HS 11885 from the Agency for
Healthcare