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  1. 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).
  2. 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
  3. 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.
  4. 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
  5. 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.
  6. 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 theprovided 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
  7. 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
  8. 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
  9. 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.)
  10. 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 inthe 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.
  11. 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 theThe 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
  12. 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
  13. 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.
  14. 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.
  15. 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
  16. 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
  17. 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.
  18. 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.
  19. 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
  20. 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 forFor this paper, the authors have used published values for number and percentage of NIS discharges byby 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

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