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121. Chapter-3 - Sepsis Recognition (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … of Existing and Emerging Patient Safety Practices Making Healthcare Safer III: A Critical Analysis … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

122. Chapter-8 - Diabetes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … The analysis of variance indicated that there were statistically significant differences between the … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

123. Section 7.B, Table 4 ICD-9 Codes Used in this Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7b-table-4.pdf
     June 01, 2018 - Section 7.B, Table 4 ICD-9 Codes Used in this Analysis Table 4. … ICD-9 codes of the chronic conditions included in this analysis: Continuity of Insurance: Informed Coverage

124. CHIPRA 155: Section 7.B, ICD-9 Codes Used in this Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-b-icd-9-codes.pdf
     September 12, 2018 - CHIPRA 155: Section 7.B, ICD-9 Codes Used in this Analysis Continuity of Insurance: Coverage … Presumed Ineligible ICD-9 codes for the chronic conditions included in the analysis for this measure

125. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - Delirium in older hospitalized patients Making Healthcare Safer III: A Critical Analysis of Existing … Effectiveness of multicomponent nonpharmacological delirium interventions: A meta-analysis. … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

126. Elements of an Evaluation Plan | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/talkingquality/assess/evaluation-plan.html
     January 01, 2023 - This may include a qualitative data analysis software program. … Staff who have skills in qualitative data analysis. … Staff who have skills in qualitative data analysis. … Data Analysis Analysis methods vary by how you collect the data. … Who will do the analysis?

127. Chapter-2 - Failure-To-Rescue (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Three of these studies were also covered in a systematic review/meta-analysis. … Rapid response systems: a systematic review and meta- analysis. … Rapid response teams: a systematic review and meta- analysis.

128. Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
     December 01, 2017 - Data Analysis. Readmission Review. Hospital Inventory. Community Inventory. … Three lines each extend from "Analysis" and "Action" to connect to the elements that make up the ASPIRE … Analysis Slide 8: Why Analyze Your Own Data? … Source: Massachusetts Center for Health Information and Analysis  and Jiang et al. … Slide 16: Data Analysis Tool Images: Three screenshots display the Data Analysis Tool.

129. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
     January 01, 2004 - Four components of a complete human factors engineering analysis Functional Analysis: identify top … Contents for System Implementation: Multiple Levels of Analysis User Analysis: identify characteristics … and extended hierarchical task analysis is a typical task analysis. … Hierarchical task analysis and its extension Hierarchical task analysis (HTA), one of the most widely … Traditional hierarchical task analysis and extended hierarchical task analysis.

130. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

131. Chapter-7 - Harm Due to Anticoagulants (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … A total of 728,377 patients were included in the meta-analysis.

132. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Four studies were included in analysis. Sample: 1,925 adults.

133. Tool 3O: Postfall Assessment for Root Cause Analysis | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
     January 01, 2013 - Preventing Falls in Hospitals Toolkit Tool 3O: Postfall Assessment for Root Cause Analysis … Resources Preventing Falls in Hospitals Tool 3O: Postfall Assessment for Root Cause Analysis … The tool may be used for the purpose of root cause analysis to prevent future falls in this patient and … originally created January 2013 Internet Citation: Tool 3O: Postfall Assessment for Root Cause Analysis

134. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/index.html
     August 01, 2022 - Worksheet ( PDF , 208 KB) Video: Peer to Peer Coaching Module 3: Preparing for Implementation: Gap Analysis … Preparing for Implementation: Gap Analysis Facilitator Notes ( PowerPoint , 836 KB) Tool: Gap Analysis … Facilitator's Guide ( PDF , 440 KB) Module 4: Event Reporting, Event Investigation and Analysis …  MB) Tool: CANDOR Event Checklist ( PDF , 200 KB) Tool: System-Focused Event Investigation and Analysis

135. Advancing the Science and Implementation of Patient Narrative Elicitation and Reporting | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html
     August 01, 2019 - Narrative Analysis and Reporting Responding to urgent medical concerns: Because of the emphasis on … Large-scale analysis of patient comments: While narratives will likely have great value in being read … Can qualitative analysis methods using human coders realistically meet this challenge? … How can we best process and categorize comments to encourage system-level analysis without discouraging … What narrative analysis and distribution methods are most effective in supporting the use of this information

136. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
     January 01, 2004 - ), and Derived Construct (clinical activity level analysis) groupings. … Finally, we analyzed the data based on clinical constructs (derived construct analysis). … Overall, few individual codes are associated with the definition of harm used for this analysis. … Results of the analysis based on the Hierarchical Constructs are shown in Table 3. … We describe a system that facilitates a multidimensional analysis of events.

137. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … This meta-analysis found that the greatest pooled ORs were for carbapenem exposure (OR = 4.71, 95% CI … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

138. HCBS CAHPS Survey Database: What You Need to Know - WOODWARD (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-woodward.pdf
     June 21, 2023 - Analyzing CAHPS Data: https://www.medicaid.gov/medicaid/quality- of-care/downloads/hcbscahps-appk-data-analysis-guide.pdf … hcbscahps-admin-ta-guide.pdf https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbscahps-appk-data-analysis-guide.pdf … https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbscahps-appk-data-analysis-guide.pdf mailto … the adoption and successful administration of the HCBS CAHPS Survey across states • Supports data analysis

139. Candor-Impguide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - ■ Component 4: Event Investigation and Analysis. … These activities include: ■ Obtaining organizational buy-in and support ■ Conducting a gap analysis … Figure 3: CANDOR Process Implementation Team Structure Event Reporting, Investigation and Analysis … Event Reporting, Investigation, and Analysis Team. … Event Reporting, Investigation, and Analysis Team Event Reporting, Investigation, and Analysis Team

140. Mod4-System-Focused-Event-Guide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. … Event Reporting, Investigation, and Analysis Team. … System-Focused Event Investigation and Analysis Guide – 5 7. … 10 – System-Focused Event Investigation and Analysis Guide 6. … What is the output from the in-depth investigation and analysis?