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301. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - DOD • Deep-dive analysis of treatment delays that result in significant errors.

302. 1. Introduction | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/healthsystemsresearch/hspc-research-study/introduction.html
     June 01, 2020 - Environmental scan and portfolio analysis of federally funded HSR and PCR extramural research projects … supplementary results and detailed information on the methods for the environmental scan and portfolio analysis

303. About TeamSTEPPS 2.0 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/teamstepps/about-teamstepps/index.html
     June 01, 2019 - Such practice is typically referred to as a training needs analysis, which is a necessary first step … A site assessment, also called team training needs analysis, is a process for systematically identifying

304. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
     March 01, 2024 - CLIA should require to qualify personnel performing next-generation sequencing bioinformatic data analysis … IHS is continuing to optimize this effort, as they are focused on root cause analysis standardization

305. SOPS Workplace Safety Supplemental Item Set for Nursing Homes (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/Workplace-Safety-Supplemental-Item-Set-NursingHomes.docx
     January 01, 2023 - Development, Pilot Study, and Psychometric Analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS … In addition, the Data Entry and Analysis Tool for the Workplace Safety Supplemental Item Set for nursing

306. Surveys on Patient Safety Culture (SOPS) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/sops/index.html
     January 01, 2024 - Data Entry and Analysis Tools Improvement Resource Lists Impact Case Studies on SOPS Surveys

307. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse Events Form (DOCX, 227 KB) Gap Analysis

308. Compendium of U.S. Health Systems, 2022 | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/chsp/data-resources/compendium-2022.html
     February 01, 2024 - Health Systems is composed of 640 U.S. health systems, defined in this analysis to include at least

309. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Root Cause Analysis a. … Department of Veterans Affairs National Center for Patient Safety–Root Cause Analysis http://www.patientsafety.va.gov … The National Center for Patient Safety uses a multidisciplinary team approach, known as root cause analysis … Program Toolkits & Guides Department of Veterans Affairs National Center for Patient Safety–Root Cause Analysis … Root Cause Analysis 2.

310. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
     May 01, 2017 - unit learn from defects and sensemaking using the following tools: · Discovery form · Root cause analysis … · Eindhoven model · Failure mode and effects analysis · Probabilistic risk assessment · Causal tree … Share outcomes or process improvements from the informal (debriefing) and formal analysis with staff

311. Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Communication, Communication Mattioli DD , Thomas GW , Long S Fluoroscopic image-based behavior analysis … evaluated best methods to assess surgical wire navigation skill, which can be objectively evaluated by analysis … Prior work suggests that such image-based behavior analysis of operating room (OR) performance can predict … adjustments away from goal, uniquely correlated well with all three key variables: a fluoroscopic image-based analysis … Fluoroscopic image-based behavior analysis can objectively explain subjective expert assessment of wire

312. Medical Office Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/sops/surveys/medical-office/index.html
     October 01, 2023 - program offers resources to assist survey users, including an Action Planning Tool, Data Entry and Analysis

313. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
     June 01, 2018 - Slide 30 Tools Assessing Fall Prevention Care Processes (5B) Postfall Assessment for Root Cause Analysis … justification for implementing bed replacement plan Incorporated in Post-Fall Assessment for Root Cause Analysis

314. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
     May 01, 2017 - with a multidisciplinary team to learn from defects and sensemaking: · Discovery form · Root cause analysis … · Eindhoven model · Failure mode and effects analysis · Probabilistic risk assessment · Causal tree … Get SMM Form” menu Share outcomes or process improvements from the informal (debriefing) and formal analysis

315. Preventing Falls in Hospitals
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
     June 16, 2017 - Gap analysis has been conducted between current practice and recommended practice. … In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices … The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs

316. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
     September 01, 2017 - . ___ Gap analysis has been conducted between current practice and recommended practice. … In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices … The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs

317. Pressure Ulcer Prevention Toolkit (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
     August 02, 2017 - preferably monthly Information on rates is disseminated to key stakeholders and staff Root cause analysis

318. NAC Member Biography: Sharon Weidner Hickman | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/cpi/about/organization/nac/hickman.html
     March 01, 2024 - well-versed in facilitating multidisciplinary teams in all areas including strategic development, root cause analysis

319. Data Innovations | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/data/innovations.html
     March 01, 2024 - and data gaps, creating new research databases, and disseminating the data to support research and analysis

320. Advanced Methods in Delivery System Research | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/practiceimprovement/advanced-methods/index.html
     December 01, 2017 - Fuzzy Set Analysis [ Slide presentation ( PowerPoint [3.02 MB] ); Flash video , 1 hr., 1 min.]