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81. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
    February 01, 2024 - The specific aims were to conduct: Problem analysis using systems engineering methods to analyze the … 0.43-1.29], p=0.29), or a 25 percent relative risk reduction in overall DE. 1 In postimplementation analysis … A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis … A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis

82. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - can aggregate, analyze, share, and learn from these events.2 Existing tools and taxonomies used for analysis … pro- vides common definitions and reporting formats to facilitate the reporting, aggregation, and analysis … Data Analysis The interviewer conducted the initial data analysis by reviewing all team members’ notes … For example, task analysis methods can be used to identify high-workload items and obstacles in the … Diagnostic error in medicine: analysis of 583 physician-reported errors.

83. Final Topic Refinement Document - Role of Liquid Biopsy in Detection and Management of Cancer in the Medicare Population (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
    July 29, 2021 - MA = meta-analysis; RCT = randomized controlled trial; SR = systematic review Draft Population, … The types and breadth of analysis possible is significant, and as such, Illumina recommends focusing … Recent large studies comparing the performance of ctDNA analysis to tissue biopsy have demonstrated … Freenome therefore suggests that AHRQ include such an analysis if KQ1 is retained. … Biopsies are a cornerstone of traditional pathological analysis of disease.

84. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
    August 01, 2022 - Scenario 4: Disclosure After Event Analysis Scenario 1: Non-Clinical Situation, Group Project … Return to Contents Scenario 3: Disclosure After Event Analysis Adam, a 55 year-old male is admitted … The root cause analysis reveals that the sponge counts took place before and after the surgical procedure … Return to Contents Scenario 4: Disclosure After Event Analysis Alphonse, a 50 year-old CEO of a … The root cause analysis suggests that the cause of the air embolism was multi-factorial, but identifies

85. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    June 01, 2023 - implementation in a large healthcare system, and evaluate its impact on diagnostic errors using a mixed-methods analysis … Develop recommendations for improved diagnostic practices for the clinical problems above, based on analysis … Carry out a comprehensive program evaluation, including analysis of rates of diagnostic errors and process … faults before and after implementation of our Aim 1 and 2 programs and analysis of reach, effectiveness

86. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
    June 01, 2020 - Over the project lifecycle, this PSLL iteratively conducted indepth problem analysis of transitions of … This analysis was followed by the design, implementation, and evaluation of multiple studies and programs … A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health 2018 May 2. … A taxonomy and cultural analysis of intra-hospital patient transfers .

87. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
    December 01, 2021 - For the purposes of analysis and reporting in the NHQDR, the near-poor and low-income categories were … measures are included in the trend analysis. … The core measures were excluded from the 2021 NHQDR trend analysis. Table 2. … The 2021 NHQDR excluded 18 measures from the trend analysis and kept 36 measures. … current disparities analysis.

88. Puh-Impmenu (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
    December 15, 2016 - Department internal review Quality improvement review Risk management meeting Root cause analysis … On-Time Weekly Pressure Ulcer Treatment Report Rehab Department internal review Root cause analysis … review with product representatives On-Time Pressure Ulcer Counts by Month Report Root cause analysis

89. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - Module 2: Obtaining Organizational Buy-in and Support Module 3: Preparing for Implementation: Gap Analysis … Module 4: Event Reporting, Event Investigation and Analysis Analysis Module 5: Response and Disclosure

90. State Variation in Birth Rates and Payments Among Women Ages 18-44 With Commercial Insurance (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
    October 17, 2023 - It includes a very large sample size and allows state- and national-level analysis. … individual that allows linking of records across different settings of care and can support longitudinal analysis … iii For purposes of this analysis, the District of Columbia is treated as a state. … This analysis was limited to deliveries that occurred in a hospital setting. … Payments from physicians who bill separately from hospitals are excluded in the analysis.

91. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/index.html
    July 01, 2019 - Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis … (Video) YouTube embedded video: https://www.youtube-nocookie.com/embed/pc4NMkksCzk Fuzzy Set Analysis

92. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - • Sufficient information to complete a Gap Analysis (Tool D.5), make a decision to implement (or … The Best Practices and Suggestions for Improvement Tool is used to prepare the Gap Analysis (Tool D.5 … See instructions for Gap Analysis (Tool D.5). 2. … the appropriate Selected Best Practices and Suggestions for Improvement Tool to populate the Gap Analysis

93. TeamSTEPPS 2.0 Quick Reference Guide to TeamSTEPPS Action Planning (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/quickrefguide.pdf
    March 13, 2014 - each aim, create a testing plan, including:  Change Team member responsible for data collection, analysis …  Methods for data collection, analysis, interpretation, and presentation. …  Timelines for baseline and for postintervention data collection and analysis. … intervention effectiveness, including measures and target ranges; data source; methods for data collection, analysis

94. Health Insurance Premiums Between 2020 and 2021 | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsletters/e-newsletter/824.html
    August 01, 2022 - emergency team activations: a case review study of frequency and preventability Implementing root cause analysis … Literature Risk of second allergic reaction to SARS-CoV-2 vaccines: a systematic review and meta-analysis … A cohort analysis of statin treatment patterns among small-sized primary care practices. … A penalization approach to random-effects meta-analysis. Wang Y, Lin L, Thompson CG, et al.

95. Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsletters/e-newsletter/811.html
    April 01, 2022 - electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis … Understanding engagement behaviors and rapport building in tobacco cessation telephone counseling: an analysis … Field trauma triage among older adults: a cost-effectiveness analysis. … implementation and social network factors with patient safety culture in medical homes: a coincidence analysis

96. Addressing Violence in the Workplace Agenda: NAA Webinar June 2023 (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdf
    June 27, 2023 - For Patient Safety US Presentation Cammie Chaumont Menendez, MS, MPH, PhD Research Epidemiologist Analysis

97. Aspirin Use in Primary Care (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
    April 01, 2016 - Meta-analysis results for aspirin as secondary prevention2 Proportional effects of antiplatelet therapy … Collaborative meta-analysis of randomised trials of antiplatelet therapy for prevention of death, myocardial … Meta-analysis of multiple primary prevention trials of cardiovascular events using aspirin. … Effect of aspirin on vascular and nonvascular outcomes: meta-analysis of randomized controlled trials

98. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/data/visualizations/hiv-prep.html
    October 01, 2023 - Findings of a Systematic Review This interactive visualization displays pooled estimates of meta-analysis … Meta-analysis was not conducted for all drugs, comparisons, and outcomes; therefore only individual study

99. Pressure Ulcer Prevention Toolkit (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
    February 16, 2011 - Toolkit Module 2 Tools 2A: Multidisciplinary Team 2B: Quality Improvement Process 2C: Current Process Analysis … 2C: Current Process Analysis Background: Before beginning a quality improvement initiative, you need … QI Worksheet E, Current Process Analysis. … At the end of the gap analysis, compile the results in a document that displays each step so that team … Identify strengths and weaknesses using process mapping and gap analysis. Tool 2C and Tools 2E-2G.

100. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
     March 01, 2014 - For each aim, create a testing plan, including: Change Team member responsible for data collection, analysis … Methods for data collection, analysis, interpretation, and presentation. … Timelines for baseline and for postintervention data collection and analysis. … intervention effectiveness, including measures and target ranges; data source; methods for data collection, analysis