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261. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
     patientregistry.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

262. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
     May 22, 2014 - 18 months after the commencement of the intervention o Follow-up duration will be considered in the analysis … Of these, we did not find any meta-analysis that applied specifically to this population. … We did not find any other systematic review or meta-analysis that looked at both domains of the Medicare … From such studies, it will be important to report on the results of any analysis of stratification or

263. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     patientregistry.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - Methods Video observation and coding, bacterial load analysis, interviews, and focus groups were used … during problem analysis. … The methods used to address the four key stages of this systems engineering approach – problem analysis … case studies were used to develop several OR design alternatives while also informing multiple data analysis … Mobile Circulating Nurse Workstation The analysis of surgery video data found that the circulating nurse

264. CAHPS Data Research Abstract Form (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-research-abstract-form.pdf
     January 01, 2024 - Abstract Form – January 2024 2 Methodology [Specify measures and proposed analyses, including level of analysis

265. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     patientregistry.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.

266. SOPS Workplace Safety Supplemental Item Set for Nursing Homes (doc file)
     patientregistry.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

267. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     patientregistry.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

268. Compendium of U.S. Health Systems, 2022 | Agency for Healthcare Research and Quality
     patientregistry.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

269. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     patientregistry.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.

270. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
     patientregistry.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

271. Agency for Healthcare Research and Quality
     patientregistry.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

272. Medical Office Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     patientregistry.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

273. Quality Improvement in Primary Care | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/factsheets/quality/qipc/index.html
     November 01, 2020 - Systematic review and meta-analysis of practice facilitation within primary care settings. … Available at: Systematic Review and Meta-Analysis of Practice Facilitation Within Primary Care Settings

274. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     patientregistry.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

275. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
     patientregistry.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

276. Preventing Falls in Hospitals
     patientregistry.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

277. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     patientregistry.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

278. Pressure Ulcer Prevention Toolkit (doc file)
     patientregistry.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

279. NAC Member Biography: Sharon Weidner Hickman | Agency for Healthcare Research and Quality
     patientregistry.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

280. CAHPS Webcasts & Recent Events | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/cahps/news-and-events/events/index.html
     January 01, 2024 - Improving Patient Experience in Large Organizations (March 24, 2021) Improving Patient Experience: Data Analysis