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pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Err Is Human series, identifies the
PSO program as an important tool for increased reporting
and analysis … PSOs can analyze
provider data and assist with root-cause analysis of
individual events, thus identifying … number of
contracted hospitals increased by 269 over this
period.
4
aggregates those data for analysis … Lessons learned
from the analysis of collected event reports by PSOs can
be used to educate members … all members wishing
to submit information on an adverse event to their PSO
to perform a root-cause analysis
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pcmh.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
April 07, 2008 - Such practice is typically referred to as a training
needs analysis; it is a necessary first step to … A thorough
needs analysis may uncover many underlying issues within the institution (e.g., systems … DoD medical
team training programs: An independent case study
analysis. … Making health care safer: A critical analysis of patient
safety practices. … Making health care safer: A critical analysis
of patient safety practices.
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pcmh.ahrq.gov/news/newsletters/e-newsletter/888.html
November 01, 2023 - For some, the problem is high out-of-pocket spending on insurance premiums and care, according to the analysis … A multisite qualitative analysis of perceived roles in medication safety: older adults' perspectives.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief3-variation-in-health-system-characteristics-across-states-2016.pdf
January 01, 2016 - *This analysis is based on AHRQ’s Compendium of U.S. Health Systems, 2016. … Figures represent all non-Federal general acute care hospitals in the United States.
5
METHODS
This analysis … the three data sources and systems’ members specified in the
data, systems may be included in this analysis … These cases were updated as they were
identified throughout the analysis.
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pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/epc.html
August 01, 2018 - technical reviews about long-term care
Technical Review No. 9: Closing the Quality Gap: A Critical Analysis
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/5_carla_zema_closing.pdf
February 11, 2015 - English and Spanish)
• Telephone scripts (English and Spanish)
• Fielding guidance (forthcoming)
• Analysis
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pcmh.ahrq.gov/news/newsletters/e-newsletter/908.html
April 01, 2024 - Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal … Adapting cognitive task analysis methods for use in a large sample simulation study of high-risk healthcare
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pcmh.ahrq.gov/news/newsletters/e-newsletter/895.html
January 01, 2024 - The analysis suggested that declines in ampicillin and gentamicin use reflected the reach of national … safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis
-
pcmh.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Impact of social needs case management on use of medical and behavioral health services: secondary analysis … health documentation in structured and unstructured clinical data of patients with diabetes: comparative analysis
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pcmh.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
-
pcmh.ahrq.gov/cahps/news-and-events/events/index.html
April 01, 2024 - Improving Patient Experience in Large Organizations (March 24, 2021)
Improving Patient Experience: Data Analysis
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pcmh.ahrq.gov/cpi/about/organization/nac/asch.html
March 01, 2024 - His research combines elements of economic analysis with psychological theory and consumer marketing
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - A key SPC tool is the control chart, which is the focus of
this presentation
Combines time-series analysis … interventions
Statistical process control (SPC) is a branch of statistics that combines rigorous time-series analysis … Hopkins Medicine
Limitations (1)
Requires frequent measurement
Less data than traditional regression analysis
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - Processes; Training and Education
Robust, Transparent Feedback Systems Response and Disclosure; Event Analysis … Shared Sense of the Systems to Be Improved Gap Analysis
Culture of Improvement and a Deeply Engaged … components that correspond with transparent feedback systems are Response and Disclosure and Event Analysis … Communication Team
Event Reporting, Investigation, and Analysis Team
Resolution Team
Identify CANDOR … three CANDOR implementation teams include:
Communication Team
Event Reporting, Investigation, and Analysis
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pcmh.ahrq.gov/patient-safety/about/concepts-of-patient-safety.html
March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices :
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
February 02, 2018 - We will determine whether meta-analysis is appropriate (i.e., more than 2 studies address the
same PICOTS … If
meta-analysis is deemed appropriate, we plan to use the DerSimonian and Laird random
effect method … to combine direct comparisons between treatments if the number of studies
included in the analysis … Cost analysis
of institutionalization vs rehabilitation and
in-home management. … Meta-analysis in
clinical trials. Controlled clinical trials. 1986
Sep;7(3):177-88.
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pcmh.ahrq.gov/cahps/about-cahps/cahps-program/cahps-VI.html
July 01, 2023 - Patient Narrative Analysis and Reporting
Proposed research studies focus on the following:
Investigating
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pcmh.ahrq.gov/sops/surveys/pharmacy/index.html
March 01, 2023 - program offers resources to assist survey users, including an Action Planning Tool, Data Entry and Analysis
-
pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/abbreviations.html
June 01, 2020 - National Center for Advancing Translational Sciences
NCHWA
National Center for Health Workforce Analysis
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
September 01, 2017 - Root cause analysis
When do you do it? … Tool 3O: Post-Fall Assessment for Root Cause Analysis. … Analysis of post-fall procedures, including a clinical review. … The analysis captures information from the patient, staff, and other witnesses about the fall. … Refer to Tool 3O: Post-Fall Assessment for Root Cause Analysis.