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741. TeamSTEPPS: Rapid Response Systems (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
     January 01, 2008 - Useful TeamSTEPPS tools during analysis and response include: •A brief to develop a shared understanding … SAY: Let’s take a look at the one of these tools being used in the response, analysis, and stabilization … Failure Modes and Effects Analysis (FMEA) This answers questions like: •What can go wrong? … Root Cause Analysis (RCA): Sensemaking can also take a reactive approach. … This is typical of debriefing but involves a much more detailed analysis of outcomes and possible reasons

742. 2014-Women-Chartbook (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
     January 01, 2014 - and Quality (AHRQ), 2009-2011 Nationwide Inpatient Sample, 2012 State Inpatient Databases quality analysis … and Quality (AHRQ), 2009-2011 Nationwide Inpatient Sample, 2012 State Inpatient Databases quality analysis … Utilization Project, 2005-2011 Nationwide Inpatient Sample, 2012 State Inpatient Databases disparities analysis … Utilization Project, 2005-2011 Nationwide Inpatient Sample, 2012 State Inpatient Databases disparities analysis … Utilization Project, 2005-2011 Nationwide Inpatient Sample, 2012 State Inpatient Databases disparities analysis

743. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Share outcomes or process improvements from informal and formal analysis with staff to achieve transparency … Share outcomes or process improvements from the informal (debriefing) and formal analysis with staff

744. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
     July 01, 2023 - In addition, an analysis of national emergency medical services data reported a significant increase … and inflammatory damage to the heart.8 Although this theory is worthy of consideration, a recent analysis … trends in burden of heart disease mortality by subtypes in the United States, 1999-2018: observational analysis

745. SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - English (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-ve-suppl-item-set-english-2023.docx
     January 01, 2023 - Additionally, the Data Entry and Analysis Tool for the Value and Efficiency Supplemental Item Set for

746. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Sigma Institute for Healthcare Improvement's Model for Improvement Plan-Do-Study-Act Root Cause Analysis … Failure Mode Effect Analysis In addition to these tools, a number of LTC-specific resources offer

747. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
     May 01, 2017 - Another option is a regular forum with a multidisciplinary team that uses formal tools or analysis … Sites can also decide how often and how much information learned from debriefings or formal analysis

748. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - the 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

749. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
     September 01, 2017 - This is the level of fall injury where it is recommended that you perform a root cause analysis to find … Refer to page 76 of the Toolkit for additional resources regarding root cause analysis and huddles. … Do: Suggest that those who are doing the data collection and analysis view the following webinars for

750. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 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 multi-disciplinary team approach, known as Root Cause Analysis … Patient Safety Program Department of Veterans Affairs National Center for Patient Safety –Root Cause Analysis … Root Cause Analysis 3. Patient Safety Tools for Physician Practices 4.

751. newbref
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/m11impguide.pptx
     February 03, 2006 - IV Results Key Actions: Identify who on your Change Team will be responsible for data collection, analysis

752. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - neonatal morbidity and mortality events Share outcomes or process improvements from informal and formal analysis … mortality events Share outcomes or process improvements from the informal (debriefing) and formal analysis

753. CAHPS Survey Administration: What We Know and Potential Research Questions (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/about-cahps/research/survey-administration-literature-review.pdf
     October 01, 2017 - Future research could undertake an analysis of the cost-benefit tradeoff of using in-person interviews … Data quality in telephone and face-to-face surveys: a comparative meta- analysis. … When more gets you less: A meta-analysis of the effect of concurrent Web options on mail survey response … Comparing response rates from Web and mail surveys: A meta-analysis.