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  1. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - A separate analysis of patient complaints indicated that 78% involved an element of informed consent … Themes and subthemes emerging from the analysis suggest failures may occur in multiple domains of the … Including nurses and other clinical staff in the formal root cause analysis (a common error analysis … of medical claims closed over an 11-year period; a retrospective analysis of selected closed claim … During this time period, 41 claims had sufficient data for analysis.
  2. talkingquality.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief1-snapshot-of-us-health-systems-2016.pdf
    January 01, 2016 - Agency for Healthcare Research and Quality *This analysis is based on AHRQ’s Compendium of U.S. … ++ More than half of health systems have fewer than 250 total physicians. 3 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.
  3. talkingquality.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief2-us-health-system-characteristics-2016.pdf
    January 01, 2016 - Health System Characteristics, 2016 *This analysis is based on AHRQ’s Compendium of U.S. … chsp-reports/resources-for-understanding-health-systems/defining-health-systems.html 2 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.
  4. talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Includes: 25 indicator-specific best practices, a project charter, a gap analysis, and an implementation … Instructions; PowerPoint Presentation: The AHRQ Quality Indicators, Results, and Discussion of Data Analysis … Indicator Rates Using Trends and Comparators Includes guidance for conducting trend and comparator analysis … Gap Analysis Includes a tool to help you understand how your organization's practices align with best
  5. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
    January 01, 2013 - Situation awareness analysis and measurement. … The cognitive underpinnings of effective teamwork: a meta- analysis. … Metacognition research and theory: Analysis and implications for instructional design.
  6. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - Event Investigation and Analysis Steps for Investigation and Analysis ■ Identify any potential issues
  7. talkingquality.ahrq.gov/news/newsletters/e-newsletter/853.html
    March 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis … An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS … Interventions to improve outcomes for high-need, high-cost patients: a systematic review and meta-analysis
  8. talkingquality.ahrq.gov/news/blog/ahrqviews/financial-strains-healthcare.html
    November 01, 2023 - Therefore, it is not surprising that our analysis finds widespread financial strain associated with healthcare … Our analysis of the joint distribution of financial burden, medical debt, and financial barriers to needed
  9. talkingquality.ahrq.gov/news/blog/ahrqviews/deep-dive-into-covid19.html
    June 01, 2023 - Lan Liang, Ph.D., will present an HCUP-based analysis of COVID-19’s impact on racial and ethnic differences … Other MEPS-based presentations include an analysis by Giacomo Meille, Ph.D., and Jessica Monnet Ph.D.
  10. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
    June 16, 2017 - factors Care planning and interventions that address risk factors within an overall patient care plan Analysis … predicted before the first occurrence Unanticipated Physiological Fall Unpreventable Falls ‹#› 43 AnalysisAnalysis of the data collection may help prevent the next fall in this patient or future patients. … 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. ‹#› 46 Incorporate Best Practices
  11. talkingquality.ahrq.gov/news/newsletters/e-newsletter/828.html
    August 01, 2022 - but large gaps remain across race/ethnicity, poverty level, insurance and geography, a new AHRQ data analysis … AHRQ in the Professional Literature A disproportionality analysis of drug-drug interactions of tizanidine … survival in older nursing home residents with advanced non-small-cell lung cancer: a SEER-Medicare analysis
  12. talkingquality.ahrq.gov/news/newsletters/e-newsletter/831.html
    September 01, 2022 - healthcare organizations seldom learn from diagnostic events due to the complexity of identification and analysis … has a safety infrastructure in place and is interested in discovering improvement opportunities from analysisAnalysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia
  13. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - to audit incident reports of falls to see if the reports provide adequate information for root cause analysis … the information below may be used in conjunction with Tool 3O, “Postfall Assessment for Root Cause Analysis … preferably monthly Information on rates is disseminated to key stakeholders and staff Root cause analysis
  14. talkingquality.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - Another recent analysis in JAMA Internal Medicine estimated that 23 percent of patients treated at … engagement; healthcare professional education and training; health information technology; identification, analysis
  15. talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
    September 01, 2017 - Analysis of post-fall procedures , including clinical review and huddles. … Slide 44: Analysis of Huddles Shows Trends Preventable falls related to toileting: Notification … Slide 46: Root Cause Analysis After an injurious fall, collect data to reconstruct the event and … 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.
  16. talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
    January 01, 2013 - Root cause analysis When do you do it? … risk assessment Adult unit fall prevention care plan Post-fall huddle Root cause analysis … Slide 44 SAY: An analysis of post-fall huddle forms may show trends in preventable falls. … 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.
  17. talkingquality.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
  18. talkingquality.ahrq.gov/cahps/surveys-guidance/item-sets/PCMH/Development-PCMH-Survey.html
    November 01, 2020 - Psychometric analysis. … This analysis informed the final 2.0 version of the PCMH Item Set. Public release.
  19. talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
    March 01, 2014 - s (2008) meta-analysis on the science of team training illustrated that positive relationships exist … A meta-analysis. Hum Factors 2008;50:903-33. 10. Salas E, Burke CS, Stagl KC. … The effectiveness of managerial leadership development programs: a meta-analysis of studies from 1982 … Physician communication and patient adherence to treatment: a meta-analysis. … Information sharing and team performance: a meta-analysis.
  20. talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
    November 01, 2017 - characteristics drive differences in the external practice facilitation (PF) process: a comparative analysis … Facilitation in primary care settings to reduce risk factors for cardiovascular disease: Burnout analysis … Facilitation in primary care settings to reduce risk factors for cardiovascular disease: Baseline analysis

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