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61. Specific Tools To Support Change (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
    January 01, 2011 - Tool A Matrix for Training Needs Analysis Free tools and training materials to help guide and … conduct a training needs analysis. … http://www.change- management- toolbook.com Imperial College London Analysis Tool Project … Tool Failure Modes and Effects Analysis Tool Failure Modes and Effects Analysis (FMEA) is a … produced by root cause analysis findings.

62. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
    teamstepps.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

63. Final Topic Refinement Document - Role of Liquid Biopsy in Detection and Management of Cancer in the Medicare Population (pdf file)
    teamstepps.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.

64. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
    teamstepps.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

65. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
    teamstepps.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

66. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    teamstepps.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 .

67. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    teamstepps.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

68. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
    teamstepps.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

69. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    teamstepps.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

70. Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse | Agency for Healthcare Research and Quality
    teamstepps.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

71. Addressing Violence in the Workplace Agenda: NAA Webinar June 2023 (pdf file)
    teamstepps.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

72. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
    teamstepps.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

73. Pressure Ulcer Prevention Toolkit (doc file)
    teamstepps.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.

74. NPSD Dashboards | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - Healthcare Research and Quality (AHRQ) presents the dashboards of patient safety data received for analysis … Substance Event Supplemental Dashboard The new Falls dashboard combines the 2022 supplement’s enhanced analysis … The Medications or Other Substance Event supplement reflects an enhanced analysis of NPSD Medication

75. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
    November 15, 2022 - COVID-19 racial disparities in testing, infection, hospitalization, and death: analysis of Epic data … coronavirus-covid-19/issue- brief/covid-19-racial-disparities-testing-infection-hospitalization-death- analysis-epic-patient-data … coronavirus-covid-19/issue-brief/covid-19-racial-disparities-testing-infection-hospitalization-death-analysis-epic-patient-data … coronavirus-covid-19/issue-brief/covid-19-racial-disparities-testing-infection-hospitalization-death-analysis-epic-patient-data … coronavirus-covid-19/issue-brief/covid-19-racial-disparities-testing-infection-hospitalization-death-analysis-epic-patient-data

76. Optimizing Safety of Mother and Neonate in a Mixed Methods Learning Laboratory | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/resources/learning-lab/optimizing-safety-long-desc.html
    June 01, 2020 - Develop a systematic method to study patient safety using a stepwise approach of problem analysis through … Analyzing the heterogeneity of labor and delivery units: A quantitative analysis of space and design … Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth .

77. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 1 of 2) | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/index.html
    February 01, 2020 - Each kind of analysis provides a different perspective on performance. … Understanding Scores for CAHPS Survey Results The CAHPS Analysis Program, often referred to as the … This analysis of the "importance" of topics in the CAHPS survey—sometimes referred to as a "key driver … This type of analysis can be conducted with data from multiple groups, sites, or plans. … The following examples illustrate the results of a key driver analysis for the Health Plan Survey and

78. Data Brief Provides Insights Into Heat-Related Emergency Department Visits | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/812.html
    April 01, 2022 - Data Brief Provides Insights Into Heat-Related Emergency Department Visits A first-time data analysis … The analysis, which recognizes that heat waves are expected to become more frequent and severe due to … Among them: a new data analysis  (PDF, 1.2 MB) that provides first-time insights into emergency department … You need to do this…": a directed content analysis of decision making in rehabilitation after knee arthroplasty

79. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
    July 22, 2021 - MIDRC is to foster machine learning innovation through data sharing for rapid and flexible collection, analysis … • Analysis of Patient Complaints for Diagnosis-Related Concerns: Paper discusses potential ideas

80. New Data Resources Provide Insights Into Patient Safety Risks | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/885.html
    October 01, 2023 - Neonatal intensive care workflow analysis informing NEC-zero clinical decision support design. … Socioeconomic factors are associated with severity of hospitalization in pediatric lupus: an analysis … Delivery strategies for postpartum care: a systematic review and meta-analysis.