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141. Instructions for Analyzing Data from CAHPS Surveys (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/2020-instructions-for-analyzing-data.pdf
     January 01, 2020 - What Does the CAHPS Analysis Program Do? … What Does the CAHPS Analysis Program Do? … Pre-Analysis Decisions The CAHPS Analysis Program offers the user a number of options for analyzing … SAS Data Sets Generated by the CAHPS Analysis Program The CAHPS Analysis Program creates permanent … What Does the CAHPS Analysis Program Do? 3. What Is Included in the CAHPS Analysis Program? 4.

142. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
     January 01, 2025 - Methods: The LEARN method consists of a meta-analysis of existing risk assessment. … Many FMEA risk results were from analysis conducted on different processes. … Scope: Develop and document scope statement prior to start of analysis 2. … LEARN (Leveraging Existing Assessment of Risks Now) A Meta-Analysis of Risk Results. … Meta-Assessment of Health Care Failure Mode and Effects Analysis Quality.

143. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/modules/guide4/apa.html
     February 01, 2017 - Event Investigation and Analysis Guide: Appendix A In this example, there is only one path

144. Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/729.html
     September 01, 2020 - Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services Issue Number … Today's Headlines: Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services … Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services More than one in … implementation and social network factors with patient safety culture in medical homes: a coincidence analysis … Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety

145. Chapter-3 - Sepsis Recognition (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … of Existing and Emerging Patient Safety Practices Making Healthcare Safer III: A Critical Analysis … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

146. Chapter-8 - Diabetes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … The analysis of variance indicated that there were statistically significant differences between the … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

147. Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
     March 01, 2009 - ,” or “pooled analysis.” … A meta-analysis. JAMA 1993;269:898-903. 76. Aminbakhsh A, Mancini J. … Folate and risk of breast cancer: a meta-analysis. … A meta-analysis of published trials. J Hyperten 1991;9:465-73. 156. … Fluoride supplements and fluorosis: a meta-analysis.

148. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
     January 01, 2004 - Four components of a complete human factors engineering analysis Functional Analysis: identify top … Contents for System Implementation: Multiple Levels of Analysis User Analysis: identify characteristics … and extended hierarchical task analysis is a typical task analysis. … Hierarchical task analysis and its extension Hierarchical task analysis (HTA), one of the most widely … Traditional hierarchical task analysis and extended hierarchical task analysis.

149. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - A sophisticated data collection and analysis system was designed and constructed. … Task Analysis of the Drug and Fluid Administration Process. … Over a multi-year period, we collected a total of 221 cases for a between-subjects analysis. … Runciman WB, Webb RK, Lee R, Holland R: System failure: an analysis of 2000 incident reports. … Task Analysis of the Drug and Fluid Administration Process.

150. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - Delirium in older hospitalized patients Making Healthcare Safer III: A Critical Analysis of Existing … Effectiveness of multicomponent nonpharmacological delirium interventions: A meta-analysis. … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

151. Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
     December 01, 2017 - Describe the 15-part data analysis to understand all-payer and payer specific readmissions at your hospital … Data Analysis. Readmission Review. Hospital Inventory. Community Inventory. … Analysis Slide 8: Why Analyze Your Own Data? … Source: Massachusetts Center for Health Information and Analysis  and Jiang et al. … Slide 16: Data Analysis Tool Images: Three screenshots display the Data Analysis Tool.

152. Chapter-2 - Failure-To-Rescue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Three of these studies were also covered in a systematic review/meta-analysis. … Rapid response systems: a systematic review and meta- analysis. … Rapid response teams: a systematic review and meta- analysis.

153. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
     March 01, 2013 - Failure Mode and Effects Analysis Probabilistic Risk Assessment Causal Tree Worksheet Tools … Sensemaking uses the Discovery Form, Root Cause Analysis, Failure Mode and Effects Analysis, and Probabilistic … Patient safety analysis training.   Slide 35 References Sensemaking. … Patient safety analysis training. Pronovost PJ, Wu AW, and Sexton JB. … Patient safety analysis training.

154. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
     August 01, 2022 - Worksheet ( PDF , 208 KB) Video: Peer to Peer Coaching Module 3: Preparing for Implementation: Gap Analysis … Preparing for Implementation: Gap Analysis Facilitator Notes ( PowerPoint , 836 KB) Tool: Gap Analysis … Facilitator's Guide ( PDF , 440 KB) Module 4: Event Reporting, Event Investigation and Analysis …  MB) Tool: CANDOR Event Checklist ( PDF , 200 KB) Tool: System-Focused Event Investigation and Analysis

155. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
     August 01, 2022 - Worksheet ( PDF , 208 KB) Video: Peer to Peer Coaching Module 3: Preparing for Implementation: Gap Analysis … Preparing for Implementation: Gap Analysis Facilitator Notes ( PowerPoint , 836 KB) Tool: Gap … Analysis Facilitator's Guide ( PDF , 440 KB) Module 4: Event Reporting, Event Investigation and … Analysis Event Reporting, Event Investigation, and Facilitator Notes ( PowerPoint , 1 MB) Tool … : CANDOR Event Checklist ( PDF , 200 KB) Tool: System-Focused Event Investigation and Analysis Guide

156. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices

157. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
     January 01, 2004 - ), and Derived Construct (clinical activity level analysis) groupings. … Finally, we analyzed the data based on clinical constructs (derived construct analysis). … Overall, few individual codes are associated with the definition of harm used for this analysis. … Results of the analysis based on the Hierarchical Constructs are shown in Table 3. … We describe a system that facilitates a multidimensional analysis of events.

158. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
     January 01, 2004 - ), and Derived Construct (clinical activity level analysis) groupings. … Finally, we analyzed the data based on clinical constructs (derived construct analysis). … Overall, few individual codes are associated with the definition of harm used for this analysis. … Results of the analysis based on the Hierarchical Constructs are shown in Table 3. … We describe a system that facilitates a multidimensional analysis of events.

159. Chapter-7 - Harm Due to Anticoagulants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … A total of 728,377 patients were included in the meta-analysis.

160. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Four studies were included in analysis. Sample: 1,925 adults.