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141. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - Tools Sensemaking Tools Staff Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis … Learn from Defects Form Failure Mode and Effects Analysis Probabilistic Risk Assessment Causal … Patient safety analysis training. … Patient safety analysis training. … Patient safety analysis training.

142. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
     January 01, 2024 - Highly rated design tools included simulation, process analysis, link analysis, balanced scorecard, … • Root cause analysis (RCA) • Failure mode and effects analysis (FMEA) • Simulation • Work sampling … Other tools, such as process analysis and root cause analysis (aggregated data from RCAs being most … The most generalizable tools included link analysis, process analysis, balanced scorecard, and work … Design for patient safety tool summaries • Link analysis • Root cause analysis (RCA) • Failure mode

143. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - Analysis Plan Aim 1. … analysis plan in Aim 1 to facilitate the concordance analysis of the two measures. … Random safety auditing, root cause analysis, failure mode and effects analysis. Clin Perinatol. … Analysis Plan Aim 1. … analysis plan in Aim 1 to facilitate the concordance analysis of the two measures.

144. 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

145. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
     January 01, 2025 - analysis; 2) leverage point analysis; and 3) key deliverables, as shown in Figure 1. … leading to (2) detailed analysis of key system leverage points. … Analysis Methods Employed. … The results of the problem analysis (macro analysis characterizing the rescue system and leverage point … deterioration via analysis of trend information at the bedside • Integrate trend analysis into

146. Appendix C. Article Exclusion List with Reason for Exclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
     January 01, 2013 - Review, meta-analysis and systematic review articles DiazGranados CA, 2005 Comparison of … Review, meta-analysis and systematic review articles Fraher MH, 2009 Cost-effectiveness of … Review, meta-analysis and systematic review articles Gagne JJ, 2006 Costs associated with … Published before 2002 Haley RW, 1998 Cost-benefit analysis of infection control activities … Review, meta-analysis and systematic review articles Stone PW, 2002 A systematic audit of

147. 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.

148. 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.

149. Using CAHPS Surveys | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/helpful-resources/index.html
     September 01, 2024 - Consult the following documents and files to assist with data preparation and analysis: Preparing Data … from CAHPS Surveys for Analysis (PDF, 369 KB) CAHPS Analysis Program with Test Modules (ZIP, 68 KB … explored three free online tools that support the work of CAHPS survey users: AHRQ Data Tools, the CAHPS Analysis

150. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - The Failure Mode and Effects Analysis tool provides a way to conduct a step-by-step analysis staff can … A failure mode and effects analysis is different from a root cause analysis, in that the failure mode … analysis focuses on the main cause of the event. … If the analysis of an event lists only one type, then it is likely the analysis is incomplete. … This sequence of analysis is very important.

151. Toolbox Contents | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/toolcon/index.html
     June 01, 2020 - Indicators Included Availability Users Comparisons and Trends Service Delivery and Units of Analysis … Included Users Comparisons and Trends Benchmarking and Databases Service Delivery and Units of Analysis … Included Users Comparisons and Trends Benchmarking and Databases Service Delivery and Units of Analysis … Included Users Comparisons and Trends Benchmarking and Databases Service Delivery and Units of Analysis … Making Comparisons Databases and Benchmarks Trends Over Time Service Delivery Systems Unit of Analysis

152. Appendix 1. Bibliography of Recent Reviews of Self-Management Support Effectiveness | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/appendix1.html
     July 01, 2018 - Closing the quality gap: a critical analysis of quality improvement strategies ; Volume 5. … Meta-analysis: chronic disease self-management programs for older adults. … Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic … In: Shojania KG, McDonald KM, Wachter RM, et al., eds., Closing the quality gap: a critical analysis … Meta-analysis of published reports. BMJ 2002;325(7370):925.

153. 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.

154. 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

155. 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.

156. 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.

157. How To Manage Change
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     June 02, 2025 - (Tool 2A) Present the completed process analysis on one patient care unit. … Plan, Do, Study, Act is one systematic approach to analysis and implementation. … 14 Practice Insight Use of Shadowing To Assess Current Practices 15 Current Process Analysis (2C … ) Tool 2C 16 Current Process Analysis (2C) Let’s hear from the team member(s) who completed the … process analysis.

158. Choosing Quality Measures (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/choosing/choosing.doc
     June 02, 2025 - Making Comparisons · Databases and Benchmarks · Trends Over Time · Service Delivery Systems · Unit of Analysis … Return to Contents Develop a Plan The collection, analysis, and use of quality measurement data are … · Data analysis. … Return to Contents Unit of Analysis Measures are often more suited to one type of unit of analysis … · Analysis of the data and preparation of results.

159. Menu of Implementation Strategies - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
     June 02, 2025 - Root Cause Analysis for New Falls 5. Weekly Falls Risk Huddle 6. … Root Cause Analysis for New Falls 4. … Root Cause Analysis for New Falls 3. Pharmacy Consultant Monthly Medication Review 4. … Root Cause Analysis for New Falls 4. Weekly Falls Risk Huddle 5.

160. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
     January 01, 2024 - These included case studies, structured interviews with domain experts, content analysis of standards … and guidance documents, process modeling (using BPMN), task analysis, use case development (using UML … ), failure mode effect analysis (FMEA), fault tree analysis (FTA), and cognitive walk-throughs. … These models served as a basis for further analysis of the cases. … Aggregating this information is crucial for pattern analysis, learning, and trending.