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161. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
     December 01, 2017 - Root Cause Analysis for New Pressure Ulcers        6. Skin Rounds        7. … Root Cause Analysis for New Pressure Ulcers        6. Skin Rounds        7. … Root Cause Analysis for New Pressure Ulcers        6. … Root Cause Analysis for New Pressure Ulcers        9. Skin Rounds        10. … Root Cause Analysis for New Pressure Ulcers        7.

162. 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.

163. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
     January 01, 2024 - Statistical Analysis Exploratory factor analysis was conducted to determine the factor structure of the … Items were extracted using principal component analysis. … Analysis Plan. … Analysis will be qualitative, searching for themes.13,14 Analysis will focus on the following themes … Analysis of large insurance claims data set.

164. Qualitative Methods Used in AHRQ-Funded Primary Care Research - Slide Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/qual-methods-pcr-080323.pptx
     January 01, 2025 - Third, I developed preliminary themes, which were iteratively refined with our full analysis team. … Doing Reflexive Thematic Analysis. … In Thematic Analysis: A Practical Guide; SAGE Publications Inc.: Thousand Oaks, CA, USA, 2022; pp. 1– … Getting your own house in order: Understanding what makes good reflexive thematic analysis to ensure … Next, over-thinking what’s “right” and “wrong” regarding methods and analysis choices in qualitative

165. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
     January 01, 2024 - Fine-grained analysis can include nuances of contextual and systems factors. … Analysis involves paraphrasing and theorizing. … Video allows expanded analysis of time- critical, brief, or uncertain events. … Observational analysis of video records of team performance. … Best Practices for Patient Safety by video task analysis.

166. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
     March 01, 2020 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … This meta-analysis found that the greatest pooled ORs were for carbapenem exposure (OR = 4.71, 95% CI … 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

167. 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.

168. 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.

169. HCBS CAHPS Survey Database: What You Need to Know - WOODWARD (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-woodward.pdf
     June 02, 2025 - Analyzing CAHPS Data: https://www.medicaid.gov/medicaid/quality- of-care/downloads/hcbscahps-appk-data-analysis-guide.pdf … hcbscahps-admin-ta-guide.pdf https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbscahps-appk-data-analysis-guide.pdf … https://www.medicaid.gov/medicaid/quality-of-care/downloads/hcbscahps-appk-data-analysis-guide.pdf mailto … the adoption and successful administration of the HCBS CAHPS Survey across states • Supports data analysis

170. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. … Event Reporting, Investigation, and Analysis Team. … System-Focused Event Investigation and Analysis Guide – 5 7. … 10 – System-Focused Event Investigation and Analysis Guide 6. … What is the output from the in-depth investigation and analysis?

171. Chapter 3. Designing and Testing Methods to Stratify Risk of Surgical Site Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
     April 01, 2018 - Standard statistical analysis is carried out on each imputed dataset, producing multiple analysis results … These analysis results are then combined to produce one overall analysis. … Multivariate analysis of the datasets, including each procedure as a binary variable. … Male gender was only significant in the derivation analysis. … Multivariate analysis of the datasets including only total knee surgery.

172. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - ■ Component 4: Event Investigation and Analysis. … These activities include: ■ Obtaining organizational buy-in and support ■ Conducting a gap analysis … Figure 3: CANDOR Process Implementation Team Structure Event Reporting, Investigation and Analysis … Event Reporting, Investigation, and Analysis Team. … Event Reporting, Investigation, and Analysis Team Event Reporting, Investigation, and Analysis Team

173. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - Root Cause Analysis: Causal Tree Worksheet 6 Slide 16. Root Cause Analysis Example 6 Slide 17. … 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 … 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.

174. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-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 the 12 studies included in this review, 5 were 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

175. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - , root-cause analysis, education, and dissemination. … activities or statewide analysis of individual reporting codes. … Dissemination of information and analysis The NYSDOH disseminates data analysis results using various … Code 915—Unexpected Death Analysis presented at January and May 2003 meetings. … This added structure to the reports and allowed more meaningful analysis to occur.

176. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
     August 01, 2022 - Investigation and Analysis. Resolution. … Component 4: Event Investigation and Analysis . … Conducting a gap analysis. Building project teams. … Event Reporting, Investigation, and Analysis Team . … System-Focused Event Investigation and Analysis Guide .

177. Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
     January 01, 2024 - The funding sources had no role in the study design; data collection, analysis, or interpretation; or … Staffing and skill mix analysis. … Safety net hospital analysis. … Patient outcomes analysis. … Patient outcomes analysis The results for this analysis are not finalized.

178. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
     January 01, 2024 - Sensitivity analysis. … Sensitivity analysis. … Sensitivity analysis. … Sensitivity analysis. … Sensitivity analysis.

179. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-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 https … 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

180. Elements of an Evaluation Plan | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/assess/evaluation-plan.html
     January 01, 2023 - This may include a qualitative data analysis software program. … Staff who have skills in qualitative data analysis. … Staff who have skills in qualitative data analysis. … Data Analysis Analysis methods vary by how you collect the data. … Who will do the analysis?