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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.
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www.ahrq.gov/news/newsroom/case-studies/cquips0502.html
October 01, 2014 - factor engineering, the video presentation of the Josie King story, introduction of the root cause analysis … evaluation protocol, improvement of the quality of root cause analysis, and a hands-on practicum on … root cause analysis. … NYSDOH developed a root cause analysis evaluation protocol as its required PSIC project during their … consistency in interpretations across the state and enhance expectations for thorough and credible analysis
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-10.html
November 01, 2014 - Pareto, or "80/20," analysis is often used to reveal core sources of adverse outcomes. … Gap analysis: Conducts a multistep gap analysis beginning with a G emba walk cc followed by documentation … The project team then prioritizes barriers, conducts a root cause analysis, and completes its gap analysis
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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.
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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
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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.
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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?
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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
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Learn From Defects Form
Failure Mode and Effects Analysis
Probabilistic Risk Assessment … Failure Mode and Effects Analysis
Probabilistic Risk Assessment
Tools to examine defects … Slide 13: Root Cause Analysis: Causal Tree Worksheet 6
Image: The causal tree is made up of five … Patient safety analysis training. [ Columbia University's Digital Knowledge Ventures is no longer in … Patient safety analysis training. [ Columbia University's Digital Knowledge Ventures is no longer in
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www.ahrq.gov/news/newsletters/e-newsletter/668.html
June 01, 2019 - More Than 80 Percent of Antibiotics Prescribed Before Dental Procedures Are Unnecessary, Analysis Concludes … Headlines
More Than 80 Percent of Antibiotics Prescribed Before Dental Procedures Are Unnecessary, Analysis … More Than 80 Percent of Antibiotics Prescribed Before Dental Procedures Are Unnecessary, Analysis Concludes … An analysis of diagnoses that drive readmission: what can we learn from the hospitals in Southern New
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
December 12, 2015 - Without Chronic Disease
• Our analysis of preventable ED use compared categories
1 and 2 (any chronic … No Chronic Disease)
• Longitudinal analysis, unadjusted percentages
Longitudinal … • In the repeat cross-section analysis, we see a marginal
association between LC participation and … • The longitudinal analysis shows stronger effects, specifically for
children with chronic conditions … Results (Question 1)
Results (Question 2)
Results (Question 2): By PMCA Category
Longitudinal Analysis
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-woodward.pdf
June 21, 2023 - 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
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
August 01, 2022 - Event Reporting, Investigation, And Analysis Team
Event Reporting, Investigation, and Analysis … Team Lead
Implements the event reporting, investigation, and analysis processes; reports to the CANDOR … Implementation Team Leader
Director of Risk Management
Event Reporting, Investigation, and Analysis … Assists the Team Lead with developing, educating, and implementing the event reporting, investigation and analysis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - We will also discuss gap analysis and test of change. … You will be able to define gap analysis and list the principles of test of change. … At this point you can begin to perform a gap analysis. … SAY:
We mentioned gap analysis earlier. … , developed a unit-based gap analysis tool and published it on their Web site.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Learn From Defects Form Failure Mode and Effects Analysis
Probabilistic Risk Assessment
Causal … - Failure Mode and Effects Analysis
- Probabilistic Risk
Assessment
Tools to examine defects or … Patient safety analysis training. … Patient safety analysis training. … Patient safety analysis training.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
December 01, 2015 - results automatically
entered into EHR
• Provider can view and act on results during visit
7
Analysis … and Findings
8
Analysis
• Data: The Children’s Hospital of Philadelphia (CHOP)
EHR data, and … evaluation
and early intervention services more easily or consistently
14
Next Steps: Further Analysis … • PolicyLab at CHOP plans to conduct longitudinal
analysis
– Including all payers and all office … • Expect to complete analysis in December 2015, with
results available in spring 2016
15
For
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/strat.html
October 01, 2017 - 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. … Root Cause Analysis for New Falls
4. Weekly Falls Risk Huddle
5.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-draft-1.pdf
March 29, 2022 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
March 29, 2022 - 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.