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181. 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 .

182. Impact of a pediatric-focused medical home learning collaborative on preventable emergency department visits by publicly-insured children in Massachusetts (pdf file)
     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

183. Exhibit 5.10. Experiential Training and Project Activities | Agency for Healthcare Research and Quality
     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

184. 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

185. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     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.

186. Implementation Guide for the CANDOR Process: Appendix B | Agency for Healthcare Research and Quality
     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

187. 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

188. Introducing Electronic Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation (pdf file)
     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

189. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
     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.

190. 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.

191. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     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

192. 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?

193. 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.

194. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     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.

195. Module 2: How To Manage Change (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
     June 02, 2025 - Review and discuss the completed process analysis on one or more patient care units. … Improvement efforts tend to be most successful when teams follow a systematic QI approach to analysis … Because of this process analysis, a standardized SWAT consult process was instituted and monitored. … Slide 17 SAY: (Name) has completed a process analysis of (name of patient care unit). … A draft process analysis on the pilot study unit would be a good start.

196. Responsibilities of Sponsors, Vendors, and Consultants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/planning/RES_PM_1aDivision-of-Resp.pdf
     June 02, 2025 - Consultants Activity Role of sponsor Role of vendor(s) Role of consultant Data preparation and analysis … • Monitor data preparation and analysis … • Review analysis program instructions. • Modify program, as needed. … • Review CAHPS instructions and computer program for analysis.

197. CAHPS Data Research Abstract Form Example (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-research-abstract-form-example.pdf
     July 01, 2025 - Form – February 2025 2 Methodology [Specify measures and proposed analyses, including level of analysis … non-Hispanic), Asian (non-Hispanic)) Case-Mix Variables Education, Health status, Age Level of Analysis … Analysis will be conducted at the plan level. … Hypothesis 2: We will conduct analysis of variance (ANOVA) on each case-mix adjusted patient experience … Indicate the level of analysis to be used (i.e., individual-level, organization-level).

198. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Root cause analysis in health care: tools and techniques. … Patient Safety Primers: Root Cause Analysis. … Available at: https://psnet.ahrq.gov/primer/root-cause-analysis . National Quality Forum.

199. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
     March 01, 2025 - Root cause analysis in health care: tools and techniques. … Patient Safety Primers: Root Cause Analysis. … Available at: https://psnet.ahrq.gov/primer/root-cause-analysis . National Quality Forum.

200. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - Rather than answer this question now, it is best that the communicator highlight the analysis process … and commit to sharing the results of the event analysis with the patient and/or family after it has … Can I see a copy of the event analysis? … Be sure the communicator understands your organization's policy on sharing results of an event analysis … It is rarely helpful to share all event analysis findings.