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181. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
     July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Limitations and Strengths There are several limitations to this analysis. … RUPRI Center for Rural Health Policy Analysis; 2004. Policy Paper P2004-1. 13. … A critical analysis of patient safety practices. Evidence report/technology assessment no. 43.

182. 0129Table9 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table9.pdf
     January 01, 2008 - Table 9 – Analysis of Disparities in Readmission Risk Based on Race/Ethnicity 2005-2009 AHRQ Revisit … Black 1.18 [1.13 – 1.22] Hispanic 1.24 [1.20 – 1.29] Other 1.03 [0.98 – 1.07] Table 10 – Analysis … 0.98 [0.94 - 1.02] Mixed 1.07 [0.91 - 1.26] Native American 1.09 [0.99 - 1.20] Table 11 – Analysis

183. Section 7-A, Tables 10, 11, and 12 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-7-a-table-10-11-12.pdf
     January 01, 2008 - Table 10 – Analysis … Reference Black 1.25 [1.13 – 1.38] Hispanic 1.33 [1.20 – 1.48] Other 1.08 [0.95 – 1.22] Table 11 – Analysis … Latino 0.94 [0.85 - 1.04] Mixed 1.48 [1.06 - 2.07] Native American 1.26 [1.06 - 1.50] Table 12 – Analysis

184. Implementation Guide for the CANDOR Process: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/impguide/apb.html
     February 01, 2017 - 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

185. 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
     November 02, 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. Pharmacy Consultant Monthly Medication Review 4. … Root Cause Analysis for New Falls 4. Weekly Falls Risk Huddle 5.

186. 194. Specific Populations and Other Topics (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide194.html
     October 01, 2014 - Population of Smokers Review of Evidence Low SES/limited formal education Meta-analysis … (2008): 5 studies met selection criteria and contributed to a 2008 Guideline meta-analysis comparing … counseling, abstinence rate = 17.7% [95% C.I. = 13.7%- 22.6%]) Interventions included in the meta-analysis

187. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     May 01, 2017 - 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   … Failure Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine defects or … 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

188. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
     January 01, 2024 - ; (3) root cause analysis of high utilizers; (4) qualitative interviews with rehospitalized patients … , root cause analysis, qualitative research, probabilistic risk assessment, embodied conversational … Analysis …………………………………...………………...7 5.4.2 Results of Qualitative Analysis …………………………………………………….7-8 … ; (4) qualitative study; and (5) root cause analysis. … A modest economic analysis is also suggested along with a project evaluation component.”

189. Final Progress Report: Improving Safety and Quality with Outpatient Order Entry (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gandhi-report.pdf
     January 01, 2024 - Aim 3 • Cost-Benefit Analysis. … Aim 3 Cost-Benefit Analysis. … Major Components of Cost-Benefit Analysis. … Aim 3 Cost-Benefit Analysis. … The cost-benefit analysis requires data and analysis from Aim 1 and Aim 2; therefore, results are not

190. 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

191. 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

192. 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.

193. 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

194. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
     September 01, 2017 - Review and discuss the completed process analysis of one or more patient care units. … process analysis of ( patient care units ). … analysis to participants. … You completed and discussed the Current Process Analysis using Tool 2C. … You assigned who will do the Current Process Analysis and worked on the timeline for the analysis.

195. Module 2: How To Manage Change (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
     August 24, 2017 - Review and discuss the completed process analysis of one or more patient care units. … analysis of (patient care units). … analysis to participants. … You completed and discussed the Current Process Analysis using Tool 2C. … You assigned who will do the Current Process Analysis and worked on the timeline for the analysis.

196. 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.

197. 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/wysiwyg/research/findings/final-reports/anumba-report.pdf
     August 07, 2023 - 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.

198. 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 .

199. 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.

200. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14289-Jack-draft-1.pdf
     January 19, 2005 - ; (3) root cause analysis of high utilizers; (4) qualitative interviews with rehospitalized patients … , root cause analysis, qualitative research, probabilistic risk assessment, embodied conversational … Analysis …………………………………...………………...7 5.4.2 Results of Qualitative Analysis …………………………………………………….7-8 … ; (4) qualitative study; and (5) root cause analysis. … A modest economic analysis is also suggested along with a project evaluation component.”