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201. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - Root Cause Analysis. Failure Mode and Effects Analysis. Probabilistic Risk Assessment. … Mode and Effects Analysis, and the Probabilistic Risk Assessment. … Here is an example of a root cause analysis causal tree template. … 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.

202. Choosing Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/choosing/index.html
     June 01, 2020 - Develop a Plan The collection, analysis, and use of quality measurement data are demanding, resource-intense … Making Comparisons Databases and Benchmarks Trends Over Time Service Delivery Systems Unit of Analysis … Data analysis. … Unit of Analysis Measures are often more suited to one type of unit of analysis than others. … Analysis of the data and preparation of results.

203. Advancing the Science and Implementation of Patient Narrative Elicitation and Reporting | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html
     August 01, 2019 - Mode of data collection: Large-scale collection and analysis of comments may be accomplished most efficiently … Narrative Analysis and Reporting Responding to urgent medical concerns: Because of the emphasis … Large-scale analysis of patient comments: While narratives will likely have great value in being read … Can qualitative analysis methods using human coders realistically meet this challenge? … How can we best process and categorize comments to encourage system-level analysis without discouraging

204. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
     January 01, 2003 - A barrier analysis was then conducted on information from the 527 patients with LDL lab results and … In this safety analysis, 14.7 percent of patients on simvastatin were on combination regimens. … A custom built Microsoft® Access database was used for data analysis. … Statistical analysis consisted of paired t-tests to compare current and previous LDL values. … From the baseline barrier analysis, 167 patients or 31.7 percent received subtherapeutic doses.

205. 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.

206. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
     August 01, 2022 - Analysis Communication and resolution program. … The analysis included 637 onsite incidents. … The analysis examined several claim-related outcomes. … and families in post-event analysis. … Analysis HealthPact Leadership Group.

207. 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-7.pdf
     January 01, 2023 - Coordinating primary health care: an analysis of the outcomes of a systematic review. … -2.4 Improving 13 years 11.8 0.9 Same ------ : Data were not available or reliable for the analysis … discharge health care would be Source: HCAHPS Benchmark: 3.2 in 2015 Data year for disparities analysis … Worsening No progress 6.8 -10.5 Better ------ : Data were not available or reliable for the analysis … treatments from other doctors Source: MEPS Benchmark: Not available Data year for disparities analysis

208. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
     January 01, 2024 - Methods: We followed the planned, five-step phased approach of Problem Analysis, Design, Development, … data analysis. … Analysis entails identifying key findings and determining their meaning. … Steps in Problem Analysis for Aims 1 and 2. … Analysis: Protocol for a New Method to Measure Physiologic Monitor Alarm Responsiveness.

209. Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Closing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/6-2023hcbs-survey-webcast-closing.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

210. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
     August 01, 2024 - of nurses, doctors, and medical specialists has analyzed these adverse events using the Root Cause Analysis … and Action (RCA2) methodology. 1 An analysis of 276 severe and catastrophic adverse events from 2016 … The analysis led health system leaders to identify the diagnostic process as a critical issue that needs

211. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - For context measure assessment, we used qualitative comparative analysis to assess for essential and … Time-series analysis: We analyzed the impact of key contextual factors using time-series analysis. … We identified key factors using bivariate analysis. … Although this analysis is still ongoing, our initial analysis has found the following: • Five out of … Using qualitative comparative analysis to study causal complexity.

212. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
     January 01, 2024 - pharmacy efficiency and satisfaction in an acute care hospital; and 3) to perform a cost-benefit analysis … This analysis will be completed in the next few months, at which time findings will be prepared for … Aim 3: To perform a cost-benefit analysis of barcode/eMAR technology from the hospital’s and societal … The analysis was done from the implementing hospital’s perspective over a 5-year horizon. … Cost benefit analysis of a hospital pharmacy barcode solution (Accepted for publication in Archives

213. Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
     April 30, 2022 - improvement management software) MaiaZura (virtual reality training) 26 Agenda Longitudinal analysis … of SOPS scores Cross-sectional analysis of unit-based data Contextual understanding of results … Analysis of teamwork behaviors Motivation for change 27 Surgery Department Acute Trauma ICU … Analysis of Behaviors in ORs n=101  All behaviors averaged slightly above 2, with an overall average … Start with analysis of longitudinal data to look for key trends at the hospital and department levels

214. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
     February 01, 2025 - lower volumes (6 cc/kg) versus traditional tidal volumes (12 cc/kg). 1 Additional studies and meta-analysis … Meta-analysis: ventilation strategies and outcomes of the acute respiratory distress syndrome and acute … Slide 26: Meta-analysis of LTVV in Patients Without Lung Injury 6 Image: Table showing results of a meta-analysis … Epidemiology of mechanical ventilation: analysis of the SAPS 3 database. … Epidemiology of mechanical ventilation: analysis of the SAPS 3 database.

215. References (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
     January 01, 2017 - Analysis was based on length of stay. … Analysis included a total of 896 patients. … Review and Meta-analysis (Dezfulian, 2005)32 Review and meta-analysis. … A multivariate analysis was performed. … Meta-analysis – Drainage Versus Standard Endotracheal Treatment.

216. Plan Do Study Act (PDSA) Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-form.pdf
     February 11, 2015 - Complete analysis of the data. Insert graphic analysis whenever possible. … Prediction: Learning (Comparison of questions, predictions, and analysis of data): Summary (Look … : Comparison of questions, predictions, and analysis of data: Summary: Activities/observations

217. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - In total, 52 observations were used in the analysis. … Human Factors Prospective Risk Analysis D3.1. … Human Factors Prospective Risk Analysis E3.1. Failure mode and effects analysis E3.1.1. … Systems analysis of adverse drug events. JAMA. 1995;274:35-43. … Human Factors Prospective Risk Analysis E. RESULTS E1. Aim 1.

218. Systems Change: Treating Tobacco Use and Dependence | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
     December 01, 2012 - Only two studies, somewhat heterogenous, were available for this analysis. … Thus, although the meta-analysis showed a significant effect of training, the panel elected to assign … Meta-analysis (2008): Effectiveness of clinician training on rates of providing treatment ("Assist") … Meta-analysis (2008): Effectiveness of training combined with charting on setting a quit date ("Assist … Meta-analysis (2008): Effectiveness of training combined with charting on providing materials ("Assist

219. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/references.html
     September 01, 2018 - Meta-analysis of published reports. BMJ 2002;325(7370):925. 21. … Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic … Meta-analysis: chronic disease self-management programs for older adults. … Closing the quality gap: a critical analysis of quality improvement strategies. … An analysis of the literature on disease management programs.

220. Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
     April 01, 2018 - Qualitative Analysis of Consumer Perspectives Chapter 4. … 'Making Health Care Safer: A Critical Analysis of Patient Safety Practices: Summary, Evidence Reports … Indicators (PSIs)’ 'AHRQ Patient Safety Network (AHRQ PSNet)' 'AHRQ Web M and M' 'Analysis … Designing for Safety' 'Evaluation of Patient Safety Programs' 'Failure Mode and Effects Analysis … (HFMEA) 'Healthcare Failure Modes and Effects Analysis (HFMEA)' 'Heuristic (Expert) Evaluation