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281. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
     June 01, 2023 - Conducted a gap analysis to identify areas and goals for improvement List the processes that were implemented … [Hospital Name] Results) Consider inserting team photo ISCR at [Hospital Name] 9 Overview of Gap Analysis … & Goal Setting for [Service Line] Surgery ISCR at [Hospital Name] 10 Use your Gap Analysis and Goal … you have data for at your institution (e.g., superficial SSI, VTE, patient satisfaction): *The Gap Analysis … These are the goals your ISCR Core Team identified using your latest assessment from the Gap Analysis

282. Engineering High Reliability Learning Lab (EHRLL) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
     April 01, 2022 - A five-stage systems engineering cycle, including problem analysis, design, development, implementation … EHRLL used a variety of systems engineering and problem analysis tools at four institutions to facilitate … each institution. 1 These tools included process mapping, swim lane diagrams, functional resonance analysis … method, failure modes and effects analysis, contrast analysis, run charts, and predictive modeling dashboards … Use of systems-theoretic process analysis to design safer opioid prescribing processes.

283. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
     January 01, 2024 - Our unpublished analysis of the National Inpatient Sample (NIS) in 2010 identified 117,000 craniotomies … Statistical Analyses An intention-to-treat analysis was used in addition to an analysis that compared … At each time point, cases that were lost to follow-up were dropped from all further outcome analysis … A standard univariate analysis was then performed, using Pearson’s chi-squared test for categorical … Evaluating Topical Vancomycin to Reduce Surgical-Site Infections in Craniotomies: Interim Analysis of

284. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
     January 01, 2013 - This analysis can be done using data from the literature. Using ROI as an evaluation tool. … This analysis can be done using actual data from your hospital. … How does ROI differ from cost-effectiveness analysis (CEA)? … In comparison, if the time horizon for an ROI analysis is 2 years or longer, the analysis has to adjust … Information BWH Used To Conduct an ROI Analysis for CPOE Implementation Element of Analysis Measure

285. Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
     January 01, 2024 - Methods: A quantitative secondary dataset analysis, a proactive risk assessment, and quality improvement … quantitative secondary database methods and (2) qualitative methods, such as Failure Modes Effects Analysis … The context, settings, and participants differ by aim. • Aim 1 was accomplished by an analysis of secondary … Failure Mode and Effects Analysis (FMEA) and Failure Modes, Effects, and Criticality Analysis (FMECA) … Use of Risk Assessment Analysis by Failure Mode, Effects, and Criticality to Reduce Door-to-balloon Time

286. CAHPS 101 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-04-fry.pdf
     June 02, 2025 - follow-up Survey environment rapidly evolving; CAHPS Consortium continues extensive testing 23 Analysis … Data Collection Approaches We Have Tested Data Collection Approaches Yielding Higher Response Rates Analysis

287. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=2
     January 01, 2025 - Perceptions of pediatric hospital safety culture in the United States: An analysis of the 2016 Hospital … Psychometric analysis of a Survey on Patient Safety Culture-based tool for emergency medical services … association between health care staff engagement and patient safety outcomes: A systematic review and meta-analysis … Involvement in root cause analysis and patient safety culture among hospital care providers. … Multilevel analysis of individual, organizational, and regional factors associated with patient safety

288. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
     January 01, 2025 - The purpose of this project was to use Failure Mode Effects Analysis (FMEA) to identify modifiable risks … Key Words: Readmission, FMEA, Failure Mode Effects Analysis, Risk Assessment PURPOSE The overarching … More specifically, we employed failure mode effects analysis (FMEA) as a prospective risk assessment … ; when published, the results provide useful “case studies” to guide risk analysis efforts in other … cause analysis) and can provide staff to help lead/facilitate such meetings.

289. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
     January 01, 2024 - Data analysis is in progress. … Key Words: Hospital-acquired condition, venous thromboembolism, bleeding, decision analysis. … Multiple logistic regression analysis with step-down variable selection method was used to select the … The efficacy of enoxaparin was based on a meta-analysis of randomized clinical trials. … The study was completed on 4/14/19, and data abstraction and analysis is currently underway.

290. Nutritional Research Series: Volume 5: Comparison of Translational Patterns in Two Nutrient–Disease Associations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
     October 01, 2011 - Translational paths can be assessed using citation analysis. Objective. … Exploratory social network analysis with Pajek. In: Granovetter M, ed. … All 14 randomized trials were included in the meta-analysis. … (all 14 trials were included in the meta­ analysis). … Exploratory social network analysis with Pajek. In: Granovetter M, editor.

291. Return on Investment Estimation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
     January 01, 2013 - This analysis can be done using data from the literature. Using ROI as an evaluation tool. … This analysis can be done using actual data from your hospital. … How does ROI differ from cost-effectiveness analysis (CEA)? … In comparison, if the time horizon for an ROI analysis is 2 years or longer, the analysis has to adjust … Information BWH Used To Conduct an ROI Analysis for CPOE Implementation Element of Analysis Measure(

292. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
     January 01, 2007 - Additionally, benefits at the personal level are quantified through workflow analysis (prior to and … This particular workflow analysis examined the process of performing a glucose test on that unit. … Example of “spaghetti diagram” used during workflow analysis for Glycemic Control Project. … quantifying the impact of process redesign utilizing workflow analysis. … The business case for quality: Case studies and analysis.

293. Final Progress Report: IMPACTS: Improving Medical Performance during Acute Crises Through Simulation (pdf file)
     www.ahrq.gov/sites/default/files/2025-07/weinger3-report.pdf
     January 01, 2025 - Analysis of the eSurvey data. … Cognitive Interview data capture and analysis. … Second (Gestalt) Analysis. … Clinical Decision Making – Initial Analysis of Cognitive Interview Data. … We have not yet done this analysis.

294. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
     January 01, 2024 - , the failure mode and effects analysis (FMEA). … Failure-mode and effects analysis in improving a drug distribution system. … Failure Mode and Effect Analysis: An Application in Reducing Risk in Blood Transfusion. … Health care failure mode and effect analysis: a useful proactive risk analysis in a pediatric oncology … Design of a safer approach to intravenous drug infusions: failure mode effects analysis.

295. Final Progress Report: Simulation to Support Competency-Based Training in Orthopedic Trauma (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/anderson-thomas-report.pdf
     January 01, 2024 - It developed ground-breaking analysis techniques for assessing wire navigation performance in the operating … Image analysis methods were developed to objectively evaluate surgical performance based on measuring … Image-Based Decision Error Analysis Scoring. … The software reduces the analysis time from 2.75 minutes to 0.66 minutes per image. … Fluoroscopy use analysis of cephalomedullary nail procedures performed by surgical residents. M.S.

296. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - addressing the cause of the error and not just checking the box on their process when they do their analysis … The Gap Analysis is a review of the organization to determine what processes, policies, and systems are … An event report is completed, which will trigger analysis of the event. … Slide 43 Say: Next steps for your organization: Conduct a Gap Analysis review. … Host event analysis training using tools from CANDOR.

297. 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/pruprev/handouts3.html
     December 01, 2017 - MDS Assessment Documentation   X Nurse Shift Change Report X   Root Cause Analysis … Assessment Documentation   X Risk Management Meetings X Quarterly   Root Cause Analysis … Assessment Documentation   X Risk Management Meetings X Quarterly   Root Cause Analysis … Restorative Care Internal Review   X Risk Management Meetings X Quarterly   Root Cause Analysis … Internal Review X combined with #10   Restorative Care Internal Review   X Root Cause Analysis

298. Implementation Plan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d6_pdi_implementationplan.pdf
     June 02, 2025 - in light gray), list the best practice your organization will implement, as identified in the Gap Analysis … Scheduled Dates Actual Implementation Start Date Selected Best Practice #1 Identified in Gap Analysis … Scheduled Dates Actual Implementation Start Date Selected Best Practice #2 Identified in Gap Analysis … Scheduled Dates Actual Implementation Start Date Selected Best Practice #3 Identified in Gap Analysis

299. Implementation Plan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d6_combo_implementationplan.pdf
     June 02, 2025 - in light gray), list the best practice your organization will implement, as identified in the Gap Analysis … Scheduled Dates Actual Implementation Start Date Selected Best Practice #1 Identified in Gap Analysis … Scheduled Dates Actual Implementation Start Date Selected Best Practice #2 Identified in Gap Analysis … Scheduled Dates Actual Implementation Start Date Selected Best Practice #3 Identified in Gap Analysis

300. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
     January 01, 2024 - Analysis Quantitative analysis: We recoded data for survey items with reverse scoring before calculating … content analysis and thematic analysis. … We included all data sources in the thematic analysis. … Qualitative content analysis: Theoretical background and procedures. … The use of qualitative content analysis in case study research.