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281. 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.

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: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - The ASIPS project features expert analysis both levels of data: 1. … This concept developed as a result of analysis of error reports during the project. … Of those reports, 758 were considered relevant primary events for overall analysis. … Analysis of Combined ASIPS-AAFP Data Set Our initial analysis compared the two taxonomies on identifying … The report does not belong to any one analysis, nor is it excluded from any analysis on the basis of

284. 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(

285. 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.

286. 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.

287. Continuity of Primary Care for Children with Medical Complexity | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/primary-care-medical-complexity.html
     August 01, 2021 - Continuity of Primary Care Measure Data Dictionary (PDF) Bice-Boxerman Continuity of Care Statistical Analysis … Medical Complexity Algorithm   (PDF, 88.3 KB) Quality of Care for Children With Medical Complexity: An Analysis

288. 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

289. 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

290. 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

291. Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
     January 01, 2024 - Implementation analysis: The study was conducted as a pragmatic trial to assess how the intervention … For analysis of the provider survey, the two intervention arms were combined, as the provider-facing … Cost Analysis: The intervention was low cost to build and maintain. … In total, 211 participants had pill bottles available for analysis at follow-up. … A system analysis of an intervention to improve opioid prescribing in emergency medicine.

292. Table 1: Project Population Age and Gender. All project sites. Fiscal year 2010. | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab1.html
     December 01, 2017 - Service Units (n=446,453) for four reasons: 1) we assigned each person to one IHS Service Unit in our analysis … date from the IHS National Data Warehouse and some records may have been updated between the IHS data analysis … and this analysis; 3) there were 119 active users excluded whose date of birth date was missing or inaccurate

293. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
     January 01, 2024 - analysis ongoing. … Analysis. … We worked to compile additional measures and conduct analysis of them. … Systems analysis of adverse drug events. … Making health care safer: a critical analysis of patient safety practices.

294. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
     July 01, 2023 - Conduct a pre‐implementation Barrier Analysis to training rollout 5. … Relevant skills include data collection, analysis, and presentation. … Step 1: Explain Barrier Analysis Exercise • Explain the idea of a pre‐implementation Barrier Analysis … Conduct a Barrier Analysis to training rollout 5. … Exercise: Barrier Analysis (Input Sheet) Exercise: Barrier Analysis (Results) Step 5: Create a

295. Implementing the SPPC-II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
     July 01, 2023 - Conduct a pre‐implementation Barrier Analysis to training rollout 5. … Conducting a pre‐implementation Barrier Analysis to training rollout. 5. … Step 1: Explain Barrier Analysis Exercise • Explain the idea of a pre‐implementation Barrier Analysis … Conduct a Barrier Analysis to training rollout 5. … Exercise: Barrier Analysis (Input Sheet) Exercise: Barrier Analysis (Results) Step 5: Create a

296. Table of Contents: Volume 1. Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     January 01, 2025 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient … Cause Analysis The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure … Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, Robert Mullen, Jeanette Teets … Marks Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from

297. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     January 01, 2025 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Saran Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending … Cause Analysis The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure … Bagian Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick … Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, Robert Mullen, Jeanette Teets

298. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
     September 01, 2025 - Rationale: Safety engineering is based on a proactive approach using both prospective and retrospective analysis … . * Tools Mapping method for complex, non-linear functions and relationships: Functional resonance analysis … Tools Task analysis, including cognitive task analysis . * Medications at Transitions and Clinical Handoffs … Diagnostic Safety Events . * Calibrate Dx: A Resource to Improve Diagnostic Decisions . * Using Root Cause Analysis

299. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_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

300. 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