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301. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - This was controlled for during statistical analysis. … Cognitive task analysis (specifically hierarchal task analysis, because it provides significant insight … Cognitive task analysis Table 3. … Working minds a practitioner's guide to cognitive task analysis. … Hierarchical task analysis. London; New York: Taylor & Francis; 2001. 40.

302. Healthcare Spending 26 Percent Higher Among Adults Who Had Adverse Childhood Experiences | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/healthcare-costs-childhood-experiences.html
     August 01, 2024 - bring data to bear on critical topics impacting cost, access, and care outcomes, AHRQ has published an analysis … Our analysis showed associations between ACEs and a range of adverse adult circumstances, including financial … Our analysis points to potential healthcare expenditure savings that might help mitigate the cost of … The results of this analysis and others like it add to the existing evidence that targeting ACEs' enormous

303. 2. Study Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
     June 01, 2020 - An environmental scan and portfolio analysis of federally funded HSR and PCR extramural projects from … , except one for which detailed manual notes were used in the analysis. … Environmental Scan and Portfolio Analysis The purpose of the environmental scan and portfolio analysis … This feedback was used to refine the scan methods and analysis but did not constitute endorsement of … Scan Analytic Approach The scan analysis relied on a combination of manual and automated reviews of

304. 2017 National Healthcare Quality and Disparities Report Measure Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/measspec-3.pdf
     January 01, 2017 - In 2013 and 2014, only one nationally weighted analysis file was created. … In 2013 and 2014, only one nationally weighted analysis file was created. … In 2013 and 2014, only one nationally weighted analysis file was created. … In 2013 and 2014, only one nationally weighted analysis file was created. … In 2013 and 2014, only one nationally weighted analysis file was created.

305. Data Brief Provides Insights Into Heat-Related Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/data-brief.html
     April 01, 2022 - Directly Indicating Heat Exposure: Variation Across Counties in the United States , a first-time data analysis … The analysis, which recognizes that heat waves are expected to become more frequent and severe due to

306. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html?page=1
     January 01, 2025 - Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS … implementation and social network factors with patient safety culture in medical homes: A coincidence analysis … Patient safety culture in Latin American hospitals: A systematic review with meta-analysis. … Causes of nurses' second victim distress: An objective analysis. … Patient safety culture and its associated factors: A situational analysis among nurses in Katsina public

307. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html
     January 01, 2025 - Patient safety culture among nurses in hospital settings worldwide: A systematic review and meta-analysis … Longitudinal analysis of culture of patient safety survey results in surgical departments. … From reporting to improving: How root cause analysis in teams shape patient safety culture. … Patient safety culture in African health facilities: A systematic review and meta-analysis. … Psychometric analysis of the Indian version of the Patient Safety Culture Tool (I-HSOPSC 2.0) validation

308. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html?page=0
     January 01, 2025 - Patient safety culture among nurses in hospital settings worldwide: A systematic review and meta-analysis … Longitudinal analysis of culture of patient safety survey results in surgical departments. … From reporting to improving: How root cause analysis in teams shape patient safety culture. … Patient safety culture in African health facilities: A systematic review and meta-analysis. … Psychometric analysis of the Indian version of the Patient Safety Culture Tool (I-HSOPSC 2.0) validation

309. 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.

310. General Implementation Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
     June 01, 2021 - The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program … Gap Analysis  (DOCX, 381.7 KB) Commitment Poster (DOCX, 870.2 KB) Checkpoint Tool (DOCX, 292.3

311. Using Socio-Technical Probabilistic Risk Assessment (ST-PRA) to Assess Risk and Improve Patient Safety and Reliability in Health Care Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article19.html
     June 01, 2014 - Common approaches for analyzing serious or sentinel events in health care include root cause analysis … PRA is thus a hybrid between qualitative process analysis techniques and quantitative decision-support … Database Analysis Discharge databases are important for studying health care problems in a variety … Sensitivity analysis. … Risk Analysis in Engineering Techniques, Tools and Trends.

312. Using Socio-Technical Probabilistic Risk Assessment (ST-PRA) to Assess Risk and Improve Patient Safety and Reliability in Health Care Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article19.html
     June 01, 2014 - Common approaches for analyzing serious or sentinel events in health care include root cause analysis … PRA is thus a hybrid between qualitative process analysis techniques and quantitative decision-support … Database Analysis Discharge databases are important for studying health care problems in a variety … Sensitivity analysis. … Risk Analysis in Engineering Techniques, Tools and Trends.

313. 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

314. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Resources) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-SOPS_101_Webcast-GRAY-Resources.pdf
     September 01, 2019 - AHRQ Publication No. 19-0076-1-EF September 2019 44 https://www.ahrq.gov/ Data Entry and Analysis … International requests Database TA 1-888-324-9790 DatabasesOnSafetyCulture@westat.com • Data Entry and Analysis … SOPS Resources SOPS Website Survey User’s Guides HSOPS 2.0 Transitioning Guide Data Entry and Analysis

315. 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

316. Mod5-Case-Scenarios (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-case-scenarios.pdf
     April 01, 2016 - ..............................................................3 Scenario 3: Disclosure After Event Analysis … ..............................................................4 Scenario 4: Disclosure After Event Analysis … The root cause analysis reveals that the sponge counts took place before and after the surgical procedure … Case Scenarios: Handling Challenging Communications – 5 Scenario 4: Disclosure After Event Analysis … The root cause analysis suggests that the cause of the air embolism was multi-factorial, but identifies

317. 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Person-Centered Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-6.pdf
     January 01, 2023 - Patient Experience of Care 6 ------ : Data were not available or reliable for the analysis. … Patient Experience of Care 9 ------ : Data were not available or reliable for the analysis. … a way they could understand Source: MEPS Benchmark: Not available Data year for disparities analysis … Home Health Communication 53 ------ : Data were not available or reliable for the analysis. … Hospice Care 66 Data year for disparities analysis: 2021 Note: Higher estimates (percentages)

318. 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

319. 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

320. 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