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421. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Cause Analysis The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure … Common Cause Analysis: Focus on Institutional Change (   PDF , 387 KB ) Anne Marie Browne, et al. … Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes From Paper to … Failure Mode and Effects Analysis Based on In-Situ Simulations: A Methodology to Improve Understanding

422. Useful Online Tools for CAHPS Survey Users (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/webinar-111622.html
     December 01, 2022 - The CAHPS Analysis Program, commonly known as the CAHPS macro, allows survey users to conduct the analyses … Senior Study Director Westat Rockville, MD Introduction to the CAHPS Analysis Program (PDF, 602

423. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html?page=6
     January 01, 2025 - Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: A factor analysis … Psychological impact and recovery after involvement in a patient safety incident: A repeated measures analysis … Differing perceptions of safety culture across job roles in the ambulatory setting: Analysis of the AHRQ … An analysis of staff and patient survey data and routinely collected outcomes. … Patient safety culture in a large teaching hospital in Riyadh: Baseline assessment, comparative analysis

424. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - Category 4: Measurement, Analysis, and Knowledge Management 4.1. … Category 4, Measurement, analysis, and knowledge management. 3. … Category 4, Measurement, analysis, and knowledge management. 2. … The step by step guide to failure modes and effects analysis. … risk analysis system.

425. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
     April 01, 2021 - of English, Chinese, and Spanish-speaking safety-net patients on clinician computer use: qualitative analysis … A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities … Finding meaning in medication reconciliation using electronic health records: qualitative analysis in … misses related to multitasking on the electronic health record: observational study and qualitative analysis … Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis

426. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
     January 01, 2011 - Tool A Matrix for Training Needs Analysis Free tools and training materials to help guide and … conduct a training needs analysis. … Analysis Identify stakeholders and their interest in and influence over the innovation. … Tool Failure Modes and Effects AnalysisTool Failure Modes and Effects Analysis (FMEA) is a … produced by root cause analysis findings.

427. Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
     June 02, 2025 - IT-supported process for preventing and managing VTE AHRQ Grant 1R01HS022086 Human-centered design  Analysis … Work (sociotechnical) system of VTE diagnosis  Role network analysis [info gathering, info integration … Cues for VTE diagnosis  Table of cues  Comparative analysis of cues across 3 EDs and roles 3.

428. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
     June 01, 2013 -  Qualitative Analysis of Consumer Perspectives. … For example, if Error Analysis is selected, then Failure Mode and Effects Analysis, Narrative/Storytelling … , and Root Cause Analysis will also be selected because they are specific examples of Error Analysis … o Failure Mode and Effects Analysis o Narrative/Storytelling o Root Cause Analysis If a main … 206 625 -- Error Analysis 185 627 ---- Failure Mode Effects Analysis 34 628 ---- Morbidity

429. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - Their design allows ease of entering and analysis of adverse incidents. … Survey Analysis For all statistical analyses, we used SPSS Statistics 17.0. … Analysis We conducted a descriptive statistical analysis consisting of the percent for each of our … Content analysis allows for systematic extraction of themes. … Making health care safer: A critical analysis of patient safety practices.

430. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
     December 01, 2021 - For the purposes of analysis and reporting in the NHQDR, the near-poor and low-income categories were … measures are included in the trend analysis. … The core measures were excluded from the 2021 NHQDR trend analysis. Table 2. … The 2021 NHQDR excluded 18 measures from the trend analysis and kept 36 measures. … current disparities analysis.

431. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
     June 01, 2010 - The result was a focused set of candidate measures for AHRQ's consideration that could also inform an analysis … Cost and cost-effectiveness: What are the costs associated with data collection and analysis? … Criteria Development and Application Our development and application of evaluation criteria for the analysis … with an assessment of measure importance was helpful in making sure the resulting measure set for gap analysis … A few important contextual observations should be noted, prior to the gap analysis.

432. Graphics for Section 5. Evidence or Other Justification for the Focus of the Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
     November 26, 2013 - Meta-analysis A meta-analysis of three randomized trials found that initiation of penicillin prophylaxis … powered and conducted randomized controlled trial (RCT); well-conducted systematic review or meta-analysis

433. Final Progress Report: Benchmarking Patient Safety and Quality in U.S. Hospitals: The Stochastic Frontier Approach (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
     January 01, 2025 - Methods: Stochastic Frontier Analysis (SFA) estimated the gaps between best possible and actual hospital … One method for estimating gaps in performance is the Stochastic Frontier Analysis (SFA). … In our analysis, these indirect influences are the predictors of the gap between the best possible and … These form the response variables in the second step of the analysis. … Inputs and observed quality and safety in SFA analysis Observed quality and safety measures were seven

434. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
     June 01, 2020 - Over the project lifecycle, this PSLL iteratively conducted indepth problem analysis of transitions of … This analysis was followed by the design, implementation, and evaluation of multiple studies and programs … A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health 2018 May 2. … A taxonomy and cultural analysis of intra-hospital patient transfers .

435. Data Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/resources/index.html?page=2
     publications below, person-level data files with access to health care variables can be downloaded for analysis … Insurance Coverage Using the age and the insurance coverage variables from the MEPS allows for analysis … person-level and event-level data files with health care expenditure variables can be downloaded for analysis

436. CLABSI Event Reporting Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
     April 01, 2022 - CLABSI Event Reporting Tool CAUTI Event Report Tool: Data for Event Analysis This event report tool … is designed to be used as a guide through the initial investigation for a defect analysis where the … Users are encouraged to review the defect analysis process outlined in the Agency for Healthcare Research … and the Learn From Defects Tool for a description and instructions on how to perform a full defects analysis … /root cause analysis process and does not represent an exhaustive list of all questions that may need

437. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/improve/index.html
     June 01, 2021 - The gap analysis should be completed by all ASPs to ensure that all essential components are present. … Implementation Guide for the AHRQ Safety Program for Acute Care (PDF, 328 KB) Gap Analysis Tool (

438. 197. Specific Populations and Other Topics (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide197.html
     October 01, 2014 - Smokers Review of Evidence Psychiatric disorders including substance use disorders Meta-analysis … (2008): Four studies met selection criteria and were relevant to a 2008 Guideline meta-analysis comparing

439. 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Affordable Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-3.pdf
     January 01, 2023 - than 10% of total family income Source: MEPS Benchmark: Not available Data year for disparities analysis … 17.3 0.2 No change ====== 17.3 10.2 Same ------ : Data were not available or reliable for the analysis … for not having a source of care Source: MEPS Benchmark: Not available Data year for disparities analysis … 7.8 ------ ------ ====== 7.8 5.6 Same ------ : Data were not available or reliable for the analysis … of cost in the past 12 months Source: BRFSS Benchmark: 7.7 in 2015 Data year for disparities analysis

440. The Relationship Between Hospital Workload and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
     January 01, 2024 - Our main analysis employed Poisson regressions, with the patient day as the unit of analysis and with … Analysis The main focus of our analysis was the relationship between workload and staffing variables … Analysis was conducted at all times under expert statistical supervision. … the patient day as the unit of analysis. … They were not used in the analyses for the main analysis.