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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
    April 01, 2025 - After SSI data are collected and analyzed, these data should be provided as ongoing feedback to surgical
  2. www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
    May 01, 2016 - collected locally but also communicated to a centralized (national) level, where they would be aggregated, analyzed
  3. effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_appendixes.pdf
    January 01, 2006 - Patients Aspirin use Definition of significant GI events Number screened/ enrolled Number analyzed … (10) Adverse events (11) Comments Garner2004(Rofecoxib for OA) Rofecoxib v naproxen-One study analyzed … all vascular events increases to 1.45 (95% CI 1.12-1.80, p=0.0003) when only long- term (>1 yr) were analyzed … not have primary OA or did not take any medication 39% (245) withdrawn/10 lost to follow-up/604 analyzed … to 100 mm VAS) score: 63 vs. 59 Not clear/not clear/50 None withdrawn/lost to follow-up/50 analyzed
  4. digital.ahrq.gov/sites/default/files/docs/citation/r21hs027228-gold-final-report-2021.pdf
    January 01, 2021 - We analyzed the data corresponding to different tasks independently. … We analyzed both the response time and error rate of each of the 5 graphs by plotting the difference
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33638/psn-pdf
    August 01, 2006 - Getting Into Patient Safety: A Personal Story August 1, 2006 Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story Perspective My journey into patient safety began in 1972. It was born of serendipity enabled by the…
  6. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
    February 01, 2022 - Module Menus The Modules Introduction to the AHRQ Practice Facilitation Training Modules Starting with a Practice Facilitator Fundamentals Effective Meetings Introduction to Quality Improvement (QI) in Primary Care Model for Improvement and PDSA Cycles Process Mapping The 5 Whys and Fishbone…
  7. www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
    December 01, 2017 - Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transitional Care Designing & …
  8. www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Learn From Defects in Care of Mechanically Ventilated Patients Slide 2: Learning Objectives Af…
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
    August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos U N C H E A L T H C A R E S Y S T E M U N C H E A L T H C A R E Culture of Safety Improvement Project UNC Medical Center 29 U N C H …
  10. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/nh/about/measures-nursing-home-family-member-609.pdf
    December 28, 2017 - Patient Experience Measures from the CAHPS Nursing Home Family Member Survey Patient Experience Measures from the CAHPS Nursing Home Family Member Survey CAHPS® Nursing Home Family Member Survey Patient Experience Measures from the CAHPS® Nursing Home Family Member Survey Document No. 609 Updated 12/2…
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
    April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Di…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
    June 02, 2025 - Prologue—Volume 2—Systems Thinking and Patient Safety 1 Prologue Systems Thinking and Patient Safety Paul M. Schyve Patient safety is a prominent theme in health care delivery today. This should come as no surprise, given that “first, do no harm” has been the ethical watchword throughout the history of medi…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
    April 01, 2025 - Learning From Defects Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Learning From Defects 1 Educat…
  14. psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
    June 24, 2020 - SPOTLIGHT CASE Fatal Error in Neonate: Does "Just Culture" Provide an Answer? Citation Text: Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …
  15. www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
    August 01, 2016 - have lower confidence in this comparison due to possible variation in how the data were collected and analyzed … Appendix A includes all variables acquired and/or analyzed. 2.2 Survey Development and Administration … whether and to what extent the funded projects address AHRQ’s strategic goal core priority areas; we analyzed
  16. www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
    January 01, 2024 - coding structure was considered final (i.e., no new concepts were apparent), two independent coders analyzed … • (Paper 5): We reviewed and analyzed coding across each of the four domains to examine common themes
  17. digital.ahrq.gov/sites/default/files/docs/publication/r36hs021082-graetz-final-report-2012.pdf
    January 01, 2012 - I analyzed quasi-experimental changes in exposure to EHR across a staggered implementation in inpatient … Lastly, I analyzed how the effect of use of an outpatient EHR on clinical outcomes for patients with
  18. digital.ahrq.gov/sites/default/files/docs/citation/k01hs019001-wen-final-report-2017.pdf
    January 01, 2017 - For each issue, responses were analyzed through content analysis to inductively identify themes that … b) Portal satisfaction evaluation ratings were analyzed with frequencies and descriptive statistics
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
    May 07, 2008 - These four projects were analyzed by comparing rates of medication errors between the intervention and … Existing data were analyzed to demonstrate medication error problems and to document problem scope.
  20. meps.ahrq.gov/data_files/publications/mr23/mr23.shtml
    November 01, 2008 - Data can be analyzed at either the person or event level. … Selected data can be analyzed through MEPSnet, an on-line interactive tool designed to give data users