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  1. www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
    January 01, 2024 - Surgical cases were further classified as either operating room cases or office procedures using a combination … Cases with a pharmacy claim for misoprostol were classified as medical management. … identified the procedure location in 76.9% cases. … Once these cases were excluded, 21,311 episodes were analyzed. … Using the same process, 1,493 cases were included from the university-affiliated plan database.
  2. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-j.html
    May 01, 2017 - Take this copy of your checklist into theoperating room/procedure room to observe cases. … Coach the Team Reflect on what you saw the team do well or what it could have done better during the cases … Coach the Team Reflect on what you saw the team do well or what it could have done better during the cases … Coach the Team Reflect on what you saw the team do well or what it could have done better during the cases
  3. www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
    January 01, 2025 - In this system, it is not surprising that active errors – cases in which follow-up is not completed … In most cases, ALARMS compares the test values to the normal ranges established by the laboratory. … Furthermore, notation was made of all cases found by ALARMS, but not by our manual search. … All discrepant cases were reviewed by the primary investigator. … In these cases, study investigators inquired about the patient’s clinical status to assess for any
  4. www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
    April 01, 2018 - Acquire all surveillance data pertaining to cases in the test set Each of the facilities had different … No cases were picked up with the changes. … At VVMC, all algorithm-identified cases were false positives. … In 2 cases, the reviewer felt that the cases were ambiguous, in another 2 the reviewer actually disagreed … that the cases were SSI.
  5. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
    November 01, 2019 - Care Cellulitis and SSTI 11 Moment 2: Microbiologic Diagnosis Blood cultures positive in < 5% of cases … MRSA Debridement required whenever possible Ultrasound may be helpful to detect abscess or phlegmon in cases … susceptible Clindamycin resistance 10–20% in B, C, G MSSA estimated to be the cause of only ~10% of cases … prior MRSA infection 11% with diabetes Median abscess dimension 2.5 cm S. aureus isolated in > 60% of cases … normal host8 Patients with diabetes who have cellulitis do not need Gram-negative coverage in most cases
  6. www.ahrq.gov/hai/pfp/haccost2017-appendix.html
    November 01, 2017 - These are expressed as the percentage of HAC cases who die as a result of the HAC. … Data Source(s) HCUP-NIS HCUP-NIS Hospital clinical and administrative data Number of Cases … Source(s) HCUP-NIS Hospital clinical data Hospital incident reporting system Number of Cases … Source(s) HCUP-NIS HCUP-SID and MPSMS HCUP-NIS HCUP-NIS HCUP-NIS MPSMS Number of Cases … cohort Retrospective cohort Data Source(s) HCUP-NIS HCUP-NIS HCUP-NIS Number of Cases
  7. Coaching-Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
    June 02, 2025 - Patient Leaves the Room · Each individual observation tool can be used on its own in three separate cases … How Many Cases Should We Observe? … How Should We Select The Cases To Observe? · Observe a variety of teams in your facility.
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data_facnotes.docx
    December 01, 2017 - If your surgical area only does between one and five colectomy cases per month, your rate could easily … You can also share data about individual cases that represent the infections. … So, rather than saying the SSI rate is 50 percent, perhaps share the five cases that developed SSI. … Identify which process measures were not present on those cases and share with your frontline staff. … In this case, evaluating the data by quarter provides enough cases to observe trends.
  9. www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
    December 01, 2017 - If your surgical area only does between one and five colectomy cases per month, your rate could easily … You can also share data about individual cases that represent the infections. … So, rather than saying the SSI rate is 50 percent, perhaps share the five cases that developed SSI. … Identify which process measures were not present on those cases and share with your frontline staff. … In this case, evaluating the data by quarter provides enough cases to observe trends.
  10. www.ahrq.gov/cpi/about/otherwebsites/psnet.ahrq.gov/index.html
    December 01, 2024 - Web M&M Cases and Commentaries : Consist of expert analysis of medical errors reported anonymously by … Spotlight Cases: include interactive learning modules with available free CME .
  11. www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
    January 01, 2024 - In some cases, when the domain of a variable was ambiguous, the variable was tested in more than one … Electrocardiograms for AMI cases were collected and subsequently interpreted by two board-certified … In cases when a critical error was responsible for a preventable adverse event, the data point was … The chart review at most sites yielded <70 dislocation cases with procedural sedation. … Some sites did not have 70 eligible AMI and/or asthma cases.
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Problematic Processes A total of 103 problematic processes were identified overall, with 18 cases … The predominant process-of-care issue was related to clinical services in 27/103 cases (26 percent), … ); 25 cases involved process issues with therapy, 14 cases (14 percent) related to medications and … issue (15/17 cases). … Eleven cases (11 percent) involved process issues in making a Diagnosis, and the same number (11 cases
  13. www.ahrq.gov/talkingquality/translate/scores/index.html
    March 01, 2016 - But even in such simple cases, you still have to decide exactly what information you will present to
  14. www.ahrq.gov/talkingquality/translate/scores/framing.html
    March 01, 2016 - But in other cases, the decision is not as clear cut. … When a Negative Frame Can Be a Bad Idea In most cases, a negative frame can be attention-getting. … But in some cases, a negative frame can reduce people’s willingness to even look at a report.
  15. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables14-17.pdf
    June 02, 2025 - (4.2) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … (9.4) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … $127,188 ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … 100 ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-7-tables-15-18.pdf
    June 02, 2025 - (8.4) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … (16.7) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … $164,388 ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … 100 ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases
  17. www.ahrq.gov/news/newsletters/e-newsletter/949.html
    March 01, 2025 - broad-spectrum therapy, the authors found that death occurred in 8.7 percent of delayed broad-spectrum treatment cases … In contrast, after early treatment, death occurred in 9.5 percent of cases, adverse drug events in 7.2 … week include— Ambulatory medication errors and adverse events involved in medicine-related malpractice cases … Review additional new publications in PSNet’s  current issue , including recent cases and commentaries
  18. www.ahrq.gov/data/apcd/envscan/conclusion.html
    June 01, 2017 - national momentum is building behind developing measures to be used with APCDs and defining the business cases
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
    December 01, 2017 - Did we do a good job of managing the workload and switching people in and out for long cases? … Without the documented track record of multiple cases impacted by missing equipment, the hospital had … The CUSP team worked to change how the cases were posted. … It has 10 operating rooms and averages about 800 cases a month. … Verifying the procedure name and specimen labeling became routine for the cases, so the handoffs went
  20. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
    December 01, 2017 - Did we do a good job of managing the workload and switching people in and out for long cases? … Without the documented track record of multiple cases impacted by missing equipment, the hospital had … Slide 38: Examples of Defects Addressed Say: This example stems from confusion around how cases … The CUSP team worked to change how the cases were posted. … It has 10 operating rooms and averages about 800 cases a month.

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