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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - †Characteristic of at least 20% of diagnostic testing error cases. … (higher percentage) with diagnostic testing error cases vs. all other cases that are statistically … Positively screened cases should then be read and reviewed to eliminate false positives. … Perform quantitative analysis on the selected cases to gain an initial understanding of them. … Web M&M Current Cases & Commentaries: Family Medicine.
  2. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
    June 02, 2025 - 69.9 FECC-2 96.7 96.4 FECC-3 44.3 52.5 FECC-4 43.1 49.4 FECC-5 79.4 82.7 FECC-6 N/A: All cases … Child has shared care plan FECC-16 40.9 49.1 Child has written transition plan FECC-18 N/A: All WA cases
  3. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh3.html
    April 01, 2018 - Quality Improvement Program Text Description This figure graphically compares the percentage of cases … The y-axis values indicate percent of cases reviewed (range = 0-100 percent).
  4. www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
    January 01, 2024 - Secondary diagnosis: For several indicators, the AHRQ definition excludes cases in which the condition … For example, in PSI #9, "postoperative hemorrhage or hematoma," cases for which the hemorrhage is coded … Thus, it is not appropriate to exclude cases with a principal diagnosis of postpartum hemorrhage from … foreign body or accidental puncture, the exclusion of cases when the code is a principal diagnosis … Specifically, PSI #5: Foreign Body identified one or more cases in only 15 hospitals [6.2%]), and PSI
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
    January 01, 2017 - SAY: The first thing to do is to look at your cases. Use a line list like this. … investigate your cases. … The first step is to review the cases as we discussed earlier. … Slide 21 Review All VAC Cases–Case Review 1 SAY: Look at your cases to see what is happening and why … cases •  Do we have policies and procedures in place?
  6. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-5.pdf
    April 21, 2015 - Migraine was the predominant headache type, present in 75% of cases where headaches could be classified … Thirty children underwent CT scans (n=23) or MRI (n=7), and abnormalities were found in five cases. … Three of the five cases had previous abnormal CT scans. III Chu ML, Shinnar Sl. … Of 476 cases with abnormal neuroimaging, 82 (2.5%) had a change in management.
  7. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
    July 01, 2023 - These differences can result in two distinct cases of conflict: Informational conflict involves
  8. www.ahrq.gov/research/shuttered/acfselection/chapter4.html
    July 01, 2018 - An ACF is not, in most cases, a substitute for an acute care hospital or emergency department. … ACF Staff Activation ACF staff members will, in most cases, be activated by the agency or organization … In many cases portable two-way radios may be available and used. External Communications. … In some cases a daily average and peak census were given. … The impersonation cases in our survey represent members of the media or other individuals who wanted
  9. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
    June 02, 2025 - Manually executing test cases without using automation tools can help find bugs in the system. … Step 1: Selecting cases for testing • Choose test cases which cover the entire field of patient eligibility … for CR. • Include cases which should and should not be referred • Include both straightforward scenarios … Table 3: Sample Test Cases Test Case Patient Characteristics Rationale Patients who meet one of the … Step 2: Using the test cases • Proposed testing cases should be reviewed by relevant stakeholders to
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
    May 01, 2015 - The index is modified due to the exclusion of Apgar 5 <7 cases. … reinforce and sustain best practice response and documentation of management for shoulder dystocia cases … hemorrhage care practices because the unit was experienc- ing a larger-than-expected number of hemorrhage cases … The team is now able to generate a periodic report to track all cases of obstetric hemorrhage, whether
  11. Tables 11-14 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
    June 02, 2025 - (7.4) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … (16.1) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … $162,271 ‡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
  12. www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - Participants were invited to use the CFER-DS to simulate reporting for a minimum of 5 cases of diagnostic … Participants were asked to complete the CFER-DS to simulate event reporting for 5 cases of diagnostic … Formats tool, participants generally selected cases that had already www.journalpatientsafety.com … … Most of the cases I completed the tool for had at least 20 hours of investigation.” … cases in total).
  13. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-3.html
    July 01, 2023 - But more recent consumer-oriented wearables are targeting use cases related to medical diagnosis. … In many cases, they do not individualize a patient’s risk, consider patient-specific contextual factors
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
    September 01, 2023 - most common potentially preventable cause of serious disability and death identified in malpractice cases
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
    April 01, 2022 - Preventing CLABSI and CAUTI QI in Action ׀ 9 9 Data From Defects Analyses - CLABSI CLABSI – 10 cases … or done per staff; daily ICU goal sheet not used—it is old and needs revision to be actionable All cases … ICUs: Preventing CLABSI and CAUTI QI in Action ׀ 10 Data From Defects Analyses – CAUTI CAUTI – 6 cases … review for necessity is documented; all were kept in for I&O but documentation did not support  All 6 cases … had fever; 2 cases had symptoms of UTI other than fever; all cultures obtained as part of pan-culture
  16. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
    September 01, 2019 - Disparities Overview of Racial and Ethnic Disparities Disparities for Blacks Largest Disparities New HIV Cases … Admissions for Asthma Trends in Quality of Care for Blacks Changes in Disparities for Blacks New HIV Cases … for Native Hawaiians and Pacific Islanders Largest Disparities Blood Pressure Measurement New HIV Cases … Pacific Islanders Knowledge of HIV Serostatus Disparities for Hispanics Largest Disparities New HIV Cases
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - Cases involved discharge from one of four hospital sites affiliated with the academic medical center … Also, a significantly larger percentage of cases under the RMCM reached a settlement than under the … Cases involved discharge from one of four hospital sites affiliated with the academic medical center … During the grant, the board reviewed maternal death cases covering a 2-year period; cases were identified … Unlike in other States, the majority of cases involved vaginal delivery rather than cesarean section
  18. www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
    May 01, 2016 - Cases involved discharge from one of four hospital sites affiliated with the academic medical center … Also, a significantly larger percentage of cases under the RMCM reached a settlement than under the … Cases involved discharge from one of four hospital sites affiliated with the academic medical center … During the grant, the board reviewed maternal death cases covering a 2-year period; cases were identified … Unlike in other States, the majority of cases involved vaginal delivery rather than cesarean section
  19. www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
    January 01, 2024 - Cases were included regardless of time of day or level of urgency. … Urgent cases were defined as those needing to start within 4 hours, whereas emergent cases required … Results Principle Findings Seventeen cases were collected prior to rapid-cycle testing, 12 cases contributed … cases. … Only about half of the piloted cases acknowledged all items on the checklist.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
    January 01, 2006 - 5.2165400000000001E-2 4.8023400000000001E-2 3.5677800000000003E-2 2.1456599999999999E-2 Per 1,000 Cases … Observed Count 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 49 37 38 52 48 35 21 Number of Cases … 2012 2013 2014 2015 2016 2.28119E-2 2.283E-2 2.2760900000000001E-2 2.2509999999999999E-2 Per 1,000 Cases … 2014 2015 2016 3.6899300000000003E-2 2.8837700000000001E-2 2.9872099999999999E-2 4.0235E-2 Per 1,000 Cases … 2012 2013 2014 2015 2016 2.6530000000000001E-2 2.7710000000000002E-2 2.9180000000000001E-2 Per 1,000 Cases

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