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21. Section 2, Technical Specifications (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
    January 01, 2014 - with TCD Select cases with TCD IPOT2008 _TCD Merge files, eliminate duplicate claims by … date of service for each ID IPOT2008_ Meas13Had 3 Select cases that had 3 or more claims … Cases with 3 or more health care encounters are retained, the rest are discarded. … The bdayCUT file will be merged in after denominator cases are correctly identified*/ /**IP**/ … who will be less than 2yrs old on Jan 1, 2005*/ OR EL_DOB < '19900101' /*deletes cases who

22. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
    January 01, 2004 - The proportion of cases confirmed as in-hospital APL events, the proportion of cases not confirmed … these cases were eliminated from the PSI. … 2 3.0 Serious cases 50 74.6 Not serious cases 10 14.9 Trauma 2 3.0 Trauma and PSI 1 1.5 Readmits … While our sample of trauma cases (three cases, 4.5 percent) is too small to draw definitive conclusions … ), readmissions (3 percent), and trauma cases (4.5 percent) leaves 88.5 percent of the cases identified

23. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
    January 01, 2016 - The hospital-level estimate of cases of selected infection resulting from inpatient treatment (secondary … By attributing area-level PSI cases that occur because of inpatient care to the hospital-level PSI, … these cases were eliminated from the hospital-level PSI for this analysis. … The addition of 950 cases increases the hospital-level AHRQ PSI- based estimate of 3,858 cases of Selected … The area-level indicator identified 7,373 cases in New York State for 2001 (Table 1).

24. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
    www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
    October 01, 2022 - SELECT CASES FOR REVIEW AND REFLECTION Choose three to five cases to review to assess your performance … If you need to narrow down a larger list of cases, opt for more recent cases as you may remember more … cases. … reviewing your cases at random. … What will you repeat in similar cases in the future?

25. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-6.html
    September 01, 2020 - Table 1 ), and positive effects of checklists on diagnostic accuracy are mainly found in subgroups of cases … (difficult cases) or clinicians (junior clinicians).

26. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
    January 01, 2024 - Slagle used AV-recorded cases from our NICHD R01 archive of actual cases to build example sets for each … significantly interrupted our accrual of recorded cases … of the 23 total AV cases had corresponding clinician-reported SOS data. … These 18 cases were used to complete the preliminary concordance analysis. … Summary of Aim 3 findings Eighteen cases of the 23 total A-V cases had corresponding clinician-reported

27. UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
    February 01, 2024 - institution for all flagged PSI #12 (Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate) cases … Nursing units and surgical services with the largest volume of PSI #12 cases were selected to implement … While there was a 30% reduction in PSI #12 cases across the institution when comparing calendar year … evidence-best practices for VTE prevention and a gap analysis across our institution for all flagged PSI #12 cases … 08/18/22–10/20/22 Nursing units and surgical services with the largest volume of PSI #12 cases

28. Final Progress Report: MammoTutor: An Internet-Based Computer Tutoring System to Teach General Radiologists the Early Signs of Breast Cancer (pdf file)
    www.ahrq.gov/sites/default/files/2025-05/mello-thoms-report.pdf
    January 01, 2025 - However, due to lack of sufficient cases of cancers more predominant amongst African American women … Conclusion: Although full system implementation has not been tested, accrual of cases continues as … Based on our estimate of possible improvement, we determined that a minimum of 418 mammogram cases … We decided to use approximately 450 cases for training and also include 50 cases for pre- and post- … , but the database is lacking more cases representing African American women.

29. CHIPRA 201: Section 7, Tables 4-7 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-7-table-4-7.pdf
    June 02, 2025 - (8.3) * Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … 18.4) * Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … $200,724 * 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

30. Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix A (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixA.pdf
    June 02, 2025 - Reflections and Assessment WRITE A SUMMARY ASSESSMENT AFTER REVIEWING YOUR CASES. … What will you repeat in similar cases in the future? … • What will you do differently in similar cases in the future? … Task Formulating Questions to Guide Calibration Evaluate Diagnostic Performance Learn from your own cases

31. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
    August 01, 2022 - offered compensation in 3 of these 11 cases. … acknowledging responsibility) made in 64% of cases. … Of the 32 cases, 15 were settled and 17 were voluntarily dismissed. … Across these cases, the median time between filing and disposition of the case was 189 days. … While 326 cases had descriptive data available, 716 cases entered JDN and 165 reached a final disposition

32. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
    June 02, 2025 - To identify cases of preventable harm to patients. 2. … To develop a standardized method for tracking and referring such preventable cases in need of review … • Carefully track what you learn when you review individual cases. … Cases of accidental puncture, for example, were attributed to multiple surgical teams. … per thousand or cases per catheter day.

33. Final Progress Report: Building the Evidence Base for Vomit Clean-Up Procedures in Long-Term Care Facilities (pdf file)
    www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
    January 01, 2024 - Cases who vomited infected 2.74 (95% CI: 1.90, 3.94) more individuals than did nonvomiters; cases with … diarrhea infected 1.62 (95% CI: 1.09, 2.41) more individuals than did cases without diarrhea; and resident-cases … cases compared with nonindex cases. … if those cases are residents. … cases compared with cases without vomiting, and LTCF residents infected 1.31 (95% CI: 1.15, 1.50) times

34. A4A Combo Psi Casestudy (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
    June 02, 2025 - To identify cases of preventable harm to patients. 2. … To develop a standardized method for tracking and referring such preventable cases in need of review … • Carefully track what you learn when you review individual cases. … Cases of accidental puncture, for example, were attributed to multiple surgical teams. … per thousand or cases per catheter day.

35. Highlights From AHRQ's Patient Safety Network | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/psnet.html
    March 01, 2025 - including: Ambulatory medication errors and adverse events involved in medicine-related malpractice cases … Review additional new publications in PSNet's current issue or access recent cases and commentaries

36. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201809.html
    January 01, 2019 - eliminating a number of unnecessary catheters, we had already seen a major decrease in the number of CAUTI cases … ,” Shah said, noting that CAUTI cases had dropped from 43 in 2012 to 7 in 2015. … It gives me all the variables in one place, and in many cases allows me to determine whether a CAUTI … In cases where other procedures are done correctly, this may identify the possibility that a urinary … dropped further to just six cases in 2016.

37. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
    www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
    January 01, 2024 - “Now” activations occurred in 9% of digital checklist cases. … seven of 187 cases). … From the 187 cases collected for this project, we excluded cases that did not have the ground truth … We calculated checklist compliance for each of the 32 tasks in all 98 cases. … The leader arrived late (after the patient) in 29 of 187 cases.

38. Exhibit 14. Schematic showing the sampling process for chart review and the assignment of true and false positives and negatives | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh14.html
    April 01, 2018 - the figure, routine surveillance results in a set of surveillance-positive and surveillance-negative cases … Cases that are surveillance-positive and algorithm-negative are considered false negatives and not examined … further; of cases that are surveillance-positive and algorithm-positive, up to 50 are selected at random … Similar analysis is done for surveillance-negative cases: those that are surveillance-negative and algorithm-negative … are classed as true negatives for SSI; of cases that are surveillance-negative and algorithm-positive

39. Create a Safe Medicine List Together: Scripts (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Quick-Start-Clinicians.pdf
    September 01, 2022 - Choose and review a sample of cases. … Identify three to five recent cases relevant to the area you’d like to focus on. … “I think it’s a way to empower clinicians to study their own cases in a safe way and learn from their … own cases.”

40. Results | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - Stated another way, for every 1,000 CLABSI cases there are 150 excess deaths. … estimated at 0.036 (95% CI: 0.004 to 0.079) per HAC case (meaning for every 1,000 in-hospital CAUTI cases … estimated at 0.15 (95% CI: 0.070 to 0.027) per HAC case (meaning for every 1,000 in-hospital CLABSI cases … (meaning that for every 1,000 cases there are 260 excess deaths). … and may misclassify community-acquired cases as hospital-acquired.