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  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/preparing-data-for-analysis.pdf
    May 15, 2017 - ........................................................ 3 Task 3: Identify and Exclude Ineligible Cases … • Task 3: Identify and exclude ineligible cases. • Task 4: Clean the data. … Task 3: Identify and Exclude Ineligible Cases Several situations render a case ineligible for analysis … Task 4: Clean the Data In many cases, the data set you have created will have imperfections even after … code questionnaires as complete, partially complete, or incomplete and then remove the incomplete cases
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
    May 15, 2017 - ........................................................ 3 Task 3: Identify and Exclude Ineligible Cases … • Task 3: Identify and exclude ineligible cases. • Task 4: Clean the data. … Task 3: Identify and Exclude Ineligible Cases Several situations render a case ineligible for analysis … Task 4: Clean the Data In many cases, the data set you have created will have imperfections even after … code questionnaires as complete, partially complete, or incomplete and then remove the incomplete cases
  3. www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
    January 01, 2025 - procedures, with popularity amongst surgeons and patients leading to a tripling of robotic assisted cases … yet organizations are left to identify and resolve these risks without formal guidance, and in many cases … A total of 292 cases were observed across the four sites, with 992 hours of observation, and a total … Across all cases, FDs occurred most frequently during Phase 2 (37.8 ± 16.6 per hr), and least often … than control cases overall (p=0.0280).
  4. www.ahrq.gov/faqs/index.html?page=9
    September 01, 2016 - podcasts, along with the WebM&M (Morbidity and Mortality Rounds on the Web) online journal, including Cases … podcasts, along with the WebM&M (Morbidity and Mortality Rounds on the Web) online journal, including Cases … reported anonymously by our readers and interactive learning modules on patient safety ("Spotlight Cases
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
    May 01, 2007 - Results: Interventions declined from 7 percent of cases (24/338) screened in FY 2004 to 3 percent (12 … screened in fiscal year 2004 (24/338) to 3 percent of cases screened in fiscal year 2006 (12/399) … During the first 8 months of fiscal year 2007, 1.7 percent of cases screened (4/234) required dosing … Reporting System, adverse event rates in FY 2005 and FY 2006 have been low, with a total of eight cases … The review revealed that due to the complexity of six of these cases, clinical outcomes could not be
  6. www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
    January 01, 2005 - Results: The authors summarize challenges encountered from their review of diagnosis error cases, presenting … lessons learned using four prototypical cases. … authors present a model that identifies four key challenges in assessing potential diagnosis error cases … In the second half of the article, we present lessons learned through analysis of four prototypical cases … We have used it for a preliminary analysis of several hundred diagnosis error cases we collected by
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
    January 01, 2005 - Results: The authors summarize challenges encountered from their review of diagnosis error cases, presenting … lessons learned using four prototypical cases. … authors present a model that identifies four key challenges in assessing potential diagnosis error cases … In the second half of the article, we present lessons learned through analysis of four prototypical cases … We have used it for a preliminary analysis of several hundred diagnosis error cases we collected by
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
    January 01, 2003 - new team structures that include physicians, nurses, pharmacists, and dieticians in joint review of cases … In some cases, we observed that hospital leaders espouse a blame-free culture, even as nurses who report … In some cases they got “burned out” or dropped out of the program completely. … Fortunately, well-documented cases of successful transformations across organizations in other industries … Managing change, cases and concepts. 2nd ed. New York: McGraw-Hill/Irwin; 2003. 7. Ackerman L.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-slides.pptx
    January 01, 2017 - VAEs 1,141 ventilator-associated conditions (VACs) 431 infection-related VACs (IVACs) 266 possible cases … Review both individual cases and system level issues Develop a form to help analyze individual cases … VAE Surveillance ‹#› AHRQ Safety Program for Mechanically Ventilated Patients Review All VAC Cases–Case
  10. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/0085-tech-specs.pdf
    January 01, 2012 - In some cases, the denominator may be identical to the initial patient population. … These cases are subtracted from the denominator population for the performance calculation, however … (In some cases the IPP and D are identical). … As a point of reference, these cases are removed from the denominator population for the performance
  11. Clinical Topic (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdesc.pdf
    January 01, 2012 - In some cases, the denominator may be identical to the initial patient population. … These cases are subtracted from the denominator population for the performance calculation, however … (In some cases the IPP and D are identical). … As a point of reference, these cases are removed from the denominator population for the performance
  12. www.ahrq.gov/research/publications/search.html?page=4
    November 01, 2020 - ranged from $600 to $48,000 per case, while excess mortality estimates ranged from 5 deaths per 1,000 cases … to 150 deaths per 1,000 cases.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
    January 01, 2006 - Examining Observed Rates of Neonatal Blood Stream Infection Rate (NQI 3) Per 1,000 Cases Examining … Observed Rates of Neonatal Blood Stream Infection Rate (NQI 3) Per 1,000 Cases Examining Observed Rates … 5.2165400000000001E-2 4.8023400000000001E-2 3.5677800000000003E-2 2.1456599999999999E-2 Per 1,000 Cases
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
    May 31, 2016 - was 2.83 per 1,000 eligible patients in 2008.1 • Based on data from the Nationwide Inpatient Sample, cases … Data from the VA hospital system showed similar findings, where cases that were flagged by this PSI had … laceration as one of a number of conditions for which hospitals do not receive the higher payment for cases
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
    July 01, 2023 - Not all cases will require team members to huddle. … (Response) Successful cases, too! … In these cases, be clear about who is responsible for the task. 22 Some Teamwork Considerations for … In these cases, individuals who weren’t involved in the original case might be convened to learn from … In cases with poor patient outcomes it might feel unpalatable to discuss positives.
  16. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - Not all cases will require team members to huddle. … With regards to cases involving maternal hemorrhage, use briefs at admission and consider the patient … (Response) Successful cases, too! … In cases with poor patient outcomes it might feel unpalatable to discuss positives. … In these cases, the team should consider being clear about who will shoulder the responsibility for
  17. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-tables13-14.pdf
    June 02, 2025 - $178,409 ‡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
  18. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-tables11-12.pdf
    June 02, 2025 - (6.9) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases … (14.7) ‡Data summarize characteristics of the broader population residing in ZIP codes of sampled cases
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
    June 02, 2025 - Case for Learning Opportunities Using the Revised Safer Dx Instrument Important: Before analyzing cases … Task Formulating Questions to Guide Calibration Evaluate Diagnostic Performance Learn from your own cases
  20. www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
    January 01, 2020 - Main outcomes were projected cases identified, costs, quality-adjusted life-years (QALYs), and incremental … Infantile-onset cases were further classified as either with or without cardiomyopathy (Fig. 1). … It is assumed that all such cases would be late-onset. … The focus of our analysis is on infantile-onset cases and we did not evaluate changes in health outcomes … treated near birth and four cases treated at age 3. eCosts and QALYs are discounted at 3% to 2016 USD

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