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  1. www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
    January 01, 2024 - As we were designing the cases, we sought to create cases that incorporated the key team communication … The main features of the four cases are summarized below. … teams to refine the cases and the overall simulation experience. … The simulation itself consisted of two cases. Each case had two primary phases. … However, in about a quarter of the cases, nurses offered the first apology.
  2. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - and an arrow was used for 64 percent of correct marking cases. … of wrong-site, wrong-person, or wrong-procedure surgery.7 Of these, 76 percent, or 126 cases, were … The percentage of cases in which all identity data were obtained went from 19.4 percent in the fourth … An indelible marker pen was used for 88% of cases. An arrow was used for 64% of cases. … A total of 142 cases were reviewed.
  3. www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
    December 01, 2017 - meeting where all team members are present and contribute. 8–10 Conducted in only 62% of over 6,700 cases … New clinical building impact; plan to teach sonographers how to use an alternate device in some cases … Reorganized set contents so it is only pulled for cases when needed. … Update doctor preference cards (DPCs) Problem Equipment and/or instruments not available for cases … Identify a surgeon champion who will implement briefings and debriefings for surgical cases.
  4. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
    November 26, 2013 - Department of Community Health, Community Health Automated Medicaid Processing System (CHAMPS) for cases
  5. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-case-mix-mode-adjustments-webcast-elliott.pdf
    June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Elliott The Rationale for Case-Mix and Mode Adjustments to AHRQ’s CAHPS Surveys Marc Elliott Senior Principal Researcher RAND Corporation, Santa Monica, CA Outline • Background • Purpose and Methods of Case-Mix and Mode Adjustment • Examples of Case-Mix and M…
  6. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-case-mix-mode-adjustments-webcast-bakdash.pdf
    June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Bakdash AHRQ’S CAHPS PROGRAM Consumer Assessment of Healthcare Providers and Systems Jonathan Bakdash, Ph.D. Social Science Analyst, Center for Quality Improvement & Patient Safety, AHRQ Agency for Healthcare Research and Quality (AHRQ) AHRQ is: ► A researc…
  7. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
    November 01, 2014 - single hospitals to entire systems composed of multiple hospitals and clinics—were considered to be the "cases … In these cases, we substituted short telephone interviews once or twice each month, in addition to those … As available, quantitative data related to the cases in terms of process and outcome variables being … statistics for quantitative indicators and integrating qualitative information from materials into the cases
  8. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - professional experience, we offer action-oriented steps and learning strategies, including patient cases … Using Patient Cases for Learning Storytelling is a powerful form of communication and can serve as a … catalyst for safety and healthcare change.41,42 Patient cases based on real-life experiences can be … Suggested Steps To Use Patient Cases for Diagnostic Safety Learning Getting Started Presenting Case … Several sources can be used to identify cases that illustrate nurses’ role in the diagnostic process,
  9. www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Ke…
  10. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/healthit-advisor-handbook.html
    June 01, 2024 - Electronic Health Record Use Cases for Quality Improvement.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_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 … 4.6154000000000001E-2 5.5E-2 4.2042000000000003E-2 3.7499999999999999E-2 2.9850999999999999E-2 Per 1,000 Cases
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.pdf
    March 01, 2017 - Review cases of resident safety issues (e.g., catheter-associated urinary tract infections) each month
  13. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
    July 02, 2020 - Anna Esguerra reported that McAllen, Texas has seen a recent increase in COVID-19 cases. … Most CR programs rely on their hospitals’ policies for responding to cases in which an onsite patient … Anna noted that with COVID-19 cases currently rising in south Texas, they will continue their program … of the country, including Lawton, OK where Comanche Memorial Health is based, have not had as many cases
  14. www.ahrq.gov/hai/clabsi-tools/index.html
    March 01, 2023 - Stream Infections (CLABSI) can help your unit implement evidence-based practices to reduce and, in many cases
  15. www.ahrq.gov/policy/foia/foiaindx.html
    July 01, 2025 - contains certain agency manuals, specific agency policy statements, opinions made in adjudication of cases
  16. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
    September 01, 2022 - U.S. adults hospitalized between 2010 and 2012 found that a pathogen was identified in 38 percent of cases … Of the 38 percent of cases of suspected CAP where a pathogen was identified, a virus was detected in … 63 percent of cases, a bacteria in 29 percent of cases, and both a virus and a bacteria in 8 percent … of cases.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
    July 01, 2003 - In rare cases of noncompliance, departmental peer review was conducted by QCRM staff. … First, the QCRM department reviewed cases for compliance on a weekly basis as part of the concurrent … A 40 percent random sampling of Advances in Patient Safety: Vol. 3 272 eligible cases was used … to ensure a minimum sample size of 1,200 cases per study period. … This provided an estimate of the volume of cases of each type for each year (i.e., the denominator).
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
    January 01, 2003 - SimCare presents a series of cases based on clinical situations representing task features that are … A set of outpatient cases is presented in sequence. … The simulation begins with the selection of a patient case from a library of cases. … Physician performance on the SimCare cases can also be used to guide learning interventions tailored … With additional development, SimCare cases could be used proactively with physicians early in their
  19. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-hospital-linkage-techdoc.pdf
    January 01, 2023 - In the former cases, we updated the list of https://www.ahrq.gov/chsp/data-resources/compendium.html … In these cases, we linked the hospitals to a system using the following decision rules, in order: o … In these cases, we report the linkage to the Compendium system reflected in the AHA data. … In these cases, the corporate parent information reflects the health system name from the OneKey data … Rather, the file includes a single entry for the CCN in these cases.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
    January 01, 2014 - 2014: 35(4):342-349) 18 17 acute care and 4 LTACs, 6 months data on CRE infection or colonization 102 cases … CRE, Michigan, and Urinary Catheter (Brennan, Infect Control Hosp Epidemiol 2014: 35(4):342-349) 19 Cases … evaluated: 61% from urine, 15% respiratory, 10% blood 49% of cases were on the general care wards (so … difficile 25 Outcomes of C. difficile Infection 26 The overall colectomy rate is 8.7 per 1000 CDI cases

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