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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Outcomes related to employee satisfaction were mixed; quantifiable successes improved morale in some cases … increased employee morale, an increase in clinical knowledge, increases in efficiency, and in some cases
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www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - Dx, DEER Taxonomy) to pinpoint 44 diagnostic process failures (DPFs) in a cohort of representative cases … The high-risk cohorts included cases of patients who were transferred to the ICU after 24 hours, died
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www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - problem, but they can help raise awareness of the impact and harm of diagnostic errors and, in some cases … clinicians who have witnessed diagnostic error have the advantage of rich detail that, at least in some cases … missed opportunities. 93 A binary classification (e.g., error or no error) may be insufficient for cases
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/worksheet.html
May 01, 2017 - Colbert's cases.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - measure, the testing process demonstrated the technical challenges that may exist when identifying SCA cases … medical records QMETRIC determined that TCD screening was identified in both for approximately 50% of cases … Similarly, approximately 45% of cases were classified as not having a TCD in both data sources, yielding … These results indicate that the case definition used has a very high ability to correctly identify true cases … TCD screening from the Michigan Medicaid data as compared to MAX data showed that the number of TCD cases
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - Especially in colon surgery cases, patient with infections stay in the hospital longer, are more likely … of the SCIP measures, but the frontline indicated were not in place.
11
ANTIBIOTICS PRACTICES ALL CASES … n=3,002
NUMBER (%) NONEMERGENCY
n=2,743
NUMBER (%) EMERGENCY CASES
n=248
NUMBER (%)
Was SCIP-compliant … In emergency cases—where patients tend to be a high risk for complications like wound infections— only … Audit Your Practices
What is being used for what cases?
Who is doing the prep?
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
April 01, 2018 - In cases where consensus among researchers could not be reached, another researcher (the Project Director … Thus, in cases where available information was limited, we were not able to populate all of the fields … In some cases, program materials were identified during the environmental scan for further investigation … In these cases, the record was excluded from the catalog. … In these cases, the top-level category of Medicine was coded as the default clinical area.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Video of simulated
anesthesia cases showed that even with minimal training of the raters, there were … used mainly in the simulator environment, but could
also be used to an extent for routine elective cases … The grade of trainee was not reported in 5 percent of cases. … give formative feedback, providing that consultants have been
trained to use the system, suitable cases … Perhaps this was because
these trainees had the appropriate experience for a wider range of cases, and
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - tools, including natural language processing), and queries were applied to the
data set to identify cases … That is, we looked
for cases in which the provider stated not only that there was a medical condition … Given a new case, similar old cases are retrieved according to a set of rules. … That is, it is very effective in retrieving similar cases. … instead of expert-authored rules), but performance via
machine learning at best equaled and in some cases
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www.ahrq.gov/sops/about/using-sops.html
June 01, 2024 - In cases where a subset of core items is used and the entire SOPS survey is not administered, AHRQ requests
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
September 01, 2016 - In
those cases, the staff have to transfer the
members to another system—such as the
member’s health … executive team, the
customer service team collects brief stories
each week that showcase complex cases
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/088-or-traffic.pptx
April 01, 2025 - number of people present
Young et al., 20108
Cardiac surgery
Trend toward increased door opening in cases … system factors that contributed to the event
CUSP team collected “door opening” data for 10 orthopedic cases
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/instructions-for-analyzing-data-50.pdf
June 01, 2025 - Cases Dropped When Performing Analyses
The Analysis Program drops some cases when performing analyses … variables to
demonstrate which cases will be used for the analyses. … Instructions for Analyzing Data from CAHPS Surveys in SAS
16
The macro uses the cases retained … from the first cleaning step: nine records for Run 1 and seven cases for
Run 2. … The macro reports and summarizes the number of cases used in each analysis, the percent missing
for
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - Physicians or hospitalists for hospitalized patients present cases, establish care plans, anticipate … The program is resulting in fewer catastrophic high cost cases that end with patients dying in intensive … The care team (PCP, health coach, and MAs) holds a daily huddle to review the day's cases; the health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - Bacterania hasn’t been about 4 percent or less of cases of bacteria, so it’s an uncommon event. … They have 72 cases and most of them came from Atlanta, about 59. … When they evaluated these cases, 61 percent were from urine, 15 percent Astoria, and 10 percent were … The overall colectomy rate from C. difficile is about 8 per 1,000 down C. difficile cases. … These would not be the mainstream cases.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - Bacterania hasn't been about 4 percent or less of cases of bacteria, so it's an uncommon event. … They have 72 cases and most of them came from Atlanta, about 59. … When they evaluated these cases, 61 percent were from urine, 15 percent Astoria, and 10 percent were … The overall colectomy rate from C. difficile is about 8 per 1,000 down C. difficile cases. … These would not be the mainstream cases.
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program1.html
April 01, 2018 - In many cases, we extended our searches by seeking information about the authors and developing additional … In cases where a researcher had questions about the application of the inclusion criteria, a second researcher … In cases where consensus among researchers could not be reached, a third researcher (the Project Director
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www.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
November 01, 2018 - Additionally, the PID must be approved by AHRQ IT management, and in some cases, the AHRQ Information … Requirements Document The System Requirements Document (SRD) contains the system requirements, use cases … The design descriptions must include use cases that detail the interaction that occurs between a user
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
September 18, 2011 - reliable,
scalable
EQUALS
The best of both worlds: human-adjudication of electronically triaged cases … eliminate most uncomplicated surgeries
Utilize Infection Preventionist knowledge & experience in hard cases … in the US
Claims data
Excluded as generally not available until well after an IP would be reviewing cases … 99.60%
HHSA-290-2006-00020 ACTION task order #8
Post-Mortem
All false negatives were reviewed
Some cases … were arguably not deep or organ-space SSI
Some cases were flagged as SSI outside of 30d window
The most
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - Review cases in real time or once or twice each week with a goal of
reviewing 5–10 cases a month.