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Showing results for "cases".

81. Flu's Annual Impact (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/flus-annual-impact.pdf
    October 01, 2019 - Severe cases may result in hospitalizations and even death, but even mild cases often require treatment

82. Quality Improvement Study Template - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-blank-temp.html
    May 01, 2017 - Collection period: Slide 5: Data Collection Baseline data collection period: Number of cases … Slide 17: Materials Developed (optional) Slide 18: Remeasurement Post-Intervention # 1 Cases …   Post-Intervention # 2 Data collection period:  Exclusions:  Observation Date Cases

83. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
    www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - error evaluation/taxonomy tool, 4) conducted multi-institutional survey to solicit physician error cases … subjected to such review; 2) lack of timeliness, with cases often reviewed months or years after the … Cases need to be reviewed in sufficient detail to make them “real.” … We used this framework to analyze the 655 diagnostic error cases we collected by surveying physicians … In analyzing these cases, we found: 1.

84. Background for AHRQ Quality Indicators
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
    October 01, 2015 - other measures (e.g., MS-DRG, MDC, sex, age, procedure dates, admission type) Numerator = number of cases … with the outcome of interest (e.g., cases with pressure ulcer) Denominator = population at risk (e.g … Includes only those cases where a secondary diagnosis code flags a potentially preventable complication … Numerator: Number of deaths among cases meeting the inclusion and exclusion rules for the denominator … Exclude cases: • Missing discharge disposition (DISP=missing) gender (SEX=missing), age (AGE=missing)

85. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
    May 30, 2008 - Selection of representative cases. … Representative cases are those that are emblematic of the risk scenarios identified. … Representative cases are then selected from the failure categories. … would include such cases as fires, leaks, and load drops. … The cases themselves determine the need for refinement.

86. Content-Specific Versus Process-Focused Checklists | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
    September 01, 2020 - Overall, they found that the use of a checklist did not improve accuracy in the easy cases; on the contrary … For difficult cases, the content-specific checklist improved diagnostic accuracy, but the debiasing checklist … was not effective in either simple or difficult cases. 16 Taking all this research into account, content-specific

87. Presentation: Auditing Your Briefings and Debriefings
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - What about all morning cases for a week? … Would a random sample of cases throughout the month provide enough data? … As an example, we evaluated a few cases for each surgeon. … Minimal cases stated critical goals or contingency plans. … Incorrect supplies and instruments impact and delay cases.

88. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
    March 15, 2016 - result in the number of true positives being higher than the number of flagged cases. … they are present in cases that were not identified for calculating PDI rates. … Finding missed cases requires a new review of the relevant cases (in the rate denominator) for evidence … Reasons for Missed Cases Finding missed cases in PDI measurements may be much more difficult than finding … Cases of iatrogenic pneumothroax can be identified from ICD-9-CM coded data.

89. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
    March 15, 2004 - Surgical AO cases were randomly selected from the 1998–2001 New York Patient Occurrence and Reporting … with adverse occurrences and matched comparison cases, (3) review medical charts, and (4) perform … Nurses performed blinded chart review on Initial Cases and Initial Controls. … Patients with an adverse occurrence based upon nurse review are Final Cases. … Identify eligible Medicare cases and eligible Medicare comparison cases 3.

90. Background for AHRQ Quality Indicators
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pptx
    January 01, 2012 - Numerator: Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with … 5.2165400000000001E-2 4.8023400000000001E-2 3.5677800000000003E-2 2.1456599999999999E-2 Per 1,000 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 … Consider adding a descriptive title (e.g., “Lower number of expected cases compared to national average

91. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
    December 01, 2017 - University HealthSystem Consortium® (UHC) that indicated a potential problem, such as higher than expected cases … Often the cases identified did not accurately reflect all the clinical complexities. … retrospective reviews were not the most efficient way to address the issues; a process to identify QI cases … Its "Code Sepsis" project has helped ensure rapid response to sepsis cases, and its antimicrobial stewardship … programs (ASPs) have contributed to significant reductions in C. difficile cases.

92. Debrief Example Audio Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
    May 01, 2017 - You also want to include on here any exclusions of cases. … Smith's cases. The reason you want to do that is you want to test small. … You don't have to test in real cases initially. We talk about that in our Webinar series. … We want to involve other surgeons, other cases. … Smith's cases, and we're just going to test it for a week.

93. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
    February 23, 2008 - mirrored rates of complications recorded in the literature (i.e., difficulties in over 10 percent of cases … Furthermore, in one-third of the cases, no confirmatory adjunctive devices were being used to ensure … However, the VA’s National Center for Patient Safety identified some cases in which clinicians attempted … These claims included some cases that occurred within the operating room. … involved no adjunctive devices, which equates to nine cases per day, or 3,370 per year, in which no

94. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
    January 01, 2024 - We examined the distribution of CCC status among cases and then tested the association between CCC … Cases were identified as having a CCC if either the death certificate or the hospital utilization … Only those cases in which three or four raters agreed were classified as TD. … Home care services were planned for 7% of cases. … km for neonates compared to 30.7 for cases > 79 years).

95. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
    August 01, 2022 - cases were settled. … Very few CRP cases (20) progressed to a claim or lawsuit. … offered compensation in 3 of these 11 cases. … were communication problems among providers (17 cases, 56.7%) and inattention (13 cases, 43.3%). … These 551 claims named 595 physicians, with some physicians being named in two cases (53) or more cases

96. Conclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety5.html
    September 01, 2022 - in the Diagnostic Process Recognizing and Supporting Nurses in Diagnostic Safety Using Patient Cases … Patient cases obtained from the literature, online sources, and organizations’ data sources can be included

97. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
    March 01, 2013 - Adjusting for Small Hospitals or a Small Number of Cases. … readmission rate results for small hospitals or hospitals with few heart attack, heart failure, or pneumonia cases … not only considers readmissions among patients treated for the condition in the small sample size of cases … In essence, the predicted readmission rate for a hospital with a small number of cases is moved toward

98. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
    March 01, 2013 - Adjusting for Small Hospitals or a Small Number of Cases. … readmission rate results for small hospitals or hospitals with few heart attack, heart failure, or pneumonia cases … not only considers readmissions among patients treated for the condition in the small sample size of cases … In essence, the predicted readmission rate for a hospital with a small number of cases is moved toward

99. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
    January 01, 2007 - All cases were routed in clearly marked confidential packets, tracked closely, and hand delivered to … The draft taxonomy was revised and refined based on experience with the cases of 2002 and 2003. … In order to identify patterns of similar issues, cases for each individual were re- reviewed. … No provider has been penalized for having large numbers of cases. … In these instances, cases may be considered again looking for patterns.

100. Appendix D, Table D2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapd2.html
     April 01, 2018 - Can order extra equipment in advance from reps but can also schedule cases that require the same equipment … for different times of day and with other cases between to increase time to sterilize equipment. … Total joint cases require full wash and scrub regardless of case.     … cases except pain and ophthalmology have linens changed.  … between cases, mop down everything between.