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161. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
     December 01, 2023 - Reviewing the Team's Performance: Debrief Research has shown that teams that effectively debrief their own performance can improve their teamwork in real time. 1 , 2 , 3 , 4   Although it is often difficult to find time for such reviews in healthcare, TeamSTEPPS advocates for after-action reviews; TeamSTEPPS ch…

162. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

163. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
     April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Chapter 2. Determining Surgical Site Infection Rates Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary C…

164. Exhibit 3. Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh3.html
     April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 3. Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Ri…

165. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - Experiences From the Frontline: Case Studies AHRQ Safety Program for Perinatal Care Experiences From the Frontline: Case Studies University of Arkansas for Medical Sciences THE NEED TO CHANGE Over the last 10 years, deliveries in the labor and delivery (L&D) unit at the University of Arkansas for Medical Sc…

166. B3A Pdi Chartsforpresentations (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
     January 01, 2006 - compare-PDI-rates-average The risk-adjusted rate is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather than its *Note: Risk-adjusted rates are not available in the most up-to-date version of the ICD-10 software. Future versions of the QI software will allow…

167. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
     August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Appr…

168. Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
     June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative 133 Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative Daniel M. Harris, John M. Westfall, Douglas H. Fernald, Christine W. Duclos, David R. West, Linda Niebauer, Linda Ma…

169. Table 6 and Figures 1 and 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-5.pdf
     April 21, 2015 - Table 6 and Figures 1 and 2 Table 6: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Atraumatic Headache Type of Evidence Key Findings Level of Evidence (USPSTF RANKING*) Citations Appropriateness criteria The ACR has completed multiple comprehensive, evidence-bas…

170. Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/shapiro-report.pdf
     January 01, 2025 - Final Progress Report: Advancing Quality Measurement and Care Improvement with Health Information Exchange Title Page Title: Advancing Quality Measurement and Care Improvement with Health Information Exchange Principal Investigator and Team Members: Jason S Shapiro Role: Principal Investigator Cindy Clesca…

171. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
     January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care PROL IN HOME HEALTH CARE Title: Process Reliability and Organizational Learning in Home Health Care Principal Investigator and Team Members: Michael P. Silver, MPH Principal Investigator Cher Edmonds Study Coordinator Robert…

172. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
     June 02, 2025 - AHRQ Quality Indicators Prioritization Worksheet Example AHRQ Quality Indicators Toolkit Tool C.2 Volume of Cases at Risk Cost of Single Event Total Cost Cost To Implement Penalties and Incentives Proxies for Cost Strategic Alignment External Mandates Public Perception Executive- Level Support …

173. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Ventilator-Associated Event Surveillance SAY: This module will focus on ventilator-associated event surveillance and how it can be used in your unit. Slide 1 Learning Objectives SAY: After this se…

174. Section 7.B, Tables 13 and 14 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-13-14.pdf
     June 02, 2025 - Section 7.B, Tables 13 and 14 Indicator Indicator Does not live Lives in ID in MSA MSA (N=217) (n=625) Care Coordination Services Has care coordinator FECC-1 73.5 69.8 Access to care coordinator FECC-2 97.5 96.1 Care coordinator helped to obtain community services FECC-3 …

175. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
     January 01, 2024 - Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth 1 AHRQ Final Progress Report Title: What about mom? Using Administrative Data to Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth Principal In…

176. Chapter 4. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/chapter4.html
     July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Chapter 4. Results Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter 3. Methods Chapter 4. Results…

177. The Patient-Artificial Intelligence Dyad | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-3.html
     July 01, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety The Patient-Artificial Intelligence Dyad Previous Page Next Page Table of Contents Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety Introductio…

178. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

179. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

180. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events ORIGINAL ARTICLE Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events Andrea Bradford, PhD,*† U…