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381. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
     May 13, 2019 - Numerator Exclusions Infants with a specified congenital anomaly as described in Table 1 (see Supporting … Denominator Exclusions Infants with a specified congenital anomaly as described in Table 1 (see Supporting … The adjusted results of readmissions using all of these variables are described as Adjusted Model with … So-called “preventable” readmissions, described that way because ostensibly some change in practice … The authority of the signatory to provide such authorization should be described in the letter.

382. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - Cross-references to resources already described: • Composite Measure 1. … SOPS Ambulatory Surgery Center Survey Resource List 11 Cross-references to resources already described … Additional Measure Communication in the Surgery/Procedure Room Cross-references to resources already described … Raising and Responding to Concerns Cross-references to resources already described: Composite … Living a Culture of Patient Safety Policy and Brochure Cross-references to resources already described

383. HHS AHRQ Freedom of Information Annual Report - FY 2009 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policy/foia/foiafy09.html
     October 01, 2014 - Records not reasonably described: 1 f. … Records not reasonably described f. Improper request for other reason g.

384. HHS AHRQ Freedom of Information Annual Report - FY 2008 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policy/foia/foiafy08.html
     October 01, 2014 - Records not reasonably described: 1 f. … Records not reasonably described f. Improper request for other reason g.

385. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - The data described above for MPSMS are unlike the NHSN and PSI data in two ways. … 2010 IQR sample did not include patients with all diagnoses, we used the 2005 and 2006 MPSMS data, as described

386. Arm in Arm with AcademyHealth, AHRQ is Poised to Build on Successes in Health Services Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/arm-in-arm-with-academyhealth.html
     June 01, 2024 - In my most recent  blog post , I described the agency’s role among the three intertwining pathways—biomedical

387. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Cross-reference to resource already described: • Composite Measure 3. … Communication About Prescriptions Across Shifts Cross-reference to resource already described: • … PlanDoStudyActWorksheet.aspx https://www.ahrq.gov/innovations/will-work/index.html Cross-reference to resource already described … Cross-reference to resource already described: • Composite Measure 1.

388. Meeting Minutes, November 2019 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
     March 01, 2020 - Lomotan described AHRQ’s CDS Connect, an initiative that addresses clinical decision support (CDS), which … He described a team that has been created to identify models for sustainability of the program. … States described challenges for U.S. healthcare in the 21st century, beginning with the following major

389. Clinical-Community Relationships Evaluation Roadmap (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ccreroadmap.pdf
     July 01, 2013 - The Roadmap is rooted in a conceptual framework described in detail in Appendix A. … This distinction is more fully described in Appendix A. … These are described below. … Similar scenarios can be described for each of the six basic factors: • Does the influence of certain … As a consequence, many of the gaps identified by the panel were essentially described as general research

390. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - As described in Chapter II , before and after additional information is elicited through the patient … or caregiver clarification process, a physician reviews the event report and classifies the event(s) described … Provider Actions in Response to the Hotline Reports (Module 8) As described earlier, if an individual … The safety department leader described her role in the organization’s decision to participate as “key … t When a reported event described multiple harms, the physician classified the event according to the

391. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
     April 28, 2008 - inconsistent findings in comparisons among teaching and nonteaching hospitals.3, 4, 5 In the study described … The PTF and the methodology for creating acute-only records have been described elsewhere.27, 28 We … As described elsewhere,4, 33, 34 the PSIs were developed by the UC-Davis-Stanford Evidence-based Practice … Therefore, we used algorithms, described in detail elsewhere,28 to calculate variables, including principal … Results VA and NIS facilities and discharges are described in Table 1.

392. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
     March 28, 2008 - Each part of the simulation environment is described here. Patient model. … As described by Brehmer, making such decisions is analogous to a process of achieving control of a system … Each version is described in detail below. Feedback strategies. … The work described here develops data mining classifiers using information gathered at a current physician … However, the synthetic models (described in the previous section) used to simulate physician/patient

393. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
     January 01, 2024 - Paul Nutting, the first Director of the Division of Primary Care for AHCPR, described the Agency's early … Other specific TeamSTEPPS projects and impact are described in the section on Safety. Figure 6. … This report described the current state of medical errors and safety risks in the healthcare setting, … Furthermore, as described in a 2017 blog post by then AHRQ Director, Gopal Khanna and CEPI Director … AHRQ's Patient-Centered Medical Home (PCMH) work (described above) also included a funding announcement

394. How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quality? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
     June 01, 2015 - Findings State and practice staff reported that a combination of strategies described below helped … example, leaders of North Carolina’s learning collaborative developed a simple, one-page document that described … Both a State staff person and a provider described the in-person interaction among learning collaborative … highlight01.html . 11 A selection of learning collaborative materials, including the “one-pagers” described

395. Challenges to Real-Time Decision Support in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
     January 01, 2007 - The decision support system described in this article is part of the Trauma Reception and Resuscitation … occur in the complex dynamic medical domain of a trauma center and the need for decision support are described … Future output, testing, and development of the TR & R Project are described Safety and Errors in Emergency … typically using historical controls), and preventable deaths using cohort comparison.27, 28, 29 Previously described

396. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - Meliones MD, MS Abstract Background: During the analyses of adverse events, a commonly described … is commonly referred to as a “workaround.”9, 10 During the analyses of adverse events, a commonly described … phase of this study—the “Define,” “Measure,” and “Analyze” steps of Six Sigma methodology—has been described … evidence suggests, success in one environment does not necessarily predict success in another.30 For the described

397. Chapter-2 - Failure-To-Rescue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - review, the article was out of scope (including not quantitative), or study design was insufficiently described … General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … Similar results were described in the meta-analysis by Maharaj et al.,2 who found a significant reduction … Facilitators and barriers to implementation of the RRT are described below. 2.2.5.1 Facilitators

398. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … General methods for this report are described in the Methods section of the full report. … For example, music therapy may be described as part of a sensory or sleep domain. … Intervention is not described in sufficient detail for replication.

399. TeamSTEPPS Training Evaluation Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
     June 02, 2025 - TeamSTEPPS Training Evaluation Form TeamSTEPPS Training Evaluation Form The TeamSTEPPS course evaluation form that follows is designed for a 2 day course based on the TeamSTEPPS curriculum released in 2023. If the course you are evaluating does not include all the material covered in a 2 day cours…

400. Evaluation of Measures in the Scan | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep2.html
     June 01, 2010 - evaluation criteria for the analysis of HCBS measure scan findings was guided by the three concepts described … instruments included in these tables, they were used to inform the gap analysis for each DRA domain, which is described