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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
June 03, 2008 - Key issues
that contributed to the undesired outcome of the case are identified and outlined on a cause-and … discussion of error.7
When error is discussed in the M&MC, the focus is often on an unexpected adverse outcome … diagram9; Figure 1) is used to
identify specific factors that might have contributed to the adverse outcome … People Procedure Equipment
Adverse
outcome
Environment Policy Other
These factors are assigned … Factors contributing to adverse outcome
Factor % Cases
Communication:
e.g., inadequate handoffs
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-section-2-table-1.pdf
June 02, 2025 - Identification of Deliveries of Interest
Description Code (s)
Revenue Code 722 Delivery
Outcome of
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - receiving OB
care at MGH (11/22-4/23) with a chronic
condition and had a PCP listed in the EHR
• Outcome … : Visit with a PCP within 4 months
postpartum
41
Results: Primary Outcome
22%
40%
0
5
10
15 … 20
25
30
35
40
45
Control Group Intervention Group
Primary Outcome:
Completion of a Primary Care Visit … Model
Lack of Care Coordination is a Missed Opportunity
The Bridge Pilot Study
Results: Primary Outcome
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
June 01, 2010 - Psychometric evaluation of health-related work outcome measures for musculoskeletal disorders: a systematic … term "serious reportable adverse health event" is defined as an event that leads to an undesirable outcome … (death or serious harm) or significant potential for such an outcome, and the event was not at all expected
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapvtables.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix … Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome … Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide26.html
October 01, 2014 - exceptions, randomized at level of subject
Data analysis done on an “intent to treat” basis
Abstinence outcome
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www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
January 01, 2024 - Measures
The primary outcome was ALF, defined based on American Association for the Study of
Liver … Thus, studies evaluating
ALF will need to rely on medical records to confirm this outcome. … Studies of ALF will need to rely on medical records to confirm this
outcome. … Classification, etiology, and considerations of outcome in acute liver failure. … Etiology and outcome for 295 patients with
acute liver failure in the United States.
-
www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
January 01, 2024 - When a NOC outcome label is first added to a POC, an expected NOC rating (goal at
discharge from a unit … The entry of a current NOC status rating at each handoff and the
expected NOC outcome rating make it … possible to gauge progress toward meeting outcome goals during an
episode. … All NOC outcomes are scored on a rating scale ranging from 1-5, with a 5 representing the best
outcome … By 18 clusters, the differences in the mean NOC outcome ratings for some of
the patient characteristics
-
www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - A reductionist focus on one element of a system is
insufficient to mitigate a complex adverse outcome … risk, little is known about the coordination of processes across
healthcare MTSs that produce this outcome … A reductionist
focus on one element of a system is insufficient to mitigate a complex adverse outcome … This project synthesizes
multilevel data about the structure, process, and outcome of the MTS approach … Predicted Changes in Outcomes by Multiteam System Component Team Process
Outcome Multipliers (95% CI
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4ref.html
March 01, 2025 - Discharge to Diverse Populations
Tool 5: How To Conduct a Postdischarge Followup Phone Call
Patient Outcome … Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED Implementation
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
June 02, 2025 - REVIEW THE CHART WITH A FOCUS ON DIAGNOSTIC PROCESS RATHER THAN THE 3 ULTIMATE OUTCOME
• Start by evaluating … reasoning evolved rather than
focusing on the ultimate accuracy of the diagnosis or any potential adverse outcome
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4ref.html
March 01, 2025 - Discharge to Diverse Populations
Tool 5: How To Conduct a Postdischarge Followup Phone Call
Patient Outcome … Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED Implementation
-
www.ahrq.gov/cahps/about-cahps/patient-experience/index.html
March 01, 2025 - Moreover, when used with patient-reported outcome measures (PROMs), they can provide a more complete … Learn more about Patient-Reported Experience and Outcome Measures (PREMs and PROMs) .
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
August 01, 2022 - patient safety have a complex relationship that may not be easily or simply reducible to a single set of outcome … When project leaders were asked what they believed the single most relevant and appropriate outcome measure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - 5
Publications 6
Risk Factors for Discharge Failure 6
Screening Tools 13
Interventions 15
Outcome … Transportation assistance
Primary
Author
Additional
Interventions Population Setting
Outcome … Unscheduled returns to the emergency department: an outcome of
medical errors? … Etc… Generally speaking, intervention/risk factor articles will also have an
outcome. … Therefore, you will be answer the outcome question for those articles.
-
www.ahrq.gov/sites/default/files/2024-03/kerfoot-conlin-report.pdf
January 01, 2024 - this spaced education intervention on providers’ knowledge of PSA screening
guidelines
(secondary outcome … of the spaced education
intervention on PSA utilization patterns by primary care providers (primary outcome … In medical education, the most important outcome measure is not the generation of
new knowledge but … The primary outcome measure was the difference in the percentage of inappropriate PSA
screening performed … Secondary outcome measures included (1) the change in test
scores between cohorts measured over time
-
www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
January 01, 2025 - The modeled outcome was the
presence of any of the diagnosis or procedure codes of interest. … We
then performed logistic regression for the outcome of chart-confirmed SSI using independent
variables … The modeled outcome was the presence of any of the diagnosis or procedure
codes of interest. … Logistic regression was used for the outcome of chart-confirmed deep incisional or
organ/space SSI using … We received sufficient records to determine an outcome in
550/600 colorectal cases (92%) and 466/515
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
June 01, 2010 - ://www.cms.hhs.gov/HomeHealthQualityInits/10_HHQIQualityMeasures.asp#TopOfPage
Center for Outcome … Analysis
Reviewed 5/15/07
The Center for Outcome Analysis (COA) is a nonprofit firm founded … http://www.outcomeanalysis.com
Center for Outcome Measurement in Brain Injury
Reviewed 6/ … 4/07
The Center for Outcome Measurement in Brain Injury (COMBI) is an online resource for those … needing detailed information and support with regard to outcome measures for brain injuries.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.html
March 01, 2017 - Collect outcome data monthly to find out!
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - For example, you may choose to select CDI as an outcome. … stewardship interventions will not include enough residents to show changes in most or all of
these outcome … Pick a realistic outcome. … • Is there a plan in place if outcome
data worsens? … • Is there a plan in place if outcome
data improves?
• Celebrate and share successes!