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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - Response Team did not readily know the cause of the respiratory
problem
19
SYSTEMS CHANGE NEEDED/QUALITY … IMPROVEMENT APPROACH
20
Systems Change Needed/Quality Improvement Approach (1)
• Multiple complicating … frequently but was stretched too thin providing care to
other patients
21
Systems Change Needed/Quality … resources are limited
can be helpful in reducing errors and harm to patients
22
Systems Change Needed/Quality … pharmacist may
have noticed and investigated the repeated lorazepam doses
24
Systems Change Needed/Quality
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hcup-us.ahrq.gov/reports/methods/2011_01.pdf
January 01, 2011 - INDICATORS TO THE HCUP DATA
SPECIAL ANALYSES
Calculating Costs Associated with Quality Indicators … Determining Benchmarks for State Performance for the Quality Indicators
Comparison of Inpatient and … AHRQ Quality Indicators Applied to the HCUP Data for the National Healthcare Quality Report (NHQR) and … Use of Secondary Procedure Days in the AHRQ Quality Indicators, Version 3.1
Table 5. … Use of E codes in the AHRQ Quality Indicators, Version 3.1
References
APPENDIX A
APPENDIX B
APPENDIX
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
December 01, 2017 - If the data reveal variation in normothermia maintenance, the improvement team can design a quality improvement … Promote Safe Surgery, such as the Surgical Complication Prevention guide, to guide your team through the quality … is for identification only and does not imply endorsement by the Agency for Healthcare Research and Quality
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - Review of Existing System Structures using a Quality Improvement Lens
The occurrence of this error and … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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hcup-us.ahrq.gov/reports/statbriefs/sb212-MRSA-Hospital-Stays-California-2013.jsp
October 01, 2016 - Indicators (QIs)
REQUEST DATA
REPORTS & PUBLICATIONS
Favorites … Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality. … Agency for Healthcare Research and Quality, Rockville, MD. … Agency for Healthcare Research and Quality, Rockville, MD.
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digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareimphndbk_120111comp.pdf
November 01, 2011 - indicators. … This has been shown to increase adherence to guideline recommendations for testing
of diabetes indicators … providers within a single clinic based on patients’
5
diabetic control on three separate indicators … data points or the
duration of the reporting period to make it easier to observe changes in diabetic indicators … Point-of-care reminders were not expected to drive clinical indicators as
the period of performance
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/scatter-diagram
January 01, 2023 - American Society for Quality. … tools: scatter diagram. 2009 [cited 2009 July 23]; Available from: http://www.asq.org/learn-about-quality
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digital.ahrq.gov/ahrq-funded-projects/effects-age-cognition-and-health-literacy-use-patient-emr/annual-summary/2011
January 01, 2011 - across transitions in care settings, and the use of electronic exchange of health information to improve quality
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MNPOAvideotranscript.pdf
September 24, 2010 - past
two decades, has been developing and applying new methods of measuring and
improving clinical quality … direct pay‐for performance programs and to
guide time‐consuming, expensive efforts to improve clinical quality … Errors in coding may directly affect public reports of your clinical
quality and payments to your practice … If the clinician
caring for this patient wishes to avoid a data quality audit, his progress notes or … been coding present‐on‐admission for many years, we found a wide
range of scores, indicating that quality
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
June 30, 2024 - [AHRQ] and the US De-
partment of Defense). 7 All indicators of the Team Observa-
tion Tool were modified … to focus on diagnostic teamwork,
creating the new indicators of the TAT, which then un-
derwent content … 2021 to March
2022), pulling ideas from existing safety culture teamwork
tools, to develop parallel indicators … collected
or shared, but rather analysis was being performed to de-
termine psychometric correlation on indicators … Agency for Healthcare Research and Quality.
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hcup-us.ahrq.gov/toolssoftware/ccs/ccsfactsheet.jsp
September 01, 2025 - Supplemental Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality … Indicators (QIs)
REQUEST DATA
REPORTS & PUBLICATIONS
Favorites … Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality … Developed at the Agency for Healthcare Research and Quality (AHRQ), the Clinical Classifications Software … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane Rockville, MD
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm24.jsp
July 01, 2014 - Supplemental Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality … Indicators (QIs)
REQUEST DATA
REPORTS & PUBLICATIONS
Favorites … treatment that are found, and design interventions that will appropriately and consistently increase quality … not know
Does your hospital use race/ethnicity/tribal affiliation data to assess and compare quality … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane Rockville, MD
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14notes.html
June 01, 2014 - The nine Patient Safety and Quality Issues items use a frequency scale ranging from "Not in the past … Percent positive scores for the Patient Safety and Quality Issues items, as well as the Information Exchange … For Patient Safety Quality Issues items, these are not in the past 12 months, once or twice in the past … composites of patient safety culture, information exchange with other settings, and patient safety and quality
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effectivehealthcare.ahrq.gov/sites/default/files/study-design-considerations-chapter-2.pptx
January 01, 2013 - Rockville, MD: Agency for Healthcare Research and Quality; January 2013. … Rockville, MD: Agency for Healthcare Research and Quality; January 2013. p. 21-34. … Rockville, MD: Agency for Healthcare Research and Quality; January 2013. p. 21-34. … Rockville, MD: Agency for Healthcare Research and Quality; January 2013. p. 21-34. … Rockville, MD: Agency for Healthcare Research and Quality; January 2013. p. 21-34.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/atypical-antipsychotics-off-label-update_disposition-comments.pdf
September 01, 2011 - Rockville, MD: Agency for Healthcare Research and Quality. September 2011. … its contents, and do not necessarily represent the
views of the Agency for Healthcare Research and Quality … exceptionally clearly laid out from the search strategy to the study
seelction, data extraction, assessment of quality … 12
Source of funding -- I noted in the methods section that source of funding was an element
of quality … potential conflict of interest is an important
piece of information for any reader in evaluating the quality
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - Barriers
"From tech level to the seasoned nurse, you have individual personalities who care about the quality … collect data for your CAUTI reduction plan, whether this data is for the national initiative or your own quality
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/implementing-automated-ptquestionnaires.pdf
June 02, 2025 - This project was funded under grant number U18HS028744
from the Agency for Healthcare Research and Quality … subtypes and treatments
• Project team
• Urogynecology, primary care internal medicine, clinical quality
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - December 16, 2020
The impact of electronic health record interoperability on safety and quality … May 20, 2020
Beyond 'find and fix': improving quality and safety through resilient healthcare
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - July 21, 2021
The impact of electronic health record interoperability on safety and quality … June 9, 2021
Use and impact of virtual primary care on quality and safety: the public's
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psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
December 18, 2019 - June 7, 2016
Association of note quality and quality of care: a cross-sectional study