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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129reliability.pdf
April 07, 2025 - Reliability formula
Reliability = σ2 / (σ2 + V)
where σ2 is the systematic variance between hospitals
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www.ahrq.gov/news/newsroom/case-studies/201414.html
August 01, 2014 - Safety Culture since 2010 to help the tertiary medical center work toward its goal of being a high-reliability … "The survey is an integral part in moving toward our goal of being a high-reliability organization.
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www.ahrq.gov/policymakers/chipra/cpcf-form15.html
December 01, 2013 - Adapted from IOM, 2006, Appendix E; NQMC Glossary 13 RELIABILITY Measure reliability: The results of … proportion of the time when assessed in the same population (e.g., the measure has high inter-rater reliability … Internal consistency reliability ( http://en.wikipedia.org/wiki/Internal_consistency ) assesses the … Inter-rater reliability ( http://en.wikipedia.org/wiki/Inter-rater_reliability ) is a measure of the … en.wikipedia.org/wiki/Test-retest_reliability ) is a statistical method used to determine a test's reliability
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www.ahrq.gov/patient-safety/reports/index.html
August 01, 2023 - AHRQ Papers on Diagnostic Safety Topics
Becoming a High Reliability Organization: Operational Advice … Evidence Brief: Implementation of High Reliability Organization Principles .
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www.ahrq.gov/ncepcr/care/coordination/atlas/appendix1.html
June 01, 2014 - The 19 measures included in an earlier draft Atlas were not considered for reliability testing because … The reviewers also did not consider reliability testing on those measures for which a final decision … Reliability was assessed before any discussion among the reviewers regarding the selected measures. … Reliability of mapping to the framework domains was also assessed. … Reliability of domain mapping was also assessed by comparing mapping across measure items.
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-11.html
October 01, 2013 - (Question 1)
Development & testing:
Reliability of the WOF-2 was assessed during 30 family planning … To assess reliability at each meeting, two observers went to the meeting to collect data using the WOF … Reliability of the Wraparound Observation
Form—Second Version: An instrument designed to assess the … Therefore, this individual measure may need to undergo further reliability and validation testing to
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-10.html
October 01, 2013 - (Question 1)
Development & testing:
Reliability of the WOF-2 was assessed during 30 family planning … To assess reliability at each meeting, two observers went to the meeting to collect data using the WOF … Reliability of the Wraparound Observation
Form-Second Version: an instrument designed to assess the … Therefore, this individual measure may need to undergo further reliability and validation testing to
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - safety items
in nursing homes
To conduct
psychometric analysis
of the pilot results to
examine the reliability … I like my job here
[and] the residents and staff I
work with.”
59
Reliability and Construct Validity … • Reliability
► All composite measures had acceptable
− internal consistency reliability (Cronbach … ’s alpha ≥ 0.70)
− site-level reliability (≥ 0.70)
• Confirmatory factor analysis
► Acceptable factor … Interactions Among Staff
Workplace Safety Reporting
Work Stress/Burnout
Overall Rating on Workplace Safety
Reliability
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
June 18, 2024 - lines
□ Massive disruption in the care environment
□ Focused on Reactive Safety and Amplifying High Reliability … are and how we work
Aligning our Strategies
Healing without Harm: Zero Preventable Harm
HIGH RELIABILITY … SUSTAINABILITY
Goal
In FY24,
Increase by a
minimum
Of 1 point in
Each
Foundational
Area
•High Reliability … All rights reserved. 33
UHG Journey Toward High Reliability
Goal: Eliminate harm and achieve optimal … self-
assessment
• Issued bold, specific, target setting guidance for
all dashboard measures
High Reliability
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-ASC_Webcast_2021-Sinsel.pdf
January 01, 2021 - Patient Safety High
Reliability
Culture of
Patient Safety
Desire for
Better
Outcomes
Increasing … Ability to Submit Data to AHRQ Database
• Ability to Conduct a Deeper Analysis
• Progress Towards High Reliability
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiii.html
June 01, 2010 - Reliability Testing (check all that apply):
Inter-rater.
Test-Retest.
Alternate Form. … Scale Testing:
Reliability Testing (check all that apply):
Inter-rater.
Test-Retest. … Psychometric Testing: Currently undergoing reliability and validity testing
Summary: The Congregate … Psychometric Testing: Currently undergoing reliability and validity testing
Summary: The Consumer … Specific survey topics include reliability, accessibility, flexibility, availability, overall service
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
December 01, 2012 - report through an extensive process that included an environmental scan, expert input, and validity and reliability … The 13 outcome indicators judged to be of sufficient validity and reliability for the HCBS population
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Metric for the Ability to Speak Up in Healthcare Settings
• SCORE: Safety, Communication, Operational, Reliability … Leonard Berry
Management Lessons from Mayo Clinic
Framework for high reliability healthcare
Management … leader models a healthy culture
and holds everyone accountable;
demonstrating the required high
reliability … reliable-care-delivery
161616
Corporations and Units
vary in how well
configured they are to
achieve high reliability … With Us
Speaker Welcome
Leadership.... and the Journey to Highly Reliable Care
Framework for high reliability
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
July 22, 2022 - workplace safety items
in hospitals
To conduct psychometric analysis of the
pilot results to examine the reliability … “There has [been] a few
times that I have felt unsafe
working at [my hospital].”
51
Reliability … and Construct Validity
• All composite measures had acceptable internal consistency reliability … Procedures, and Training (0.67)
• All composite measures and most items had acceptable site-level
reliability … Results
Workplace Safety and Reporting
Work Stress/Burnout
Overall Rating on Workplace Safety
Reliability
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
June 26, 2024 - MRSA Prevention | ICU & Non-ICU
How to Integrate a CUSP Approach
15
Align With Principles of High Reliability … core team that understands the operations of the unit is essential and aligns with principles of high reliability … High reliability. … Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/primer/high-reliability.
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www.ahrq.gov/cahps/faq/index.html
January 01, 2019 - Field tests and psychometric analyses provide information about the items' reliability and validity. … In general, having more response alternatives is better in terms of reliability and discrimination. … There is a target number of completed questionnaires for each survey, assuming reliability of 0.70 or … A 0.70 level of reliability balances the need for a sufficient level of reliability for “high stakes” … More completed surveys generally mean higher levels of reliability.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/ccqmpc/ccqmp-pc-development.pdf
July 01, 2016 - Primary care practice-level reliability=reliability at the level of the reporting unit, based on the … IUR=Interunit Reliability, a more generic label for primary care practice-level reliability. … Each has good internal
consistency reliability (α>0.70). … Primary care practice-level reliability for a particular score will be indeterminate or 0 when there … Similarly, for
quality improvement (QI) applications, primary care practice-level reliability is not
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/public-summary-2015-cg-cahps-fedreg.pdf
January 01, 2015 - • Reduced item- and composite-level reliability as a result of fewer respondents
responding affirmatively … Although reliability estimates were mixed for
different data sets, the National Committee for Quality … Rationale: These items are important to patients and stakeholders, have good reliability, and
include … Rationale: The items require large sample sizes to achieve acceptable unit
level reliability. … Rationale: While reliability
estimates were mixed for different data sets, stakeholders have deemed
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/fielding-child-hcahps-93.pdf
April 02, 2025 - Generally
speaking, to yield a level of reliability for supplemental items that is consistent with … High levels of reliability are ideal, but achieving higher levels requires
more completed questionnaires … To balance the goal of reliability with the need for a
feasible sample size, the survey development … In particular, a reliability level of at least 0.70 is
strongly recommended for “high stakes” purposes … In some
markets, it may be possible to achieve 0.70 reliability with fewer responses.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - are addressed by optimizing order set design and integration, reaching Level 3 on the Hierarchy of Reliability … Address Reliability of Prophylaxis Administration, Adherence, and Prescribing
Clinical decision support … Achieving Measure-vention: Reaching Level 5 on the Hierarchy of Reliability
Under the stoplight method … In the Hierarchy of Reliability, measure-vention is a Level 5 quality improvement strategy. … All three units were at Level 3 on the Hierarchy of Reliability, with high-quality VTE order sets in