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www.ahrq.gov/cahps/consumer-reporting/index.html
October 01, 2024 - reports can include measures from the supplemental item sets that did not achieve a high enough level of reliability … A high level of reliability is not necessary for a measure to provide useful information for quality
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - effective measurement, monitoring, and other interventions to eventually reach Level 5 on the Hierarchy of Reliability … Principle 3: Design Reliability Into the Process
Part of the improvement team's job is to engineer … higher reliability into the process of preventing HA-VTE. … If designed well, the VTE protocol will be an intervention that invokes several of these high-reliability … Careful order set design therefore reached Level 3 on the Hierarchy of Reliability and set the stage
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
October 20, 2021 - safety items in medical offices
Conduct psychometric analysis of the pilot results to examine
the reliability … I am not afraid to ask
questions …if I have a
concern regarding a patient
56
Reliability and Construct … Validity
• Acceptable internal consistency reliability (Cronbach’s alpha ≥ 0.70)
• Acceptable confirmatory … Communication Around Diagnosis Results
Time Availability Results
Open-ended Comments
Open-ended Comments
Reliability
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/develop/index.html
June 01, 2020 - Reliability and Validity .
Field Testing . … Reliability and Validity
Quality measures must be tested for reliability and validity as a part of … Reliability. … Specific statistical tests exist to assess reliability and validity. … Nonetheless, CAHPS® also includes specifications and protocols designed to ensure reliability, validity
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - reporting and just cultures create atmosphere of trust
Sense-making of patient safety events and high reliability … action to become safe, provides feedback about the effect of those actions, and thus moves toward high reliability … HRO stands for a high reliability organization. … Teams are the fundamental units of learning in high reliability organizations
Learning
“An organization … A safe, informed culture should be a high reliability organization, an organization that is mindful because
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www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement3.html
February 01, 2014 - as recent State and health plan performance on the measure), scientific acceptability (validity and reliability … Medical Expenditure Panel Survey, State Medicaid and CHIP program submissions to CMS, and data on the reliability … Reliability data were provided only for National Committee for Quality Assurance (NCQA) measures.
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www.ahrq.gov/prevention/resources/vision/resources/vision2.html
October 01, 2002 - While inter-rater reliability is reported to be strong (correlation >0.70 for 58 percent of the measures … ), test-retest reliability was lower for all tasks and measures of performance (56 percent of the 140 … ratings failed to achieve even moderate reliability). … The authors concluded that further development of this tool in the areas of reliability and validity … recently in 278 patients, the 25-item instrument was found to have high internal consistency and good reliability
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www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
February 01, 2024 - EMR manual review is of limited reliability in the real-time identification of DEOD in hospitalized patients … Feasibility and reliability testing of manual electronic health record reviews as a tool for timely identification … Feasibility and reliability testing of manual electronic health record reviews as a tool for timely identification
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/measures-child-hcahps-909.pdf
March 20, 2017 - When selecting measures for a public report, it is also important to consider the
hospital-level reliability … However, the actual reliability of your
results may vary depending on a number of factors. … Users may choose to calculate the
reliability of their results to ensure a sufficient level for public … Moreover, these reports can include measures
that did not achieve a high enough level of reliability … A high hospital-level reliability is not
necessary for a measure to provide useful information for quality
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www.ahrq.gov/policymakers/chipra/cpcf-form9.html
December 01, 2013 - Reliability & Validity: Is there published evidence about the reliability and validity of the measure
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www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - using the quality function deployment process to share with organizations that want to become high-reliability … Operating management system for high reliability: Leadership, accountability, learning and innovation
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www.ahrq.gov/action-alliance/webinars/index.html
April 01, 2025 - September 26, 2023: The Journey Toward Becoming a High-Reliability Organization In this webinar, speakers … highlighted the Veterans Health Administration's journey toward becoming a high-reliability organization
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/proposed-changes-cahps-c&g-survey2015.pdf
March 01, 2015 - Rationale: The items require large sample sizes to achieve acceptable unit-level
reliability.
8. … Rationale: While reliability estimates were mixed for different data sets, NCQA
and their stakeholders … Rationale: The number of responses in most practice-based surveys is
insufficient to achieve reliability … R: Y/N* Move to supplemental items -
insufficient number of responses
to achieve reliability
(item … R: Y/N*
Move to supplemental items -
insufficient number of responses
to achieve reliability
(4
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www.ahrq.gov/cahps/about-cahps/using-cahps-name/index.html
April 01, 2024 - research and development process, the CAHPS brand has come to signify a high level of scientific rigor, reliability
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/index.html
January 01, 2025 - However, we provide guidance in these areas based on decades of research on various ways to improve the reliability … formatting (or, in the case of phone surveys, the approach to asking questions) is crucial to ensuring the reliability
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-planning.html
May 01, 2017 - Step One: Determine Change Has Achieved Acceptable Levels of Capability and Reliability
The desired … changes are those that have reached adequate levels of capability and reliability. … Capability means that the change is producing the desired impact on patients or populations, and reliability
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
March 11, 2021 - VA • Towards Diagnostic Safety in High Reliability Organizations: This
series on “Becoming a High Reliability
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
July 01, 2023 - simulation is physically integrated into the clinical environment and provides a method to enhance reliability … debriefing is to help participants understand the complex team skills and knowledge required for high-reliability
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www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - They enhance the reliability of laboratory testing in medical offices; establish a culture of patient … Improving Your Office Lab Testing Process Ambulatory Toolkit increases the reliability of the lab testing
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - Leader training on positive interactions and rounding
• Part of a Safety, Communication, Operational Reliability … 403-411.
13
Framing up
the Why
Ask yourself…
Creating and contributing to a culture of
high reliability … Leader rounding for high reliability and improved patient safety. Fed Pract, 41(1);16-
21.