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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - .15
In January 2006, after a serious wrong-side surgery event at a New York hospital in 2005 and a
review … The expert committee assembled to review the data derived from the RCAs, identified
commonalities in … After review by the Department of Health and approval by
the Commissioner of Health, the protocol was … One study estimated that 1,200 to 2,700 events
occur annually in the United States.20 Based on a review … A follow-up review of
wrong site surgery; Oakbrook Terrace, IL: The Joint
Commission; 2001 Dec 5.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
January 01, 2013 - Systematic Review Flowchart
Appendix C. … Although prior systematic reviews have been conducted, this review differed in that it focused solely … Literature Review—Methods
PubMed, EconLit, Biological Abstract and Science Direct were searched. … Literature Review—Results
A total of 841 unique abstracts were identified. … A flowchart of the article review process can be found in Appendix B , and all excluded articles and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - Reviewers filled out a peer review sheet to indicate their opinion as to
whether standard of care had … After each incident had been analyzed and peer review completed, the QI director assigned a
primary … Each unit or division made local modifications to the
reporting format and initial review process to … When a case was closed, it was cross-referenced in the peer review database of involved
providers. … Additional
physician and staff time are needed for coordination and department-level review.
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - Of all of the charts that the algorithm deemed positive and queued for review, we randomly selected up … Sixty procedures were associated with SSI after manual chart review using NHSN methodology. … The modified algorithm flagged 804 procedures (or 37 percent of total charts) for review. … Assuming 20 minutes per chart for manual review, 57 work days (8 hours/day) of chart review would have … Algorithms could also facilitate review by annotating important aspects of the case.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - were coded by a physician panel and compared with
retrospective chart analysis and hospital incident review … Retrospective chart review corroborated 76
percent of the events with only two noted in hospital incident … prospective, observational project in two 6-week blocks between February 2003
and July 2003 as a peer review … errors.6, 9, 12Although 76 percent
of physician-reported events were verified by retrospective chart review … Physician
reporting compared with medical record review to
identify adverse medical
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - possible inclusion in meta-analysis—the majority of which were screened out based on a title and abstract review … Full text review eliminated 740 of the remaining 941 articles (78.6 percent). … Our systematic literature review found that there is a gap in current literature to examine the impact … For example, the study with the lowest cost estimate ($11,778) involved chart review at a single medical … Eleven studies were included in our review for VTE.
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www.ahrq.gov/es/hai/pfp/haccost2017-results.html
November 01, 2017 - possible inclusion in meta-analysis—the majority of which were screened out based on a title and abstract review … Full text review eliminated 740 of the remaining 941 articles (78.6 percent). … Our systematic literature review found that there is a gap in current literature to examine the impact … For example, the study with the lowest cost estimate ($11,778) involved chart review at a single medical … Eleven studies were included in our review for VTE.
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www.ahrq.gov/research/findings/evidence-based-reports/sysreviews.html
April 01, 2018 - order to assess the extent to which they impact survival time (e.g., whether or not delays in the peer review … the occurrence of either a qualitative or quantitative signal for updating the original systematic review … No feature of the original review significantly predicted a signal for updating occurring within 2 years … or trials to see if any exist and determine if the results are consistent with the previous review. … Download Technical Review
Updating Systematic Reviews
Technical Review (Publication No. 07-0087)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - Nurses performed blinded chart review on Initial Cases and
Initial Controls. … Patients with an adverse occurrence based upon nurse
review are Final Cases. … Patients without an adverse
occurrence based upon nurse review were Final Controls.
STEP
1. … Adverse
events in British hospitals: preliminary retrospective
record review. … Reliability of
medical record review for estimating adverse event
rates.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - of a “systemwide, evidence-based, ethical, and legally sound standardized recommended process.” 2 A review … Following the claims analysis and a literature review, two predischarge surveys were developed to identify … This project successfully developed a statewide pregnancy-associated mortality review (PAMR) system in … Experts in health care quality assurance and peer review developed criteria for such events that warrant … percent of respondents reporting being “very satisfied” or “satisfied” with the risk management/peer review
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 29, 2016 - Do we have
a method to
review PI
progress on
a regular
basis? … Do we have
a method to
review PI
progress on
a regular
basis? … Do we have
a method to
review PI
progress on
a regular
basis? … Do we have
a method to
review PI
progress on
a regular
basis? … Do we have
a method to
review PI
progress on
a regular
basis?
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - assessed our experts’ intra-rater
reliability (IRR > 0.7) using existing methods.77,108,109,120 A review … processes, used
the instrument to rate audible and observed high-reliability behaviors during the
review … Patient safety in the NICU: a comprehensive review. Journal of
Perinatal & Neonatal Nursing. … A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes … Method agreement analysis: a review of correct methodology. Theriogenology.
-
www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
May 01, 2016 - of a “systemwide, evidence-based, ethical, and legally sound standardized recommended process.” 2 A review … Following the claims analysis and a literature review, two predischarge surveys were developed to identify … This project successfully developed a statewide pregnancy-associated mortality review (PAMR) system in … Experts in health care quality assurance and peer review developed criteria for such events that warrant … percent of respondents reporting being “very satisfied” or “satisfied” with the risk management/peer review
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www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
May 01, 2018 - Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review … This literature review explores possible adaptation of Lean/TPS to health care settings. … This literature review was designed to begin to answer these questions. … The full literature review, which was conducted for AHRQ by the American Institutes of Research, will
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-draft-1.pdf
March 29, 2022 - assessed our experts’ intra-rater
reliability (IRR > 0.7) using existing methods.77,108,109,120 A review … processes, used
the instrument to rate audible and observed high-reliability behaviors during the
review … Patient safety in the NICU: a comprehensive review. Journal of
Perinatal & Neonatal Nursing. … A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes … Method agreement analysis: a review of correct methodology. Theriogenology.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
March 29, 2022 - assessed our experts’ intra-rater
reliability (IRR > 0.7) using existing methods.77,108,109,120 A review … processes, used
the instrument to rate audible and observed high-reliability behaviors during the
review … Patient safety in the NICU: a comprehensive review. Journal of
Perinatal & Neonatal Nursing. … A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes … Method agreement analysis: a review of correct methodology. Theriogenology.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Conduct preliminary case
review
Quality-trained clinicians perform initial case review to
eliminate … IQIs for Review:
This guideline will focus on an overview of a mortality review process that can be … case review to screen for cases not needing further
review and prepare selected cases for committee … Recommended Practice: Conduct Systematic Review of Case
• Hold an open discussion with mortality review … mortality review sessions
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www.ahrq.gov/news/avoiding-severe-medical-errors.html
January 01, 2022 - outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing
Review
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Contents
Summary Introduction
Need for New Measurements Data and Methods
Systematic Review … For this review, we used 69 studies in 20 individual meta-analyses to estimate the additional cost and … →
2) Screening: Review title and abstract to identify articles most likely to contain relevant … Systematic Review Process
The first stage of our work involved conducting a systematic review of published … However, the preponderance of full-text review focused on assessing the methodology and applicability
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Clostridium difficile Infections
In this report, we present the findings of our literature review … Full text review eliminated 740 of the remaining 941 articles (78.6 percent). … Eleven studies were included in our review for VTE. … AHRQ Quality and Safety Review System. … AHRQ Quality and Safety Review System (QSRS).