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Showing results for "review of reported cases".

1. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
   ce.effectivehealthcare.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.

2. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
   ce.effectivehealthcare.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.

3. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
   April 01, 2018 - Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … 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.

4. Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
   January 01, 2013 - Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … 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.

5. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
   ce.effectivehealthcare.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

6. Findings | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
   August 01, 2022 - Staff Contacts Training & Education Funding Grant Application, Review … Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … of a “systemwide, evidence-based, ethical, and legally sound standardized recommended process.” 2 A review … 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

7. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
   ce.effectivehealthcare.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.

8. C1 Prioritization Worksheet (pdf file)
   ce.effectivehealthcare.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?

9. Selected Best Practices and Suggestions for Improvement (pdf file)
   ce.effectivehealthcare.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

10. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    ce.effectivehealthcare.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).

11. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
    July 01, 2022 - Step 3 Decide on an approach to identify cases for further review. … Implement criteria to trigger case review. 2. Establish a review panel. 3. … Using structured case review tools helps standardize the review process and can help identify process … � Step 3: Maintain rigor in the review process. … Adapting Review Tools for Specific Diagnoses and Care Settings The review tools listed in Table 4 apply

12. Appendix T. Surgical Infection Society Abstract | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapt.html
    April 01, 2018 - Staff Contacts Training & Education Funding Grant Application, Review … Important Dates AHRQ Tips for Grant Applicants Grant Mechanisms & Descriptions Application Receipt & Review … Study Sections for Scientific Peer Review Award Process Post-Award Grant Management

13. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Staff Contacts Training & Education Funding Grant Application, Review … Important Dates AHRQ Tips for Grant Applicants Grant Mechanisms & Descriptions Application Receipt & Review … Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … Literature Review Appendix B. Database Analysis Appendix C. Site Visit Protocol Appendix D. … Postarthroscopy Surgical Site Infections: Review of Literature , Babcock, HM, Matava, MJ, Fraser, V,

14. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
    April 01, 2017 - Staff Contacts Training & Education Funding Grant Application, Review … Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … Therefore, our review of the literature supported the need for the development of the T-TAQ. … Next, we conducted an item review. Item review criteria included social desirability concerns. … At the end of this review, 49 items remained in the pool.

15. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
    October 01, 2008 - .................................................................................... 2 Literature Review … Literature Review Our search of the relevant literature revealed that few measures exist that provide … Therefore, our review of the literature supported the need for the development of the T-TAQ. … Next, we conducted an item review. Item review criteria included social desirability concerns. … At the end of this review, 49 items remained in the pool.

16. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.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?

17. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
    August 01, 2022 - Staff Contacts Training & Education Funding Grant Application, Review … Study Sections for Scientific Peer Review Award Process Post-Award Grant Management … The review did not uncover any measures suitable for administration at time of discharge. … deaths across Ohio by creating a Pregnancy Associated Mortality Review (PAMR) system. … This discussion has not been a standard part of our current review” (Gregg and Garcia 2013).

18. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - This review focuses on PSPs related to patient identification errors in surgery or the operating room … The review included observational studies and prospective audits. … One evidence review examined errors in intensive care units. … Avoiding wrong site surgery: a systematic review. … Current issues in patient safety in surgery: a review.

19. Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
    April 01, 2018 - Measure Owner The Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (Q … In addition, we conducted a medical record review in Michigan to evaluate the coding reliability and … The reproducibility of our results based on claims data was supported by medical record review. … medical record review were successfully matched with Michigan Medicaid administrative claims data; … Management of children with sickle cell disease: A comprehensive review of the literature.

20. Can We Talk? Priorities for Patient Care Differed Among Health Care Providers (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
    January 01, 2003 - The study was approved by our Institutional Review Board. … given day, suggesting that communication between the two main caregivers often occurred only through review … Physician- nurse relationships in clinical settings: a review and critique of the literature. 1966–1992