-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - For long-term improvements, they will conduct personnel training in quarterly workshops on blood culture … By using the Action Hierarchy model, the hospital aims to achieve significant and lasting improvements … The aim of execution is not just to implement improvements, but to ensure the improvements are sustainable … Continuous evaluation allows teams to track successes, identify challenges, and make improvements. … This leads to steady improvements, and after 12 months, about 80% of units are consistently adhering
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence4.html
April 01, 2025 - supportive of patients and families. 17 P2 participating healthcare organizations achieved dramatic improvements … the efficiency and effectiveness of healthcare delivery. 17,18 CCHMC was able to make substantive improvements … Here, the vast improvements in quality became the standard of practice for the healthcare system because
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - Anticipating financial resources needed to maintain improvements after the project ends allows you to … Show relevant data and share project experiences and stories with staff that illustrate improvements. … Also, allow staff time away from normal duties to work on project improvements. … Ask:
In what ways does your facility sustain improvements? … What strategies could your facility use to sustain improvements moving forward?
-
psnet.ahrq.gov/node/47155/psn-pdf
October 17, 2018 - Medication errors with pediatric liquid acetaminophen
after standardization of concentration and packaging
improvements … Medication Errors With Pediatric Liquid Acetaminophen After
Standardization of Concentration and Packaging Improvements
-
psnet.ahrq.gov/node/46825/psn-pdf
June 19, 2018 - diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
System approaches are required to achieve sustainable improvements … weaknesses in diagnostic performance, target specific problems, and enable learning and operational
improvements
-
psnet.ahrq.gov/node/34663/psn-pdf
December 23, 2008 - quality problems and their most prominent causes, including a series of obstacles that
prevent necessary improvements … Overall, this article provides an
overview of the challenges facing health care quality improvements
-
psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - educational , learning , and leadership strategies to help nurses drive and sustain patient safety improvements … August 14, 2019
Effect of changes in hospital nursing resources on improvements in patient
-
psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
March 06, 2005 - inexperienced caregiver, supervision gaps, ineffective double-checks, and the misalignment of system improvements … Nets to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
Safety improvements
-
psnet.ahrq.gov/issue/changes-unprofessional-behaviour-teamwork-and-co-operation-among-hospital-staff-during-covid
January 31, 2024 - perceived increases in unprofessional behaviors during the pandemic and 44% of respondents cited improvements … September 28, 2022
What is needed to sustain improvements in hospital practices post-COVID
-
digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/optimization-patient-reported-outcome-data-visualization-improve
January 01, 2019 - measures to assess patients’ experiences of illness and wellness has been increasing, and may lead to improvements … One factor is that some data metrics represent improvements in patient symptoms when their value increases … (e.g., physical function), whereas other metrics indicate improvements by decreasing values (e.g., pain
-
digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - Improvements were found in all three clinical domains, including preventive services, acute illness care … Further improvements in quality and safety are possible through increased physician use of CDS, but this … will require physician willingness to change their workflow, as well as improvements to EHR software … IPSQWHIT: Measuring the Quality Improvements Associated with Decision Support in Pediatrics.
-
digital.ahrq.gov/sites/default/files/docs/page/Nemeth_SuccessStory.pdf
May 02, 2014 - Participating practices reported 6 to 10 percent improvements
entive care screenings, 8 … to 17 percent improvements in adult
izations, and up to 18 percent improvements in diabetes … use of the HM features rather than actual delivery of more services may have biased
assessments of improvements … in one actual clinical
procedure (obtaining a lipid panel) may exaggerate improvements in the summary … Two of the eight practices experienced more difficulty in demonstrating improvements.
-
psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - Improving medication administration safety: using naïve
observation to assess practice and guide improvements … Improving medication administration safety: using naïve
observation to assess practice and guide improvements
-
www.ahrq.gov/patient-safety/reports/engage/casestudies.html
December 01, 2017 - Case Studies
Research shows that patient engagement in health care can lead to measurable improvements … patients, families, and health professionals in primary care settings work together as partners to promote improvements
-
www.ahrq.gov/news/newsroom/case-studies/201504.html
March 01, 2015 - These improvements were attributed to establishing more formal communications between bedside nurses … Survey results from 2009 and 2010 revealed improvements in the measures corresponding to "Teamwork Within
-
psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
June 30, 2021 - Patient safety advocates recognize the lack of appropriate measures to track improvements , and the … degree to which the nonsignificant reduction in preventable adverse events may actually signify real improvements
-
psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
December 23, 2020 - reporting is an important tool for characterizing events and identifying opportunities for patient safety improvements … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements
-
psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Sidney Dekker , Charles Denham , and Lucian Leape ) take the hospital to task for focusing on narrow improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements
-
psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - Of the ten retrospective studies included in the review, all reported improvements following RCA-recommended … November 24, 2021
National improvements in resident physician-reported patient safety
-
psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
February 09, 2022 - how investment in human factors and ergonomics can contribute to healthcare quality and safety improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements