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Showing results for "improvements".

  1. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

    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

  2. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet

    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

  3. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

    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

  4. Double key bounce and double keying errors. | PSNet

    psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
    February 01, 2023 - April 29, 2018 IV vincristine survey shows safety improvements needed. … April 29, 2018 ADC survey shows some improvements, but unnecessary risks still exist.

  5. Federman, Alex D. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/federman-alex-d
    January 01, 2023 - Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements … Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44331/psn-pdf
    September 09, 2015 - temporal-trends-patient-safety-netherlands-reductions-preventable-adverse- events-or-end Patient safety advocates recognize the lack of appropriate measures to track improvements … degree to which the nonsignificant reduction in preventable adverse events may actually signify real improvements

  7. Culture-Check-Uptool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    June 02, 2025 - This exercise will help you better understand your culture and consider interventions that lead to improvements … the Culture Item Discussion Form (next page) to document the issues that surface and any suggested improvements

  8. Sustainability and the Premortem Tool: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
    December 01, 2017 - Anticipate problems to help teams sustain improvements. … Slide 8: Premortem Exercise Step 2 Generate the reasons for this failure to sustain improvements

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45120/psn-pdf
    September 11, 2016 - Prior studies of team training show improvements in safety culture, but its effect on patient outcomes … These improvements were present across different health care settings and team composition.

  10. Development and Evaluation of Patient-Reported Outcome Score Visualization to Improve Their Utilization (PROVIZ) | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-patient-reported-outcome-score-visualization-improve
    January 01, 2023 - Patient-reported outcome (PRO) measures may lead to improvements in clinical management, health outcomes … 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

  11. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
    January 01, 2017 - the duration of mechanical ventilation, length of stay (LOS), and mortality To achieve significant improvements … Cost efficiency Real cost reduction Revenue enhancement Balance sheet improvements Intangible improvements … a Business Case ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 17 Balance Sheet Improvements … Build a Business Case ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 18 Intangible Improvements … How can we realize these savings and patient improvements?

  12. Human Resources Issues (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdf
    January 01, 2011 - pivotal role in helping managers clarify and change and raise expectations when there are quality improvements … and so that they will help their teams speak the truth about quality and work together on achieving improvements … So HR needs to initiate performance-based recognition and ideally pay and/or incentives for improvements … And employee engagement is a prerequisite to teams sharing responsibility for making process improvements … with department teams in departmental QI initiatives to identify ways HR can help with hardwiring improvements

  13. Enhancing Patient Matching in Support of Operational Health Information Exchange - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs023808-grannis-final-report-2023.pdf
    January 01, 2023 - Specific Aim 3: We measured the matching accuracy improvements resulting from using combinations of … We evaluated best-practice matching data recommendations and novel algorithm improvements in the context … Specific Aim 3: Measure the matching accuracy improvements resulting from using combinations of three … Each of the 105 matching enhancement combinations that exhibited significant accuracy improvements in … Specific Aim 3: Measure the matching accuracy improvements resulting from using combinations of three

  14. How to Use This Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
    July 01, 2018 - Action Checklist Conduct debriefs with line managers to identify any problems or suggested improvements … Review patient transport problems or suggested improvements. … Review security problems or suggested improvements. … Review facility problems or suggested improvements. … Review outsourced services (food preparation, laundry, laboratory) for problems or suggested improvements

  15. Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
    January 01, 1993 - and assist senior and quality leaders in assessing the readiness of their organization to implement improvements … Selected Best Practices and Suggestions for Improvements Includes introduction to indicator-specific … identifying areas in need of further improvement Section E: Monitoring Progress and Sustainability of Improvements … Evidence-Based Strategies To Improve Clinical Care Section E: Monitoring Progress and Sustainability of Improvements

  16. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/grants-transform/executive-summary.html
    March 01, 2017 - Additionally, two studies linked increased care coordination and teamwork to improvements in clinical … Several of the studies linked improvements in clinical measures to specific PCMH processes such as care … Cost: Evidence from three studies suggests that improvements in continuity of care, teamwork, and other

  17. Research Summit: Improving Diagnosis in Health Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdf
    September 28, 2016 - Hospital-Acquired Condition (HAC) rate: 2010 to 2014 (interim data) 2 145 142 132 121 121 120 Unprecedented Improvements … quality • AHRQ creates materials to teach and train health care systems and professionals to catalyze improvements … Agenda National Hospital-Acquired Condition (HAC) rate:�2010 to 2014 (interim data) Unprecedented Improvements

  18. Multimethod Evaluation of Physician Group Incentive Programs for PCMH Transformation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-fetters.pdf
    April 01, 2015 - Incremental improvements in PCMH implementation would also yield positive effects on quality of care … Incremental improvements in PCMH implementation were not associated with cost savings for either population … Additionally, the PCMH transformation efforts led to improvements in the process and quality of patient

  19. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/execsumm.html
    October 01, 2015 - Additionally, two studies linked increased care coordination and teamwork to improvements in clinical … Several of the studies linked improvements in clinical measures to specific PCMH processes such as care … Cost: Evidence from three studies suggests that improvements in continuity of care, teamwork, and other

  20. Material Use Guide - Sustainability Module | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/material-guide.html
    June 01, 2017 - -10 Planning Early for Sustainability Slides 11-12 Barriers and Solutions to Sustaining Improvements … especially administrators, managers, and project leads Topic: Barriers and Solutions to Sustaining Improvements
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