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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - An adverse
event was defined as “an injury caused by medical management error rather than the patient … ” on the statement regarding the use of clinical judgment
rather than technology to make decisions as … Relying on clinical judgments rather than on
technology to make a decision is becoming riskier
from … Interestingly, all groups strongly agreed that
relying on clinical judgment rather than on technology … f) Relying on clinical judgment rather than on
technology to make a diagnosis is becoming
riskier
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather … than its *Note: Risk-adjusted rates are not available in the most up-to-date version of the ICD … is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather … than its
own case mix. … than its
own case mix.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-one-pager.pdf
September 01, 2022 - • Acute bronchitis is the presence of a cough with or without sputum production that lasts less
than … encourage frequent handwashing, avoiding touching the face, coughing and
sneezing into a tissue or arm rather … than hand, and wearing a face mask.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - First-order problem solving is reactionary, rather than proactive. … Rather than being the main instigators of an accident, operators tend to be the inheritors of SYSTEM … As James Reason wrote more than two decades ago, “Rather than being the main instigators of an accident … Seek to understand rather than to judge. Ask clarifying questions and followup questions. … You need to understand rather than judge. Ask clarifying questions if you’re not sure.
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief2.html
July 01, 2024 - In many situations, learning from simulation, rather than during care for real patients, is an ethical
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www.ahrq.gov/research/findings/nhqrdr/index.html
July 01, 2024 - and Disparities Report 2020: In 2021, the report year was changed to reflect the publication year, rather … than the year the report was developed.
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www.ahrq.gov/talkingquality/explain/numbers.html
November 01, 2018 - Rather, they are accustomed to getting the information they think they need from people they trust, including … to focus on concerns about the costs of insurance and services, and difficulties in accessing care, rather … than issues of quality and safety.
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - We need to re-establish the notion of community so that systems share rather than legally protect new … We must get people to report such behavior rather than assuming it. … We need CDS that is initiative-driven rather than lawyer-driven. … Savitz suggested applying “the value equation” rather than return-on-investment when considering issues … Ivory proposed that interoperability become a standard rather than an add-on.
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www.ahrq.gov/data/apcd/envscan/app-a.html
June 01, 2017 - Some issues that pertain to APCD use occur with any claims database with more than one payer and literature … the type of data and the approach used in the paper (e.g., “all-payer,” “cost,” “episode of care”) rather … than specific clinical terms or titles of quality measures that might be needed for a more focused topical … However, given the brief nature of the current review, the team used this method only for seminal papers, rather … than all research and overview papers.
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www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
July 01, 2018 - Rather than being prescriptive or hierarchical, coaching interventions should be patient-centered and … whether or not patients comply with their medication regimen is a better indicator of a program's success than … possible, rely on information that is directly available from an objective source (e.g., pharmacy records) rather … than a patient's own report.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-6.html
September 01, 2020 - Can we develop checklists for diagnostic error reduction that focus on errors of execution rather than
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www.ahrq.gov/takeheart/training/module-9/index.html
December 01, 2022 - Hospital leadership
It is important to note that the audiences listed above are a suggestion rather … than a limitation.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
June 01, 2021 - assessment should pause and
consider if the changes they are noticing really suggest an infection rather … than another cause.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide212.html
October 01, 2014 - However, let's focus on strategies to get you healthy rather than on weight.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
May 01, 2024 - Rather, most measurements rely on subjective retrospective tools such as self-reported questionnaires … Further complicating this concept is that some interruptions are more worthy of a clinician’s time than … diagnostic accuracy. 30 Poorly integrated and visually complex clinical decision support systems, rather … than assisting in diagnostic accuracy, can instead lead to cognitive overload and inaccurate decision … clinical condition does not evolve as expected. 34 One type of processing is not necessarily better than
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - Patient safety and quality is a property of the system rather than the actions of individual caregivers … James Reason, in his work, noted that “rather than being the main instigators of an accident, providers … This patient’s experience highlights that defects in care are often the result of system failures, rather … than individual provider actions.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - professional status; narrow technical focus without broader contextual understanding; episodic encounters rather … than continuous care; predominant hospital orientation at the expense of primary care; quantitative … safety considerations the medical hierarchy needs to be balanced in favour of teaching and learning rather … than the exercise of power.”
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/execsumm.html
October 01, 2015 - Primary care transformation is a process that practices or health systems choose to engage in, rather … than an endpoint or final goal to be achieved. … Traditional payment systems that reward quantity rather than quality of health services may compromise
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www.ahrq.gov/ncepcr/reports/grants-transform/executive-summary.html
March 01, 2017 - Primary care transformation is a process that practices or health systems choose to engage in, rather … than an endpoint or final goal to be achieved. … Traditional payment systems that reward quantity rather than quality of health services may compromise
-
www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Support over blame Within the group, emphasis is placed on dealing with mistakes
through a supportive rather … Employing a flattened
rather than purely hierarchical approach to gaining and assessing
information … than in the operating room (OR). … routines may enable residency programs to incorporate learning approaches to error that
complement rather … than conflict with other effectiveness goals.