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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
    May 07, 2008 - Results: All interventions reduced errors (range, 13 to 45 percent), with more than 4,000 errors avoided … They included more than 400,000 KPCO members in the Denver-Boulder area and involved all KPCO physicians … lab monitoring.4, 5 Pharmacists were alerted to missing recommended laboratory tests for the more than … computerized prescriber order entry (CPOE)-based intervention that responds directly to prescriber input, ratherthan providing alerts at medication dispensing.
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
    October 01, 2024 - likely to have had a prior bed occupant and 4.82 times more likely to have had a roommate with an HAI, than … Also, microbiology testing generally needs to be targeted towards one specific organism of concern, ratherthan evaluating for any pathogen. … hydrogen peroxide disinfectant, PDI’s Sani-HyPerCide® with 4.04 percent hydrogen peroxide and less than … When the hydrogen peroxide vapor concentration is higher than that of the surrounding air, a thin layer
  3. www.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - They failed to tell patients that there was more than one treatment choice 23 percent of the time, failed … They believed that their outcomes were statistically different than the outcomes presented in the DA. … e.g., referral to an orthopedic surgeon for a total knee replacement) and engagement of teams other than … ongoing SDM implementation training process if the training is aimed at a large number of providers, ratherthan utilizing specially trained nurses who review SDM alternatives with patients.
  4. www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
    May 01, 2017 - This approach is fine, as long as it is a conscious decision rather than an oversight. … training in QI techniques, group work, and team building are usually able to achieve success much faster than … More than 50 percent of people who have a bad experience will not complain openly to the plan or the … These public reports often highlight organizations that achieve better results than others on standardized … www.ncbi.nlm.nih.gov/books/NBK99879/ “Creating loyalty means giving employees more for their labor than
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Reporting in this context is a different matter than whether or how the reported information might be … Rather, the items on the list are events that are (1) clearly identifiable and measurable, and therefore … the use or function of a device in patient care, in which the device is used for functions other than … Patient death or serious disability associated with patient elopement (disappearance) for more than … that results in death or loss of a body part, or disability or loss of bodily function lasting more than
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
    March 31, 2004 - professionals and students in their spheres of influence, they have the potential to influence more than … Such cultures recognize that there is much to be gained by negotiating rather than discounting differences … reflect team functioning and orientation to micro- and macrosystems of care to a much greater extent than … l in ks Advances in Patient Safety: Vol. 4 308 Conclusions As of early 2004, more than … the train-the-trainer workshops, we conclude they have the potential to influence from 274 to more than
  7. www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
    June 01, 2017 - It does mean that their interest can never be taken for granted, but rather has to be developed and encouraged … page—whether it is printed or online—there are just a few seconds to motivate that person to keep looking rather … Some hospitals are better than others. … If you do report such measures, consider using counts rather than rates. … Do not ask people if they understand; rather, ask them a knowledge question and see if they respond with
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
    June 01, 2010 - It does mean that their interest can never be taken for granted, but rather has to be developed and … page—whether it is printed or online—there are just a few seconds to motivate that person to keep looking rather … Some hospitals are better than others. … If you do report such measures, consider using counts rather than rates. … Do not ask people if they understand; rather, ask them a knowledge question and see if they respond
  9. www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
    January 01, 2024 - 20 seconds was significantly higher in the 48-patient condition than in all other conditions. … additional delay.3 However, research on this topic often starts at the point of arrest recognition ratherthan at the time the arrhythmia actually begins. … That is, low scores usually reflected fewer detections of patient status changes rather than incomplete … higher in the 48- patient condition than in all other conditions.
  10. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
    May 01, 2024 - load subcomponents but can provide an indicator of overall cognitive load at the time of the task, ratherthan retrospectively. … occurred (e.g., a missed pneumonia diagnosis may not be recognized on the day that it is missed, but rather
  11. www.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
    January 01, 2024 - Resources and tools for managing opioid use, misuse, and OUD cannot be one-size-fits-all; rather their … You can also choose to work on more than one HLC at a time. Testing changes.
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh-2352a.docx
    October 30, 2020 - . · References to “this provider” rather than “this doctor:” This survey uses “this provider” to refer … 1|_| Less than 6 months 2|_| At least 6 months but less than 1 year 3|_| At least 1 year but less than … 3 years 4|_| At least 3 years but less than 5 years 5|_| 5 years or more Your Care From This Provider … High school graduate or GED 4|_| Some college or 2-year degree 5|_| 4-year college graduate 6|_| More than
  13. www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
    January 01, 2024 - For example, observers are not required to score “assertiveness” but rather whether he or she failed … this study in a virtual civilian emergency room (modeled after Duke Hospital’s Emergency Department) ratherthan the original setting of 3DiTeams (a combat support hospital). … Because of monetary and logistical constraints, debriefings were performed live, in a classroom (ratherthan at a distance, as would be preferable with VEs).
  14. www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
    April 01, 2013 - Well, how is CUSP different than other tools that we’ve used for patient safety? … In those settings, the staff concerns shouldn’t be minimized or explained away but, rather, affirmed. … than paging them. … If you have a stat order, we don’t just put it in the computerized order set, but rather we expect you … than that.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - medical care management (an act of care provided by the hospital or the omission of necessary care, ratherthan from a patient’s underlying disease process.) … that could be abstracted for this study, the sample design focused on representing the AE classes ratherthan individual codes or hospitals. … Rather, codes defining a PSI tend to be divided among two of our AE classes, or an AE class may contain
  16. www.ahrq.gov/sites/default/files/wysiwyg/topics/hhs_ed_boarding_may30.pdf
    May 30, 2023 - deaths.1,2 One emergency physician account noted that in addition to average boarding times of more than … One study found that Black patients wait for about one hour longer than non-Black patients before they … the emergency department health care professionals diligently working to care for their patients; rather … As another emergency physician stated, “The crisis is bigger than can be managed by a single hospital
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
    October 01, 2014 - Rhode Island, and Oklahoma do not target specific diseases through their care management program, but rather … 1998, before North Carolina implemented its program, the North Carolina Medicaid program spent more than … could help prevent ER visits and hospitalizations, but the savings might be lower for this disease than … approach might be more successful at managing comorbid conditions by addressing members' entire needs ratherthan just a single disease.
  18. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
    September 01, 2022 - if there was a concern for community-acquired pneumonia, levofloxacin is not first-line therapy, and ratherRather, a decision was made to extend the treatment course by an additional 4 days despite no evidence … Her urine culture grows greater than 100,000 colony forming units per mL of E. coli resistant to ciprofloxacin
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
    September 01, 2018 - This included identification of rendering NPIs at the Line Information level, rather than at that Claims … who were older than 70 years. … Rather, this measure facilitates within-specialty tracking of specialist availability across time, as … specialty 30 training and/or certification were no longer delivering specialty care but rather … In addition, provider information may be incomplete due to use of organization billing NPIs, rather
  20. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/enabling-real-time.pdf
    January 01, 2023 - patient safety, and the health workforce.1,2 Family physicians suffer from higher rates of burnout than … Burnout is not the result of a deficiency in resiliency among physicians, rather it is due to the systems

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