- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - It is shorter than the Pieper but has not been as widely used. … Skin Temperature
Most clinicians use the back rather than the palm of their hand to assess the temperature … Rarely eats more than 1/3 of  any food offered. … OR receives less than optimum amount of liquid diet or tube feeding. 
	3. … than 24 hours (STOP ABSTRACTION)
5.
                                     
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
August 01, 2023 - Comprehensive re-recruitment efforts took place as more than 50% of hospitals needed to drop 
 Final … One result of these changes 
was that we obtained less direct information than originally sought from … The TAKEheart team implemented an 
earlier-than-planned launch of Learning Community and focused its … strategy of engaging a 
large community around PHE-focused topics – meeting hospitals where they were, 
rather … than “not bothering them” until the pandemic subsided – paid off when 
recruitment targets were met
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - To make completion easier than open-ended reporting, the data collection form included a set of 
responses … For transactions that involved more than one medication, only one data collection 
form was used. … include medication management processes from either the patient’s or the pharmacist’s 
viewpoint, other than … mitigation transactions, the measures reflected processes occurring 
when the error was discovered rather … than the circumstances at the time that the error occurred.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - One study found that more than 70 percent of adverse 
events are caused by breakdowns in communication … responsive, empathetic, and attuned 
to patients’ needs are judged to be of higher quality by patients than … Professional culture and practice 
norms have traditionally been based on individual autonomy rather … than teamwork 
and patient-centered practices.18 Clinicians lack experience with models that 
encourage … If your hospital is implementing 
more than one of the bedside 
strategies (Communicating to 
Improve
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
April 30, 2013 - One study found that more than 70 percent of adverse events are caused by breakdowns in communication … responsive, empathetic, and attuned to patients’ needs are judged to be of higher quality by patients than … Professional culture and practice norms have traditionally been based on individual autonomy rather than … modeling behavior, providing feedback, and practicing skills.21
	
If your hospital is implementing more than
                                     
                                                                    - 
                                        
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Therefore, the goal would be to embed safe practices within your organization rather than allow for backsliding … Continued success may be different than initial success and the team’s goal may need to be modified along … Early adopters, or opinion leaders, are the next group to react to change and tend to adapt earlier than … An overall score greater than 60 indicates a likelihood that the change will be achieved, while a score
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - Therefore, the goal would be to embed safe practices within your organization rather than allow for backsliding … Continued success may be different than initial success and the team’s goal may need to be modified along … Early adopters, or opinion leaders, are the next group to react to change and tend to adapt earlier than … An overall score greater than 60 indicates a likelihood that the change will be achieved, while a score
                                     
                                                                    - 
                                        
www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
August 01, 2024 - facilitators in their region of focus provided access to a workforce that was larger and better distributed than … their own practice facilitators or partnering with one organization. 12  In addition, relying on more than … cohesive group of partners working toward shared goals from a common understanding typically took more than … Building and Maintaining a Network of Primary Care Practices ) rather than here.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - results to determine if the time the result was reported electronically by the 
laboratory is later than … We believe that daily assignment of 
the task of reviewing the log is more failsafe than asking individual … logistical delays in the implementation of ALARMS 
for clinical use, Phase 2 was continued for 8 months rather … than the 3-month period 
initially planned. … Data were collected until there were late-
arriving abnormal laboratory results for more than 300 distinct
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
January 20, 2008 - Necessary improvement 
actions may be broader in scope than a particular case may reveal. … When an error results in harm to a patient, it 
should be regarded as a consequence rather than cause … Each year, 
action items in the RCA database that were less than 100 percent complete were sorted so … Institutional experience with FMEA suggested a standard for an RPN cutoff point of 
250; themes scoring higher than
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
January 01, 2020 - 6 months between pediatric 
and adult care than those who were more prepared (Garvey, Wolpert, Rhodes … health outcomes has been shown to be stronger 
when patient-centeredness is measured by patient report rather … than provider or researcher 
11 
assessment (Stewart, et al., 2000; Theunissen, Vogels, Koopman, … quality of HCT preparation is based on adolescent-reported responses 
collected in the ADAPT survey, rather … than on existing data.
                                     
                                                                    - 
                                        
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 rather … Rather, 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
                                     
                                                                    - 
                                        
www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide5.html
August 01, 2024 - It could be more effective to pitch parts of your program to certain funders, rather than pitching the … example: Some funders (e.g., local foundations) might be more interested in funding practice facilitators than … easier to show a short-term return on investment from their work (e.g., a reduction in hospitalizations) than … This type of arrangement is appealing to the state because it is easier and more flexible than a contract … health extension program in New Mexico is not limited to primary care or even clinical settings, but rather
                                     
                                                                    - 
                                        
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
                                     
                                                                    - 
                                        
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
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
October 01, 2019 - This is not in 
the core CAHPS survey; rather, it is part of an array of supplemental questions that … This measure 
also requires States to report the results of this question individually, rather than as … than solely following mental health-related 
hospitalizations. … It does not require any additional data collection by those States; rather, it 
only requires States … than only to CMS.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p013-ef.pdf
February 01, 2016 - It takes children, youth, and parents 
no more than 1–2 minutes to complete. … It is not based on the segmentation of the pediatric population by a 
condition; rather, it is a cross-cutting … For example:
 ● Children who are black/African-American have lower global health scores than whites … ● Children who are of Hispanic ethnicity have lower global health scores than non-Hispanics. … ● Children with a chronic condition have lower global health scores than children without a chronic
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - The MPSMS explicit review is a patient-centered process focusing on 
patient harm rather than provider … and has the following features: 
normalized inter-rater reliability; lower cost-per-chart reviewed than … “No system is 
guaranteed to work properly all the time…humans in the loop may add to the 
problem rather … than improve it.”5 Patient-centered intent carries huge practical 
implications in the conduct of a … Rather, the analysis 
provides a benchmark to providers and payors who might use an MPSMS topic 
module
                                     
                                                                    - 
                                        
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - Rather, they will be transferred to another job or area within the hospital. … than improve quality or efficiency. … than taking 3 months. … ED physicians were initially contractors, rather than employees, and were not mandated to participate … than overall getting more efficient."
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/bundlingcps.pdf
March 01, 2014 - sector as a tool to attract consumers by offering multiple items purchased together 
at a lower cost than … not intended to be an exhaustive, systematic review of all published 
literature on the subject, but rather … were on the 
subject of bundled payment for services, which refers to payment for episode of care, rather … than per 
service.