- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
January 09, 2018 - We spend 
more time on paperwork than patient care. … a year—in fact, when I 
look back, I was less than six months—into my tenure as CEO here, and I came … The results have driven many more changes than what I've presented today. … Are you measuring outcomes in any other ways other 
than using the survey results? … I'd rather give you all $8,000 in raises than I would spend it on a bath tub."
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
January 01, 2025 - Most studies on patient safety 
focus on errors of commission rather than errors of omission. … Healthcare Research and Quality (AHRQ)35 states that, although errors of omission 
occur more frequently than
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/2020-hospital-linkage-techdoc.pdf
January 01, 2020 - No hospital is linked to more than one health system. … Rather, the file includes a single entry 
for the CCN in these cases. … Are accurate bookmarks provided for documents greater than 9 pages? … Are accurate bookmarks provided for documents greater than 9 pages? … Are accurate bookmarks provided for documents greater than 9 pages?
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - Physicians in the intervention group responded to alerts much faster than in the usual care group; 50% … are associated with monitoring 
(i.e., assessing response to a medication and documenting outcomes) rather …  than prescribing errors. (5, 6) Nevertheless, the  
majority of health information technology (HIT) … Because a 
physician could take more than one response following an alert, the total number of actions … Home Health Care: More than Just a Visiting Nurse [Invited Editorial]. 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
December 01, 2013 - ■ It cost less to prevent a disease than to treat it. … ■ Sudden, unexplained death of an infant less than 1 
year old. … – Relatively more rapid rate of growth than in term infants. … ■ Err on the side of caution, and refer the infant for formal testing early rather than waiting. … 1/8 inch in diameter larger than stoma
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - ■ Usually goes away as your baby gets 
older than 3 months of age. … ■ It cost less to prevent a disease than to treat it. … – Relatively more rapid rate of growth than in term infants. … ■ Err on the side of caution, and refer the infant for formal testing early rather than waiting. … 1/8 inch in diameter larger than stoma
                                     
                                                                    - 
                                        
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/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - you can often pull data on the entire population of patients 
seen during the specified time period, rather … than limiting the audit to a subset of 30-to-60 patient 
records. … to do this, and help them access 
resources for training if they do not have this knowledge already, rather … than doing the work for 
them yourself. … 0=NO 
BP less 
than 
130/80 
mm Hg? 
0=NO 
LDL-C in 
past 12 
months?
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
January 01, 2014 - (i.e., 3 communication 
events) and that their satisfaction ratings 
are on average 9 points higher than … communication were nearly 
uncorrelated, indicating the importance of 
assessing parents’ perceptions rather … than relying solely on other means of 
evaluating communication. … Individuals who reported “excellent” 
adherence were significantly more 
satisfied with their HIV care than … Parents rated care significantly 
higher than did their children.
                                     
                                                                    - 
                                        
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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - Facilities with fewer than 
20 patients in 2011 were excluded. … A patient can contribute more than one event per month but not more 
than one every 21 days. … A patient can 
contribute more than one event per month but not more than one every 21 days. … of 
the CMS claims data suggests that these sources are measuring quite different variables with a rather … The positive of culture assessments may be that 
conversations happen because the tool is used rather
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
February 23, 2008 - and to allow sorting by work area or position when there were five or more 
respondents per category, rather … than 11 or more as required by the original tool. … handle the 
workload.  68 49 95 12 70 42 98 15 
2.c  Staff in this department work longer hours 
than … is best for patient care.  62 46 84 11 64 49 86 10 
3.c  We use more agency/temporary staff than 
is … In 2007, those in management had a more 
positive perception of the culture of safety than did nurses
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - For example: 
• Pressure Ulcer Prevention has been pilot tested in more than 
50 nursing homes across … • Are proactive rather than reactive. 
• Show recent changes in risks. … reports who 
should not be there, residents are missing from reports, residents are 
less functional than
                                     
                                                                    - 
                                        
www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit3.html
April 01, 2018 - then initiate a conversation with that patient to be diligent about receiving CRC testing more often than … SEA mailing (note that if the central entity omits the SEA mailing, the invitation becomes the first rather … than the second mailing). … Clinicians and practice staff may be less likely to respond to the postintervention survey than the preintervention
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - Creating a protocol for elevating the head of 
the bed is far easier than managing staff’s attitudes … CUSP Guide In Practice 
In 2004, more than 100 intensive care units in Michigan implemented CUSP in their … Rather than being the main instigators of an accident, operators tend to be the 
inheritors of system
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - and keep the prevailing anxieties in check.30  
nt, 
An alternative approach that is prospective, rather … than retrospective, and permits involvement of 
all team members in identifying and prioritizing safety … Severe 
or 
irreversi
ble 
complic
ations                
(eg
deleriu
m, 
disabilit
y)
Less 
than … This discussion format, although more labor-intensive, was more 
helpful overall than the “voting” method
                                     
                                                                    - 
                                        
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/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - that sometimes surprises happen or a case is complex and requires significantly more team involvement than … Huddles may require attendance from more than just the bedside nurse and attending. … It’s better to have a short meeting that doesn’t address every checklist item than to not have one at … We encourage you to focus on the technique, rather than the context. … 27
Discussing the Debrief Video: 
Limitations
Uncertain how long they debriefed
Probably no more than
                                     
                                                                    - 
                                        
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.