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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.
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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
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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
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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.
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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
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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
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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
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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
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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 rather … than just a single disease.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
July 01, 2021 - context, the various strategies each plan implemented are noted below, as each plan implemented more than … These key components were not specific to improvement on any specific measure, but rather appeared to … These challenges were not found to be specific to one particular measure but rather global in nature.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
June 01, 2020 - Manually Reviewed Projects Grouped by Extent of Reviews
Some projects were reviewed more than once … approach, the algorithm did not take into account sentence structure or relationships between words, but rather … variation in results that might occur during the manual review process; the manual review results are rather
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www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
March 01, 2004 - All studies primarily assessed parents, rather than children directly, and none
utilized specific physical … Also, at the 2-year assessment, nurse-visited toddlers showed a higher
developmental quotient than … The previously validated Abuse Assessment Screen (AAS) was modified to detect
present abuse, rather … These studies reported higher detection rates with
questionnaires than with interviews. … survey of nurses and physicians, 71% of respondents rated the
identification of maltreatment as ‘rather
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www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - The group agreed to shift its vision to improving safety rather than compliance. … Bed size ranged
from 88 to 214 licensed beds; the average was 120 beds, which was somewhat higher than … ALF/RCF bed size ranged from 60 to 122, averaging 73 beds—again,
somewhat larger than the statewide … or a dose or
frequency administered other than what was ordered. … First, the top-level event is not an “adverse drug event” in the sense that it
has resulted in harm; rather
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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.
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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
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www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
January 01, 2025 - Many centers reported
small (no more than 2000 sedation events) case series of sedation processes and … important adverse events and had already appropriately moved the discussion
toward rescue skills required rather … than simply monitoring rates of any particular event.7
The safety group thought it would be important … In today’s
8
environment, true “effectiveness” requires more than just accomplishing the procedure … ;
rather, a sedation “event” should be compared to the “ideal” sedation.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
January 01, 2009 - nutrition-related topic, it is important to include nutrition
scientists and at least one scientist with a wide rather … than narrow range of views and expertise
on the topic under review. … In the rare instances
where many more potentially relevant articles may be available than feasibly can … can be particularly important for
systematic reviews where absolute intake/response relationships rather … than relative intake
response relationships are needed to assess the public health importance of a
-
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
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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/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