-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - The PfP is much more than a collection of hospital engagement network
(HEN) contracts. … These contractors successfully enrolled more than 3,700
acute care hospitals in the initiative and … An estimated 1.3 million fewer harms were
experienced by patients from 2010 to 2013 than would have … based on the full
cost of a hospital stay that included a fall or a hospital-acquired pressure ulcer, rather … than on the incremental cost due to the HAC.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - o
6 Most available
information is focused on the treatment of thrombosis rather than prevention.7
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
March 01, 2017 - They provide constructive feedback, and focus on how to prevent a problem from reoccurring rather than
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - An event is an injury to a resident that is caused by a medical intervention rather than by the underlying
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/about-pcmh-item-set-cg20.pdf
May 22, 2014 - In particular, these items should be asked of all patients rather than a
subset (e.g., only those patients
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
September 01, 2015 - Care teams blend multidisciplinary skills, focusing several people’s insights,
rather than a single
-
www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - significantly more favorable, resulting in lower mortality
rates, shorter lengths of stay, and lower charges than … “Once children are
critically ill or injured, their bodies will respond differently than adults in similar … Documented and frequent (happens once a month)
F4 Very Frequent Documented, occurs routinely (happens more than … Rather than “reinventing the wheel” in each case, this analysis recommends
consultation from individuals … The Need
“Children are not just little adults”; rather, a number of research findings suggests that
-
www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - a pharmacist’s review of medication orders
within 24 hours, and 43% had a pharmacist onsite fewer than … organizations to learn from their experience by
providing independent, expert analysis focused on systems rather … than individuals.3 In 1998, the
United States Pharmacopeia (USP) established MEDMARX, the nation’s … Over 870 hospitals and health systems
have submitted more than 1.3 million medication error records … No significant differences in error rates were found between large hospitals of
more than 100 beds,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
March 01, 2016 - They are designed to complement,
rather than replace, counseling from a health care clinician and
are
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-hospital-linkage-techdoc.pdf
January 01, 2023 - No hospital is linked to more than one health system. … Rather, the file includes a single entry
for the CCN in these cases. … less than 0.25. … Are accurate bookmarks provided for documents greater than 9 pages? … Is the document free from content that flashes more than 3 times per second?
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - demonstration (2010–2015) was quality improvement collaboratives, which
12 states offered to more than … quality improvement (QI) collaboratives for primary care practices, which 12 states offered to more
than … of as three slightly over
lapping circles (because some features could logically appear
in more than … shown as overlapping circles because some aspects of collaboratives could logically fall into more than … time at in-person meetings to identify and discuss possible
practice changes,15 in-person meetings (rather
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - risk-reduction strategy.1 Medical error
reporting has focused historically on the individuals involved, rather … than the
systems and processes that allowed the error to occur. … routinely reported five or fewer medication events per
month, while others consistently reported more than … all reports to the DoD PSC are made anonymously, no distinguishing
facility characteristics other than … More than 70 system improvements have
occurred just since 2002, including the graphical user interface
-
www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - In this view,
diagnosis is not the result of solitary thinking but rather a process that occurs through … This structure means that a nurse taking care of a patient is more likely than a physician to observe … may need to be revised or
reconsidered.12,29
For example, because nurses care for fewer patients than … between physicians and nurses.
7
e
Second, bringing clinicians of various types together more than … ‘More than words’ - Interpersonal communication, cognitive bias,
and diagnostic errors.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - In this view,
diagnosis is not the result of solitary thinking but rather a process that occurs through … This structure means that a nurse taking care of a patient is more likely than a physician to observe … may need to be revised or
reconsidered.12,29
For example, because nurses care for fewer patients than … between physicians and nurses.
7
e
Second, bringing clinicians of various types together more than … ‘More than words’ - Interpersonal communication, cognitive bias,
and diagnostic errors.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - More than
25 million hospital patients across the United States receive peripheral
intravenous catheters … safety
Overall complication rates associated with VAD catheter placement have been
estimated at more than … course materials (i.e., links to
animated PowerPoint® files), external sources for material other than … and adapts to new situations using a combination of concrete experience and
active experimentation, rather … than theoretical learning.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - Total 3,443 100%
Missing 240 --
Overall Total 3,683 --
Tenure in Nursing Home Number Percent
Less than … This
reporting of the data at the nursing home level, rather than the respondent level, is important … Although your nursing home’s survey results might have higher
percent positive results than the report … falls above the 75th percentile (but below
the 90th), meaning that your nursing home scored higher than … is 65 percent positive, it falls above the 90th percentile, meaning
your nursing home scored higher than
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - One study found that more than 70 percent of adverse events are caused by breakdowns in communication … Although nurses may voice concerns about shift report taking too long, it should be quick (no more than … This way, the choice is up to the patient rather than an assumption by the nurses. … Emory held seminars to train more than 400 staff from across the four hospitals. … In fact, counter to their expectations, bedside shift report typically took less time than conducting
-
www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
January 01, 2024 - environmental services workers,
secretaries, chaplains, and social workers, may have had different experiences than … Those interviewed were
predominantly experienced healthcare workers with more than 4 years of experience … within an ER setting, peers will step up and assist one another while at the same time
recognizing less-than-optimal … This pattern indicates the opinion of management
is reactive rather than proactive and may prioritize … HRV results may reflect a non-subjective measure of stress on physician participants more
accurately than
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - Total 3,443 100%
Missing 240 --
Overall Total 3,683 --
Tenure in Nursing Home Number Percent
Less than … This
reporting of the data at the nursing home level, rather than the respondent level, is important … Although your nursing home’s survey results might have higher
percent positive results than the report … falls above the 75th percentile (but below
the 90th), meaning that your nursing home scored higher than … is 65 percent positive, it falls above the 90th percentile, meaning
your nursing home scored higher than
-
www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
November 07, 2023 - integrated at the application layer, such as through an enterprise
identity service as described above, rather … than through network authentication
(e.g., a virtual private network). … Contractors explicitly configure endpoints
to use contractor-designated encrypted DNS servers, rather … than relying on
automatic network discovery.