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Showing results for "rather than".

1741. Treating Tobacco Use and Dependence: A Quick Reference Guide for Clinicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
      April 01, 2009 - However, the combination of counseling and medication is more effective than either alone. … However, the combination of counseling and medication is more effective than either alone. … For example, take a walk at break time rather than gaining weight. smoke and/or walk at lunch. … The average smoker years without any lives 10 years less than non-smokers. … both sexes; however, evidence is mixed as to whether NRT is less effective in women than men.

1742. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - operating room is a high-acuity patient care environment in which critical events occur more commonly than … Since its release, we have been able to confirm that the WHO Checklist has been adopted in more than … The checklists were studied in a simulated operating room rather than in an actual operating room with … cases were defined as those needing to start within 4 hours, whereas emergent cases required less than … Since the release of the checklists, more than 3,000 individuals downloaded them.

1743. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - However, concern is warranted that even a low BAC (less than 0.04%) and/or the performance impairment … Importantly, evidence suggests that hangover is “much more common” in light to moderate drinkers than … Anesthesia residents who slept no more than 30 minutes per night displayed impaired innovative thinking … maintaining interest in outcome; (6) showing insight into own performance; (7) remembering “when” rather … than “what”; and (8) communicating effectively.

1744. Episiotomy (Overuse): Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0083-fullreport.pdf
      March 01, 2016 - better outcomes with the use of episiotomies, and they sometimes result in more 5 harm than … • Median episiotomy is associated with higher rates of injury to the anal sphincter and rectum than … Measures that are more complex than those typically used in this literature are needed to understand … driven by local professional norms, experiences in training, and individual practitioner preference rather … than variation in the needs of individual women at the time of vaginal birth.

1745. Episiotomy (Overuse) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0083episiotomy.pdf
      March 01, 2016 - better outcomes with the use of episiotomies, and they sometimes result in more 5 harm than … • Median episiotomy is associated with higher rates of injury to the anal sphincter and rectum than … Measures that are more complex than those typically used in this literature are needed to understand … driven by local professional norms, experiences in training, and individual practitioner preference rather … than variation in the needs of individual women at the time of vaginal birth.

1746. Final Progress Report: Deployment of Enhanced Critical Imaging Result Notification (DECIRN) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
      January 01, 2025 - implemented at BWH, a 750-bed urban adult tertiary referral academic medical center in which more than … time-series and a before- after study design, which is commonly used for quality improvement studies, rather … than a randomized clinical trial (RCT).

1747. How are CHIPRA quality demonstration States supporting the use of care coordinators? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight09.html
      July 01, 2014 - permitted practices to access technical assistance with care coordination from DPH on an on-call basis rather … than deploying a care coordinator to the practice site on a set schedule. … Define CSHCN needs broadly so that a care coordinator focuses on more than just high-utilization patients

1748. Healthteamworks (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
      August 01, 2014 - They note that knowledge alone won’t bring about practice transformation; rather, “transformation happens … If a contracted organization wishes to send more than one employee to Coach University, HealthTeamWorks … placements Since August 2010, when HealthTeamWorks launched Coach University in its current form, more than

1749. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
      February 01, 2023 - diuretics or fluid management in acute respiratory failure requiring large flow rates of oxygen of greater than … However, the temperature increase should warrant a critical evaluation of the patient rather than an

1750. Cerner-Q-A-Session (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
      June 02, 2025 - When implementing automatic referral, we tried to take a broader approach, rather than looking at only … • This is a case where a picture or layout of your ideal report is much more valuable than a thousand-word

1751. Information to Help Hospitals Get Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
      February 08, 2018 - Affect the majority of patients in the hospital, rather than a few individuals or target groups. … their area of expertise, champions help achieve buy-in by engaging their peers on a different level than

1752. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - Simultaneously, workplace violence is four times more common in healthcare settings than in other private … Focus on implementing safety competencies to align with a larger system lens rather than individual

1753. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
      March 01, 2004 - The search term “nursing AND outcomes” was abandoned because it was too broad, with more than 4,500 … Thus, outlier indicator values do not necessarily indicate a problem, but rather identify a need to … will facilitate the determination of nurse staffing measures that are more conceptually appropriate than

1754. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
      May 01, 2023 - For easy access to the resources, keep the file open rather than printing it in hard copy because many … Some resources are duplicated and cross-referenced because they may apply to more than one composite

1755. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - The REDUCE MRSA Trial involved nearly 75,000 patients and more than 280,000 patient days in 74 adult … Rather, it is the soap and cleansing process for removing bacteria and binding to skin for persistent … Some ICU patients leave the ICU for a short time and return in less than 24 hours. … It is much better at removing bacteria than regular soap. …  Used in health care for more than 50 years.  Marked reduction in skin/room bacteria.

1756. Children With Disabilities Algorithm (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
      January 01, 2020 - Furthermore, parents of CWD are more likely than parents of children without disabilities to miss work … CWDA identifies a distinct subset of children based on functional impairments rather than intensity … The evidence that care quality for CWD is less than desirable stems from available research that has … However, surveys indicate that CSHCN are more likely to report poorer quality care experiences than … 10 percent, 10 percent to less than 75 percent, or 75 percent or greater.

1757. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - Hence, although diagnosis error remains more in the shadows than in the spotlight of patient safety, … perspectives: 1) Diagnosis as part of a system: Diagnostic accuracy should be viewed as a system property rather … than simply what happens between the doctor’s two ears. … Conservatively, more than 2% of patients had failed follow up of their abnormal results, with another … we do not look to our survey response as definitely showing the root causes of each of these error; rather

1758. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
      January 01, 2024 - interview seeks to find a positive core in people’s experience as a base for building on what works, rather … than focusing on the negatives through problem solving.7 The interview instrument (see Appendix 1) … It’s easier to get people to quick scan a brochure, than to ask them to read several pages. … may have been able to get a little further if we’d started closer to where others have left off, rather … than at the beginning.

1759. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
      October 01, 2011 - There was substan- tial attrition (62% by 9 months) because of higher than anticipated mortality and … Note: There was substantial attrition (at 9 months, 38% of participants remained) because of higher than … appropriate access- ing of the ED based on information in the IPC or contact with a care coordinator, rather … than worsened health status or poor access, because the increased ED use was coupled with decreased … Multifaceted interventions are more likely to be effective than those with only a single component (

1760. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
      February 01, 2005 - define subsets of newborns for whom the frequency of the outcome of interest was substantially higher than … In contrast, no such relationship was evident among deliveries occurring at less than 36 weeks. … known pre-existing comorbidities, the simple fact that an arterial blood gas measurement was obtained—rather … than any particular value of the pH or PaO2—would be indicative of a greater chance of error. … Because electronic scanning is more efficient than manual chart review, the number of cases brought