- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
November 29, 2004 - Conclusions: Medical errors in adults with diabetes are 
the norm rather than the exception. … +Drug-fill date more than 4 weeks after test date. … Diabetes Association for high-quality diabetes care, medical errors in adults with 
diabetes were the norm rather … than the exception. … In adults with diabetes, medical errors are the rule rather than the exception, even 
in medical groups
                                     
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www.ahrq.gov/sites/default/files/2024-07/seid-sobo-report.pdf
January 01, 2024 - Standardized scores greater than –1.96 were classified as “better  care,” and standardized 
scores  less … than –1.96 (N =147, 4.3% of the sample) were classified  as  “worse care.” … standard ethnographic or qualitative methodology, most of the codes were derived from the 
data itself rather … than pre-determined. … Parents want their child’s doctor to be more thorough – rather than taking a cursory and 
isolated look
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Rather than expecting staff to complete yet another task with the information falling into a black hole … several multisite studies that found preoperative briefings to be effective when done as intended, rather … than perfunctory ticking off the boxes. … than the checklist. … If a protocol requests information at the wrong point in time, it interrupts the case rather than supporting
                                     
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
March 01, 2022 - , and assessment of diagnostic reasoning. 14 , 15 
 Many believe that focusing on diagnostic teams, rather … than an individual, may ultimately have major positive impact on diagnostic outcomes. 16  Teams benefit
                                     
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www.ahrq.gov/evidencenow/evaluation/publications/supplement.html
August 01, 2018 - Among patients with a history of heart disease, less than 50 percent met heart health targets for aspirin … that solo clinician primary care practices were more likely to meet the aspirin and cholesterol goal than … practices with more than one clinician. … psychological safety, and lower staff burnout, though the effect was largely driven by clinic staff rather … than clinicians.
                                     
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - 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. 
   
 
   18.
                                     
                                                                    - 
                                        
www.ahrq.gov/funding/grant-mgmt/noncomp.html
November 01, 2015 - funded (MYF) awards (awards in which the budget period and project period are the same and are longer than … funded (MYF) awards (awards in which the budget period and project period are the same and are longer than … Recipients of MYF awards will continue to submit paper PHS 2590 Non-Competing Continuation Progress Reports, rather … than RPPRs, until instructed otherwise. … If recruitment is lower than expected, discuss steps to be taken to reach the anticipated recruitment
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/027-evaluating-cleaning-data-collection.docx
October 01, 2024 - aggregate of the department level (building) to give a high-level picture of how the process is evolving, rather … than individual unit, room, or surface level.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-pcip-staff-ny.pdf
June 02, 2025 - What are 
some reasons you decide work in a small practice rather than a large health center or medical … (e.g. through formal regular meetings with the clinicians 
(if more than one) or more informally?)
                                     
                                                                    - 
                                        
www.ahrq.gov/talkingquality/resources/design/advice.html
December 01, 2022 - Training for design professionals tends to focus on technical skills and aesthetics rather than conveying … Some team members may want to include more information about the calculations and the numbers than you … Showing pictures to your designer can be more effective than struggling to describe a particular “look … If the costs run higher than expected, you'll want to know right away so that you can adjust the scope
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
June 24, 2022 - CMS	Design_control	Use of contemporaneous control groups (rather than historical controls) in order to … CMS	Design	Prospective (rather than retrospective) studies to ensure a more thorough and systematical … than marginal or short-lived. … CMS	Design	Prospective (rather than retrospective) studies to ensure a more thorough and systematical … grace 5.1	Design_outcomes	Choose a primary clinical outcome(s) that is measured objectively rather than
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
October 01, 2019 - ◦ For example, using an encounter, rather than continuous 
enrollment (often used at the health … This allows for more clear 
attribution of differences in performance to the QI interventions 
rather … than to the contextual factors. … control–create 
the potential for unadjusted performance scores to reflect 
differences in case mix, rather … than differences in quality of care
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
December 01, 2015 - All infants born in a medical 
facility with birth weights less 
than 2,500 grams and admitted 
to a … temperature as over a range of the variable, making clinically appropriate differentiation 
along the range, rather … than forcing it into a dichotomy, which is not consistent with clinical data and which 
invites controversy … ● The measure is more robust than historical approaches to measuring hypothermia. … In other words, a one category change is less consequential than the difference between normal 
and abnormal
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
May 01, 2024 - In addition, diagnostic error may result in serious harm to more 
than 500,000 Americans each year across … decision-making flexibility,11 is associated with 
task errors,12 and can promote default thinking rather … Rather, most measurements rely on subjective 
retrospective tools such as self-reported questionnaires … than 
assisting in diagnostic accuracy, can instead lead to cognitive overload and inaccurate decision … than retrospectively.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - By using the EMR to populate the 
reports rather than relying on hand calculations, staff 
can monitor … Jones’s treatment history is not 
known other than that her current treatment has been 
in place for … Jones and to plan changes in care while 
the team was assembled for rounds rather than later in 
the … available roles, assign 
participants to more than one role; if there are more participants 
than roles … o Facilitators can reassure the team that their goal is not 
to add more work but rather to help the
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
January 01, 2017 - Ventilated Patients
11
Conventional Rounds	
Encounter communication defects frequently
Are provider- rather … than patient-centered
Use divergent discussion (brainstorming) rather than convergent discussion (explicit
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
July 01, 2017 - project, the MEMO—Minimizing Error, 
Maximizing Outcome—Study (AHRQ grant HS11955), 
found that more than … Nearly 
a third felt they needed at least 50 percent more time than 
was allotted for this patient care … investigators 
found it was the organization that burned doctors out that 
led to lower quality care, rather … than the burned-out 
doctors themselves. … Recent preliminary findings from ESCALATES, the 
EvidenceNOW national evaluator, indicate that more than
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
June 02, 2025 - Staff in this unit work longer hours than is best for patient care. (negatively worded)  
A5. … When staff make errors, this unit focuses on learning rather than blaming individuals.  
A13.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
September 01, 2025 - Incentives can be realigned to support whole-
person care rather than high-cost treatments for individual … Create a model for multiple shorter conversations rather than a single 
session, such as visits used … • Shift toward value-based payment models that incentivize patient outcomes rather than 
volume. … Aligning incentives with long-term 
patient well-being rather than short-term cost savings is key. … AI and EHR 
improvements should prioritize patient engagement rather than administrative efficiency,
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-ltvv-facguide.docx
January 01, 2017 - The next intervention is to implement positive end-expiratory pressure (PEEP) greater than or equal to … 5 cm H20, rather than zero end-expiratory pressure. … Fourth, aim to maintain plateau pressure at less than or equal to 30 cm/ H20.