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361. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
     January 01, 2020 - In this study, more than 1 percent of those with a score of 3 experienced a pulmonary embolism. … More than 1 percent of patients with a score of 3 experienced pulmonary embolism. … ambulate outside room independently" or "ambulates at least 50 feet" and look at current ambulation, rather … than predicted ambulation. … Variations: Variation: Use cutoff of ≥3 for definition of high risk, rather than ≥4.

362. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - Most errors in health care are slips rather than mistakes. … sample checklist are presented in sequential order; this is done to ensure that no steps are missed rather … than to dictate a rigid sequence of events. … Seek to understand why, rather than assign blame.

363. The CAHPS Ambulatory Care Improvement Guide: Open Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
     March 01, 2017 - According to researchers at Geisinger Health System, more than two-thirds of patients who took medication … an unfamiliar reference to “congestive heart failure” might think it refers to an actual failure rather … than a manageable heart condition … For example, less than 8% of doctors reported taking more time to address patients’ questions outside … of scheduled visits, and less than 20% of doctors reported taking more time writing notes.6 Despite

364. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - 2014 National Quality and Disparities Report showed that more Americans are getting safer care now than … adverse event reporting systems (with a few exceptions) are designed to be used by health care providers rather … than consumers. … resolve discrepancies or inconsistencies, and assess the attribution of symptoms or complications to care rather … than to the natural history of disease.

365. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
     October 01, 2015 - The Challenge of Impact Analyses In addition to listing more than 100 potential questions that the … For example, several States focused on a narrow range of PCMH transformation activities, rather than … For example, Wyoming spent more than 3 years of the grant designing and developing the administrative … In most cases, they indicated that they would be willing to collaborate on Webinars during the fall, rather … than during the summer.

366. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-summary.html
     July 01, 2013 - field that is relatively underdeveloped, the Roadmap is meant to provide direction for next steps, rather … than a definitive vision of the ultimate research and measurement goals.

367. Appendix B.1: Evidence on Effectiveness | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apb1.html
     July 01, 2013 - consequence, many of the gaps identified by the panel were essentially described as general research needs, rather … than as discrete gaps in evidence, which, if filled, would answer specific research questions.

368. Let Consumers Select Measures or Measure Categories To Compare | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/web/pathways/measures.html
     October 01, 2015 - to present this kind of option in a way that makes sense to someone whose computer literacy is basic rather … than advanced.

369. Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/3_rachel_grob.pdf
     June 02, 2025 - www.cahps.ahrq.gov Learning from Patient Comments: Fulsome Accounts 1 30 • Fulsome: A relative rather … than absolute standard • • Each patient describing what matters to them Comparing elicitation

370. Final Progress Report: Analysis of Factors Associated With Clinical Checklist Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
     January 01, 2024 - than on individual interactions with the checklist. … than at the time it was actually performed. … Aim 2 Our analyses have shown that the three noncompliant checklist behaviors were not random but rather … Rather, to adapt the checklist content for critical scenarios or to alert users of skipped tasks, the … Implementing a surgical checklist: more than checking a box.

371. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
     December 01, 2004 - than independent clinicians practicing in the same location and sharing support services. … When the unit of analysis is the group practice, the ownership of the practice, rather than the clinic … than level of compensation, on patient care practices. … First, some practices consider an EMR to be a computer-based supplement to a paper record rather than … For this reason, the EMR may be most informative with respect to the process, rather than the outcome

372. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - where staff fear punishment and may try to hide adverse events, unsafe conditions, and near misses rather … than reporting the hazards to help improve the system. … “note taker” is extremely helpful so that the main interviewer can concentrate on the conversation, rather … than on taking adequate notes. … Positive phrasing means "do you remember…" rather than "you wouldn’t remember whether…"  The interview

373. Studies Summarize Current Evidence on Tools to Treat, Diagnose ADHD Symptoms in Children | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/906.html
     March 01, 2024 - The researchers found that dental visits fell more than 80 percent, ophthalmology visits declined 71 … specialist physician visits recovered; however, primary care and dental visits remained 12 percent lower than … , focus on personal relationships and remain flexible to accommodate practices’ most pressing needs rather … than be tied to a specific disease or initiative, according to a commentary in the Annals of Family

374. SOPS® Medical Office Survey Data Submission Is Open September 2–19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/972.html
     August 01, 2025 - The report synthesizes findings from more than 750 studies on the relationship between breastfeeding … In an AHRQ-funded study published in PLOS ONE, researchers analyzed more than 312,000 hip and knee replacements … hospital stay decreased for all patient groups, and more patients were discharged directly to their homes rather … than to a rehab facility.

375. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - Once considered a death sentence, AIDS is now a chronic disease, and we can now expect to live longer than … than an art, providers can focus on health care delivery processes using evidence-based practices. … step toward realizing that medical errors, in large part, don’t belong to individual providers, but rather … When we focus on systems, rather than individuals, we realize that we can redesign care and delivery … Please note that the tool does not ask how an individual provider will harm a patient but rather, seeks

376. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
     January 01, 2003 - care organizations have implemented continuous quality improvement programs that focus on systems, rather … than individuals, barriers remain in MAE reporting. … • When med errors occur, nursing administration focuses on the individual rather than looking at … care organizations have implemented continuous quality improvement programs that focus on systems, rather … than individuals, barriers remain in MAE reporting.

377. Measuring the Quality of Physician Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/physician/index.html
     September 01, 2019 - Results for a broad topic (rather than individual measures) are more understandable to consumers and

378. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
     March 27, 2008 - processes will never yield simplicity; and the recognition that communication is not a single function but rather … Standardization can enhance handoffs, not in the manner commonly espoused in health care, but rather … Additionally, with verbal repetition, rather than written transmission of highly specific numerical … end” of care is that they can be tailored to the clinical work setting, where the transitions occur, rather … than being mandated from administration or external regulators.

379. Research Administration | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/administration.html
     March 01, 2021 - beginning, recruitment was a major challenge for cooperatives, and took much longer and more resources than … examined cooperatives’ recruitment efforts, and found that an individual strategy was insufficient alone, rather

380. Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
     January 01, 2025 - the complexities of the care environment or are designed with a focus on administrative functions rather … than patient care functions (e.g., record keeping; billing). … In this phase, more than 35 of the concepts were selected for further refinement. … Because the scope of the project focused on overall ED management and flow, rather than on individual … Usability and usefulness ratings were high (greater than 6) for 97% of questions.