- 
                                        
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave2.html
July 01, 2025 - Despite being more transparent and statistically grounded than contemporary deep learning models, tools … As such, referring to tools by their underlying model type rather than the broad label of AI may promote
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - decades to put research into practice.2  
Most grant-funding entities typically support basic research rather … than 
intervention or implementation studies. … that passive approaches to 
sharing information, such as conference presentations, were less effective than … Attracting users to the product, rather than 
pushing it on them, will enhance the dissemination effort … This does not suggest that researchers will become experts in dissemination, but 
rather that they will
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - 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.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - decades to put research into practice.2 
Most grant-funding entities typically support basic research rather … than intervention or implementation studies. … that passive approaches to sharing information, such as conference presentations, were less effective than … Attracting users to the product, rather than pushing it on them, will enhance the dissemination effort … This does not suggest that researchers will become experts in dissemination, but rather that they will
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Two hospitals surveyed less than 100 
percent of physicians. … codified and is highly context-dependent, organizational learning 
requires new knowledge creation rather … Rather, the organization must view reporting as a process, starting with 
establishing a nonpunitive … Rather, participating hospitals reported and shared ongoing initiatives to 
improve safety. … Rather, Patient Safety Consortium hospital 
participants emphasized that developing a culture of safety
                                     
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www.ahrq.gov/prevention/resources/vision/resources/vision2.html
October 01, 2002 - defined. 34  This prevalence, projected to over 13.5 million Americans aged 45 and older, is higher than … More than two-thirds of individuals with low vision are age 65 and older. … who apparently was not as involved in the project and tended to look for medical disorders of the eye rather … than refractive errors. … It focuses on functional rather than clinical indicators of vision problems. 34 
 The VF-14, a brief
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
November 02, 2017 - As survey length is critical, it might be preferable in 
some instances to decrease survey length rather … than improve alpha by adding items. … than 
systematic differences among hospitals. … than true differences in quality of 
care. … than patient residence.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - fewer than that. … He is unrelenting in pushing the 
hospital to become a market leader rather than just a safety-net hospital … Assignments described involved the use of 
traditional consulting approaches, rather than quality improvement … than how to do it. … than a team.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - • Fix systems: focus on improving systems, rather than blaming individuals. … than following the guide in order. … Finally, the title 
should include the concept that it is a “Step by Step Guide” rather than a “Toolkit … than to advise or direct. … Please take me through 
specifically what is different than what you did before.
                                     
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - “Rather than being the main instigators of an accident, operators tend to be the inheritors of SYSTEM … Seek to understand rather than to judge. 
 Ask clarifying and followup questions. … It may take more than one meeting and additional fact-finding to find all contributing factors. … Experiential learning with hands-on approach will be far more effective at motivating change than an
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - When staff make errors, this unit focuses on 
learning rather than blaming individuals........... 1 … Less than 1 year 
b.  1 to 5 years 
c.   6 to 10 years 
d.   11 or more years 
2. … Less than 1 year 
b.  1 to 5 years 
c.  6 to 10 years 
d.   11 or more years  
3. … Less than 30 hours per week  
b.   30 to 40 hours per week  
c. … More than 40 hours per week  
4.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - 3
Fewer than one death per 100,000 encounters
Nuclear power
European railroads
Scheduled airlines
One … death in less than 100,000 but more than 1,000 encounters
Driving
Chemical manufacturing
More than one … clinical change
Principles: Science of Safety
30
Accept that we will make mistakes
Focus on systems rather … than blame
Speak up if you have concerns listen when others do
Create clear goals, ask questions early … mistakes
30
This slide summarises the main message so far: Changing situations is more effective than
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
June 02, 2025 - reliability statistics (Cronbach’s alpha) based on 
the pilot test data from 202 medical offices and more than … This office is more disorganized than it should be. (negatively worded) 
C9. … Mistakes happen more than they should in this office. (negatively worded) 
F4. … In this office, getting more work done is more important than quality of care. … They make decisions too often based on what is best for the office rather than what is best for patients
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - and 2) an intervention schedule that limited scheduled shifts 
to 16 hours but required four interns rather … than the traditional three. … The report found that errors in healthcare should be seen as the 
results of complex system failures rather … 85 
hours per week, and 20% of residents work more than 90 hours per week. … This rather basic finding counters a prevailing notion within medical 
training environments that less
                                     
                                                                    - 
                                        
www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolA21.html
April 01, 2018 - interview script below includes questions that may or may not be asked, as it will serve as a guide rather … than a script for the interviews.
                                     
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
January 01, 2015 - Learning, rather than blame, is emphasized when mistakes are made. 
C5.
                                     
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/components.html
December 01, 2013 - experience, an experienced, master's-prepared health educator may be better able to "coach" parents rather … than "do for" them.
                                     
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-25.html
October 01, 2013 - N/A 
 
 
 Numerator: 
 N/A 
 
 
 Development & testing: 
 The interview to measure surgery-level (rather … than individual clinician-level) clinical linkages was developed, piloted, reviewed, and evaluated with
                                     
                                                                    - 
                                        
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-24.html
October 01, 2013 - N/A 
 
 
 Numerator: 
 N/A 
 
 
 Development & testing: 
 The interview to measure surgery-level (rather … than individual clinician-level) clinical linkages was developed, piloted, reviewed, and evaluated with
                                     
                                                                    - 
                                        
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/components.html
December 01, 2013 - experience, an experienced, master's-prepared health educator may be better able to "coach" parents rather … than "do for" them.