-
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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Commission errors are less common than
omission errors.3
The problems associated with medical errors … The TR & R Project measures compliance with the prompts—
rather than prelearned algorithms—using video … Recognition of preventable error is usually retrospective rather
than current.
8
9
TR & R Software … radiographs into the
LCD screen display and multisite or even mobile wireless “heads up” displays rather … than a
single screen.
-
www.ahrq.gov/news/blog/ahrqviews/ahrq-launches-pcor-strategy.html
July 01, 2023 - Advancing health equity should be a guiding principle applicable to all framework areas rather than
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-overview/slide.ppt
May 07, 2008 - Update process started 7-1-06
Scope remains the treatment of tobacco use and dependence
Update rather … The 2008 Guideline was designed to update rather than totally rewrite the 2000 guideline. … This table indicates all the medicines that were found more effective than the patch. … Rather there just isn’t sufficient consistent research to enable a recommendation. … Rather the characteristics of the health care setting may dictate that the 5As be provided by a team
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - So the CPQ staff decided to proceed with solutions based more on
people and paper than on technology … Rather, the CPQ staff continuously examined the best approaches, methodologies,
and techniques from … practice of
multidisciplinary approaches to improving outcomes and patient safety became
intuitive—rather … Rather, it was done to
provide the organization with a WCHOB-identifiable approach to improvement, … The CPQ staff adopted the use of pADEs
as the measure of risk to patients, rather than the traditional
-
www.ahrq.gov/sops/international/hospital/translators-version-2.html
October 01, 2024 - We revised items as appropriate and pilot tested the draft survey with more than 4,300 hospital providers … Staff in this unit work longer hours than is best for patient care. … float, or PRN staff (contract staff, staff from other units or floors, or nonpermanent staff) more than … When staff make errors, this unit focuses on learning rather than blaming individuals. … item: When staff make any errors or mistakes, supervisors/managers don’t immediately blame staff, but rather
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - Response to Mistakes Staff are told about patient safety problems, learning rather
than blame is emphasized … Learning, rather than blame, is emphasized when mistakes are made.
78% 79%
C5. … Learning, rather than blame, is emphasized when mistakes are made.
76% 84%
C5. … Learning, rather than blame, is emphasized when mistakes are made.
79% 82% 77% 76%
C5. … Learning, rather than blame, is emphasized
when mistakes are made.
95% 91% 88% 73% 66% 67%
C5.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3c.html
July 01, 2017 - literature on hospitals focuses on dissemination of quality improvement strategies within a hospital, rather … than strategies to disseminate to hospitals. … One noted that the focus should be "a lot lower than where smart people would like to go."
-
www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-lit-review.html
January 01, 2017 - SSD-ETTs in patients mechanically ventilated for more than 72 hours
1. … Recommends the use of ETT with subglottic secretion drainage ports for patients likely to require more than … Subglottic secretion drainage is recommended for patients requiring mechanically ventilation for more than … Related to other medical features, rather than VAP.
Neither ICU LOS or mortality differed.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-slides.pptx
January 01, 2017 - Mechanically Ventilated Patients
3
SSD-ETTs1
SSD-ETTs in patients mechanically ventilated for more than … Recommends the use of ETT with subglottic secretion drainage ports for patients likely to require more than … Subglottic secretion drainage is recommended for patients requiring mechanical ventilation for more than … , 25 (58.2%) experienced a VAC
VAC did not differ between groups
Related to other medical features, rather … than VAP
Neither ICU LOS or mortality differed
Only VAC associated with increased mortality
9.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
July 01, 2004 - These respondents wanted
to work with, rather than confront, their health care providers. … Step 4 in the fact sheet, for example, was modified to clarify a reference to a
choice of hospitals, rather … than a choice of treatments. … They thought it referenced falls and accidents of the sort that
occurred in medical settings, rather … than errors in care.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
January 01, 2017 - ATS recommends that patients should be kept in a semi-recumbent position, between 30 and 45 degrees, rather … than supine to prevent aspiration. … for paired daily SATs
and SBTs
• Registered Nurses and Respiratory Therapists
ini=ate SATs/SBTs rather … Thoracic Society4
Recommends that pa=ents should be
kept in a semi-recumbent posi=on
(30-45 degrees) rather … than supine to
prevent aspira=on.
3.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
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
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - asks “how often the office
staff treated the patient with courtesy and
respect” was 9.77% higher than … Each service cabinet is
chaired by local leadership rather than by the
service department. … Week
Three
Hallway Wherever possible, walk alongside
patients rather than in front of
them.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - asks “how often the office
staff treated the patient with courtesy and
respect” was 9.77% higher than … Each service cabinet is
chaired by local leadership rather than by the
service department. … Week
Three
Hallway Wherever possible, walk alongside
patients rather than in front of
them.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
September 01, 2016 - Perhaps more importantly, the CSRs can make
changes on the member’s behalf rather than
work through … The CSRs are expected to
bring their manager proposed solutions rather
than problems. … • An abandonment rate of less than 3 percent
(defined as the members who call and
neither leave a voicemail
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apviia.html
June 01, 2010 - Focus on Individual Measures Rather than Instruments. … narrowly, identifying and gathering information on existing performance measures of quality services rather … than on the instruments of which the individual measures are a part. … narrowly, identifying and gathering information on existing performance measures of quality services rather … than on the instruments of which the individual measures are a part.
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
January 01, 2014 - efficiency by having States build the infrastructure for quality improvement through small partnerships rather … than individually. … “New Mexico and Colorado are approaching implementation more similarly than differently. … States are more apt to benefit from partnering when each brings complementary rather than equivalent … Be prepared for project activities to take a bit longer than they might if a State were “going it alone
-
www.ahrq.gov/ncepcr/tools/public-reporting/guide1.html
August 01, 2018 - For example, "effective and appropriate treatment" is easier to understand than the label "ACE inhibitors … Figure 2 shows how to present data that include more than one variable, such as cost and quality. … Facing a sea of numbers can be daunting for them, so using symbols rather than numbers can help. … This is the way that most people will use the data, rather than differentially weighting according to … , even though simpler to produce, does not allow this customization and is therefore less preferred than
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - We revised items as appropriate and pilot tested the draft survey with more than 4,300 hospital
providers … Staff in this unit work longer hours than is best for patient care. … float, or PRN staff (contract staff, staff
from other units or floors, or nonpermanent staff) more than … When staff make errors, this unit focuses on learning rather than blaming individuals. … item: When staff make any errors or mistakes, supervisors/managers don’t
immediately blame staff, but rather