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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
June 02, 2025 - Rather than looking for the one reason for the readmission, capture all the factors that contributed … It shouldn’t take more than 5 minutes. Would that be okay with you?” … reconciliation; such services may exist for some patients but not others or may be delivered as available rather … than consistently).
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/communication-strategies-fac-guide.html
February 01, 2017 - For instance, focus on specific tasks of performing spontaneous breathing trials rather than general … These negative views are gifts, rather than inconveniences. … This safety program is based on a grassroots approach from the ground up rather than top down lightning … Hopefully, they are more boring for the speaker than for the listener. … Rather than frame your request as all or nothing, provide intermediate options and what each option would
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psnet.ahrq.gov/node/43695/psn-pdf
August 02, 2015 - in malpractice claims), and administrative compensation systems (which
use an adjudication process rather … than usual courts) will all play a larger role and lead to more rapid
resolution following adverse … accountable care organizations may
lead to reform in the liability system such that organizations rather … than individuals are liable for
malpractice.
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - More than one-third of in-hospital falls result in injury, including serious injuries such as fractures … rules for identifying high-risk
patients, but none has been shown to be significantly more accurate than … They include:
Multidisciplinary (rather than solely nursing) responsibility for intervention. … Staff and patient education (if provided by health professionals and structured rather than ad hoc). … Provision of safe footwear (rather than solely advice on safe footwear).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
June 02, 2025 - starting a statin regiment include:
– Primary care clinicians focus on LDL (bad) cholesterol levels rather … than an individual’s overall
cardiovascular risk
– Patient reluctance to start a new medication
… Interventions that are directed at clinicians to promote statin prescribing (rather than aimed at
patients
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixC_Comm_Tech_For_AA_Women.pdf
June 16, 2021 - 3
To what degree would you rather have talked to a doctor or nurse than Gabby? … To what degree would you rather have talked to a doctor or nurse than Gabby?
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
July 01, 2023 - the Hospital Survey on Patient Safety Culture) based on a unit’s assessment of patient safety culture rather … than the summary scores (e.g., safety climate). … can be an issue for which the average response is three or below or a domain score that shows less than … This is not a meeting to rationalize or justify concerns, but rather a time to focus on identifying opportunities
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - incorporated a negative outcome or a deviation from standard of practice into their error definition rather … than analyzing the event independent of those factors. … of a safety culture and the need to redefine errors as opportunities for learning and improvement rather … than individual or isolated events.
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www.ahrq.gov/talkingquality/distribute/placement/channels.html
January 01, 2023 - Rather than imposing your strategy on these organizations, you want it to be something that responds … cultivate a relationship with these “brokers” so that you are in a position to push information out to them rather … than waiting for them to ask. … Ideally, distribution brokers provide more than just a channel for your quality report. … your audience may visit when searching for information on health care, which they do far more often than
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - safety because they
identify and address underlying system issues that have caused or could cause harm rather … than merely
addressing the immediate symptoms of a problem. … than as a genuine tool for
improvement.3 As a result, RCA was often a "check-the-box" activity, losing … than systemic improvement. … Rather than being a rigid framework,
the toolkit can be used in part or as a whole, making it highly
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
October 01, 2004 - Human Factors Engineering Approach
Rely on improving design of artifacts in the world rather than relying … 25%
Mechanical vaporizer lock—prevents activating more than one vaporizer delivering a volatile … Permanently fix Christmas tree adapters to the correct flowmeter
Use clear Christmas tree adapters rather … double check the flowmeter and tubing connections
Implement engineered safety devices when possible rather … than procedural forcing functions
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkitapc.html
March 01, 2014 - While the original diabetes prevention program research study cost more than $5,000 per participant ( … due to personalized counseling and incentives), the group-based DEPLOY model averaged less than $500 … YMCA Diabetes Prevention Program courses are taught by trained laypersons rather than health care professionals … However, the training is extremely thorough and focuses on helping individuals make decisions to change rather … than offering information in a typical didactic style.
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digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/annual-summary/2010
January 01, 2010 - Such risks are compounded during emergency visits, when patients may use the nearest available ED rather … than their usual source of care. … closed exchange strategy that required customers to agree to an unlimited geographic scope of exchange rather … than a regional exchange. … Rather, meaningful use criteria are being established by the Federal government to drive deployment of
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www.ahrq.gov/evidencenow/projects/urinary/wi-intuit-interview.html
November 01, 2024 - Because the practices we worked with volunteered to participate in our project, rather than being “voluntold … Like UI, depression is a stigmatized condition for which we rely on patient questionnaires rather than
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-guide.docx
January 01, 2017 - For instance, focus on specific tasks of performing spontaneous breathing trials rather than general … These negative views are gifts, rather than inconveniences. … This safety program is based on a grassroots approach from the ground up rather than top down lightning … Hopefully, they are more boring for the speaker than for the listener. … Rather than frame your request as all or nothing, provide intermediate options and what each option would
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - than long-term care? … However, such admissions would normally be to a rehabilitation
facility rather than to an acute care … One panelist suggested examining wound infections rather than infection due to
prosthesis use. … Although there may be concomitant mental illness,
it may be behavior, rather than a mental health exacerbation … Another panelist suggested examining wound infections rather than infection due to
prosthesis
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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-Dickerman_84.pdf
June 04, 2008 - Designers appear to be taking “solution based” approaches rather
than using intensive, focused research … than
the fault of individuals. … In other words, causation is related to the design of systems and to the
culture of care, rather than … It might mean
that work environments
would need to be suitable for
computer monitors rather than … Health care now tends to focus on the illness of
the patient rather than on his/her care.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact4.html
July 01, 2024 - Systems designed to use medical terminology or international medical coding systems rather than free … operationalized in medical practice, is a natural part of medicine and more common in primary care than … ensure that reported data and reimbursement accurately represent the patient population under treatment, rather … than solely reflecting the completeness of coded data.
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection … Edmondson proposes that, rather than examining errors and accidents in health care on an individual or … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection
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www.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
January 01, 2023 - Comparing to the Community Average
Many members of the public think that "average" is "mediocre," rather … than defining it in formal statistical terms. … A provider with a much higher score than average could still be doing quite poorly and one with a much