-
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
-
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
-
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
-
effectivehealthcare.ahrq.gov/sites/default/files/prostate-cancer-therapies-summary.pdf
September 01, 2020 - Summary
Main Points
• In men with clinically localized prostate cancer (CLPC) detected clinically rather … large increases in prostate cancer mortality compared with RP through 20 years among clinically,
rather … than PSA screen, detected CLPC. … • Metastases were often reported based on radiographic and PSA results in
asymptomatic patients rather … than PSA, detected CLPC.
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide05.html
October 01, 2014 - Update rather than a full rewrite.
Used very similar development process.
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompape.html
January 01, 2013 - Readiness Assessment
Moderating Factors Flowchart
Note : Units with rates greater than … 25 post-baseline were not excluded; rather, individual data points were set to missing (n=11 data points
-
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.
-
psnet.ahrq.gov/node/867336/psn-pdf
December 11, 2024 - tasked with increasingly complex care regimens as many care recipients
prefer to stay in their homes rather … than move to a residential facility. … On average, 13.5 medication errors per caregiver per year were self-reported, with more than half
of … Caregivers who cared for multiple recipients reported more errors than
caregivers who reported sharing
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
January 01, 2006 - is the estimate of how a hospital would perform on an indicator for an average case mix of patients, rather … than its
own case mix. … than its
own case mix. … than its
own case mix. … than its own case mix.
-
psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
September 29, 2017 - 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 events … of accountable care organizations may lead to reform in the liability system such that organizations rather … than individuals are liable for malpractice.
-
www.ahrq.gov/patient-safety/resources/simulation-issue-brief8.html
July 01, 2024 - References
Selected AHRQ Resources PSNet Collection search for “simulation” (contains more than … https://pubmed.ncbi.nlm.nih.gov/20389233/ The ethical imperative to use simulation, rather than experience
-
www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
February 01, 2016 - Rather, testing can and should be performed throughout the reporting cycle from development through implementation … Reports that include patient-level data are more actionable than those that do not, since the physician … Physicians are not being tested, but rather, the report is being tested. … interviews
Semistructured interviews are conducted one-on-one or in very small groups of no more than … Online surveys can be thought of as complementary to Web analytics, rather than as substitutes.
-
www.ahrq.gov/talkingquality/translate/display/index.html
May 01, 2019 - They also make your report appear to be for “academics” rather than ordinary folk. … Rather than display multiple responses in a segmented bar, offer only the response that is most relevant … than a bar in a different color. … For that reason, it is advisable to show no more than seven providers, or no more than seven measures … For example, rather than listing all the hospitals or medical groups in the State in one table:
Create
-
psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - Rather than a dedicated and resource-intensive rapid response team, this hospital required nurses to … a unique prototype for addressing failure to rescue initiatives that leverage existing resources rather … than creating new ones.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - The rates of the 21 MPSMS adverse events are expressed as a rate for the
whole sample population, rather … as a rate, and second, they are an estimate for four specific subpopulations of hospital patients
rather … than all inpatients. … In order to estimate MPSMS rates for all patients, rather than simply those
with one of the four diagnoses … estimated the adverse event rates for the 21 MPSMS HACs using data from patients
with all diagnoses, rather
-
psnet.ahrq.gov/node/854630/psn-pdf
October 18, 2023 - In
this study, more than 1,000 interdisciplinary rounds were observed to assess the extent and timing … Results show attending physicians had longer interaction times with
nurses than did residents or interns … Attendings were also more likely to elicit nurses' concerns rather than
waiting for nurses to bring
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
May 01, 2017 - 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
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-child-interventions_disposition-comments.pdf
February 11, 2013 - would be clearer if the the subheadings were
organized by trauma type or contest of interventions rather … than interventions
themselves. … TEP #4 General Finally, rather than declaring “no evidence was found” for commonly
recommended/used … or Family Violence” rather than more generally addressing the range of
traumatic stress reactions. … From my perspective
the review “counts up” the numerical results of the small set of RCTs rather
than
-
www.ahrq.gov/ncepcr/about/impact-stories/better-approach.html
April 01, 2025 - it is important for primary care practices to securely screen patients and offer support services, rather … than waiting until they show up in emergency rooms or urgent care centers with injuries … The use of a population-based approach to IPV screening (i.e., screening all eligible patients rather … than just those who present with a concern) in a primary care setting was a unique and important feature … The intervention’s screening process was more effective at identifying patients than nurse-led screening