-
psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - Health care organizations were introduced to this accident investigation technique in the mid-1990s. … In health care, errors are seen as character flaws. … To achieve a highly reliable and safer health care system, we need a hospitable soil where the seeds … Catonsville, MD: Office of Health Care Quality, Department of Health & Mental Hygiene; December 2007. … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - in the Pediatric QI Toolkit to
gain a better understanding of the factors contributing to CLABSIs in … The
results of the gap analysis revealed the areas in which the hospital’s practices diverged from … Highlighting this issue helped to get the
necessary buy-in from the head of the hematology/oncology/ … off its
use of the Toolkit in June 2015. … & Prevention National
Healthcare Safety Network definition of CLABSI rather than the AHRQ specifications
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
June 17, 2014 - Importance of the Measure
In the following sections, provide brief descriptions of how the measure meets … Similarly, children
with special health care needs—many of whom are enrolled in Medicaid—are less likely … together, cover all settings, services, and topics of health care relevant to children. … relationship(s) among the structure, process, and/or outcome of health care that is the focus
of the … Special Health Care Needs
This measure does not address any disparities related to special health care
-
hcup-us.ahrq.gov/toolssoftware/util_flags/utilflag.jsp
July 01, 2025 - a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project … utilization of services rendered in healthcare settings such as hospitals, emergency departments, and … In administrative healthcare data based on claims, use of services may be reported using ICD-9-CM procedure … The SPSS version of the program requires that the revenue codes be included in the same file as the procedure … In addition, the utilization flag definitions have not been modified to account for the use of Healthcare
-
effectivehealthcare.ahrq.gov/sites/default/files/outcome-definition-and-measurement-chapter-6.pptx
January 01, 2013 - assessments by health care providers, objective measures are those that are not subject to a large degree … health care providers, and over time. … care system
How a patient presents for medical care provides insights about appropriate data source( … Interactions With the Health Care System
One should first determine the source of reporting or detection … Both the patient’s and health care provider’s perspectives are needed to determine if the minimal difference
-
effectivehealthcare.ahrq.gov/sites/default/files/infectiousdisease_hi_impact.pdf
December 01, 2013 - health care system. … as
having potential for high impact on some aspect of health care or the health care system (e.g., … and demands on the health care system in the long term. … demands
on the health care system in the long term. … health care system.
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-ny-success-story.html
April 01, 2015 - The IMPaCT learning sessions helped develop a statewide patient-centered medical home (PCMH) model augmented … In addition, State Medicaid policy was squarely in support of the medical homes. … at United Hospital Fund, a nonprofit whose mission is to change health care for the better for the people … Burke’s reports on medical home uptake in New York caught the attention of Bob Gabbay, MD, PhD, the Principal … early progress in spreading the medical home in New York, by 2013 it became clear that uptake was dropping
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/recruitment-and-retention-toolkit.pdf
January 01, 2019 - In addition, due to the need for additional outreach efforts, the cost
of recruiting practices was … Physician Quality Reporting
System (PQRS), Patient Centered
Medical Home (PCMH), and Meaningful … providers, different types of primary care practices,
and in various regions of the country. … the current healthcare
landscape. … center of our Nation’s healthcare system.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017072-lobach-final-report-2011.pdf
January 01, 2011 - has been identified as a promising
strategy for improving the quality and safety of health care. … the impact on utilization of health care services and costs. … For this analysis to explore the effect of the interventions on the
health care system, we used both … HIE could allow more extensive
patient-focused care management external to clinics in venues such as … , efficiency and even outcomes of healthcare delivery in the United States
and abroad.
18
AHRQ
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/fNXdu3HGvWE-ovsuhNeANW
April 01, 2012 - make informed decisions about the provision of health care services. … This report may be used, in whole or in part, as the basis for the development of clinical practice … In 2004, ovarian cancer was the eighth leading cause of cancer diagnosis in women, and the fifth … Role of the Funding Source
The work of the USPSTF is supported by the Agency for Healthcare Research … It is
also possible that variation in health care providers is a source of some of the difference;
-
psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency
April 24, 2018 - March 24, 2019
Handoffs in the era of duty hours reform: a focused review and strategy … to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements … July 2, 2014
Evidence review conducted for the Agency for Healthcare Research and Quality … the context of radiological examinations. … May 24, 2023
Reducing diagnostic errors in the emergency department at the time of patient
-
psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout
January 07, 2011 - September 8, 2021
The role of organizational and professional cultures in medication … safety: a scoping review of the literature. … January 15, 2020
The aspects of healthcare quality that are important to health professionals … April 5, 2023
Tackling implicit bias in health care. … November 11, 2020
View More
See More About The Topic
Health Care Executives
-
psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
July 03, 2014 - November 26, 2014
The importance of leadership in preventing healthcare–associated infection … September 15, 2010
How active resisters and organizational constipators affect health … care–acquired infection prevention efforts. … July 13, 2009
The use of a CPOE log for the analysis of physicians' behavior when responding … Health Care Providers
Quality and Safety Professionals
General Internal Medicine
Hospital
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - Chief of Medicine at the Ann Arbor VA Healthcare System. … It used to be the most common healthcare associated infection, now it’s one of the most common healthcare … room we find that between 20-50 percent of the time when being observed, healthcare workers, and it … and documenting competency of healthcare workers who are doing the insertion. … I think there could be some relevance to us in healthcare especially when it comes to bedside nurses
-
psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient
August 07, 2013 - February 1, 2023
Long-term care healthcare-associated infections in 2021: an analysis … , and the importance of staff training. … May 27, 2011
The influence of formulation and medicine delivery system on medication … June 11, 2010
View More
See More About The Topic
Long-Term Care
Health … Care Providers
Facility and Group Administrators
Quality and Safety Professionals
Geriatrics
-
psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - System Endowed Chair in Architecture and Health Design. … I think the healthcare system during the pandemic response needed more external support. … additional bed capacity, etc., to take some of the resource pressure off of the healthcare system. … Anjali Joseph, PhD
Professor
Spartanburg Regional Healthcare System Endowed Chair in Architecture and … Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ong-rsg-et-al-2008-call
January 01, 2008 - Call-duration and triage decisions in out of hours cooperatives with and without the use of an expert … decisions in out of hours care in the Netherlands are available. … One in Tilburg, a cooperative in a Southern city of the Netherlands using an expert system, and one in … A quick interpretation of the impact of the difference in triage decisions, show that these may be large … 21% of the calls, whereas in [the other cooperative] this occurs in 4%.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/cg_3-0_overview.pdf
January 01, 2015 - The Agency for Healthcare Research and Quality
(AHRQ) first released the CG-CAHPS Survey for adults … • Modified and reduced Patient-Centered Medical Home (PCMH) Item Set. … -
Centered Medical Home Item Set.
6/17/2015
www.cahps.ahrq.gov
Page 3
CAHPS® Clinician & … the Adult Patient-Centered
Medical Home (PCMH) Item Set
The following table lists the items and the … the Adult Patient-Centered Medical Home (PCMH) Item Set
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017308-samore-final-report-2011.pdf
January 01, 2011 - Key Words: patient-centered care; personal health records; shared decision-making; cognitive
support … the impact of the UHR personal health system on patient-centered care. … patient centered care. … with these goals of patient-centered care. … in
the patients’ emotional well-being foster optimal health care practices.
-
www.ahrq.gov/news/newsroom/case-studies/cquips1303.html
April 01, 2013 - U.S. health care system. … health care system. … health care system, benefiting users in other countries. … IMC adapted 21 of the 44 dimensions of AHRQ's survey in 2006, when the first survey was conducted. … in 2009) and reflected the growth of IMC's patient safety program since its creation in 2003."