This student workbook was prepared for the Agency for Healthcare Research and Quality by RAND Corporation under contract 290-06-00017-7. It is one component of a four-part set of training modules ...

Overall, the rate of ventilator-associated pneumonia increased by more than 100 percent between 2019 and 2021 regardless of hospital type. This increase ranged from 133.9 percent at critical access ...

Medical errors may occur in different health care settings, and those that happen in hospitals can have serious consequences. The Agency for Healthcare Research and Quality, which has sponsored ...

Because pressure ulcer care is complex, efforts to improve pressure ulcer prevention require a system approach that will involve organizational change. Bringing about organizational change of any type ...

Health care delivery systems throughout the United States are employing the triple aim (improving the experience of care, improving the health of populations, and reducing per capita costs of health ...

The rate of ventilator-associated pneumonia during inpatient stays increased by 20.1 percent between 2016 and 2019. (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #313, ...

The CAHPS Surgical Care Survey asks adult patients to report on surgical care, surgeons, their staff, and anesthesiologists. This standardized survey expands on the CAHPS Clinician & Group Survey, ...

The early attention on improvement for diagnosis responded to cases of harm and thus focused on the negative, trying to define exactly what constituted an error ...

Assessments of healthcare quality tend to focus on discrete elements or facts that are predefined, prospective, and measurable. The quality paradigm is based on the foundational Donabedian model, 7 ...

Efforts to define terms to advance understanding are incomplete without including the perspective of patients, but we cannot learn from their experiences if we do not know how to ask. 43 The terms ...

Two distinct categories of evidence contribute to diagnostic reasoning that may impact the ability to assess parameters of diagnostic correctness or adequacy. One involves the creation and use of ...

Two overarching philosophies continue to shape the terminology used about diagnosis. They create both challenges and opportunities as terms are refined and patients and caregivers are incorporated ...