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 ...

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, ...

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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 ...

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 ...

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 ...

A handful of analytic frameworks for quality assessment have guided measure development initiatives in the public and private sectors. One of the most influential is the framework put forth by the ...

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, ...

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 ...

Whatever paradigm is used, there are important distinctions to clarify, especially when quality is assessed in case reviews and judgments made about causality and preventability. Because language can ...

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 ...