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 ...

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, ...

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 ...

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 ...

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 ...

The rate of MRSA diagnoses on admission among expected self-pay hospitalizations decreased from 130.1 per 10,000 stays in 2019 to 114.1 per 10,000 stays in 2021, and the rate among hospitalizations ...

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, ...

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 ...

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 ...

Windows of opportunity occur when the impetus for change has grown to a tipping point where new actions, such as investment into a CE’s work, are possible. The impetus for change refers to a health ...

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 ...