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, ...

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 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 ...

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 ...

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 ...

This project was funded under contract number 47QRAA22D006G/75Q80124F80001 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and ...

A correct diagnosis is essential to understand a patient’s condition and determine the most beneficial management in partnership with that patient. Despite the simplicity of “a correct diagnosis,” ...

A variety of perspectives influence how different stakeholders approach diagnostic improvement. The most obvious one is based on the viewpoints of patients, caregivers, and clinicians, who focus on ...