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 ...

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, ...

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 ...

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 ...

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

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 ...

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 ...

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 ...

Integration is carrying out alignment by sharing resources (capital, information, and people) and using common workflows to achieve shared goals. Integration occurs across clinical care, ...

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 ...