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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
September 20, 2017 - As suggested in Module 2, the change process of rolling out new practices tends to be most successful … Consider implementing small tests of change, whereby one staff nurse tries out the new practice for 1 … If you haven’t prioritized the list of opportunities for change or decisions on best practices, tell … (For examples of how change can be incorporated into routine care, see page 58 in the Toolkit.) … by ensuring that staff understand the reasons for change and agree that change is needed.
· To help
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/02-pfe-road-map.pdf
August 01, 2021 - Step 1: Prepare Your Organization
Orient leaders to the change Toolkit Infographic provides statistics … Identify your change team Toolkit Webinar helps teams get started with the toolkit’s implementation.
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preventiveservices.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
April 01, 2022 - strategies to introduce a practice to the Model for Improvement, including conducting small tests of change … chart audit, summarize findings to present to a practice, and use results to help a practice generate change … Helping Practices Scale up Improvements – Learn how to support change throughout a practice by designing … one-on-one coaching, using audit and feedback to monitor progress, and crafting key messages to motivate change
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/research-results/research/collection.html
March 01, 2021 - Unhealthy Alcohol Use
Building State Capacity
Managing Urinary Incontinence
Tools for Change … of a core set of items to capture practice characteristics and infrastructure and 15 items from the Change … cooperatives removed items from subsequent waves of the survey that they could safely assume wouldn’t change … well as questions about the measures, patient needs, psychological safety, burnout, and readiness for change … Internal factors included: practice structure, staffing, priorities, change processes, and methods of
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
January 01, 2017 - 50
4 6 70
5 5 60
6 5 50
7 8 70
8 9 80
9 6 50
10 7 50
Two days of stable PEEP, followed by a change … The change is maintained or worsens for ≥ 2 days.
Is this a VAC? … The change is maintained or worsens for ≥ 2 days.
Is this a VAC?
YES!
This is a VAC! … The change is maintained or worsens for ≥ 2 days.
Is this a VAC? … The change is maintained or worsens for ≥ 2 days.
Is this a VAC?
YES!
This is a VAC!
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/engaging-staff-stories-transcript.docx
May 01, 2017 - And it, therefore it allows for change. … It reveals that there might be a little bit of a need for change.
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preventiveservices.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - How did the use of those tools change the outcome? … Training alone is not enough to implement a change in safety culture. … Build your training to prepare people for the change in behavior and the change in practice. … Goals and Outcomes
Goals and Outcomes
What needs to change? … Level 3 measures how behaviors change because of the training.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
May 30, 2013 - friends to support them
• May feel nursing staff are unavailable for multiple hours
during shift change … continued)
• [Insert 1 to 2 experiences from real patients or family
members, focus on what shift change … • Nursing staff conducts shift change reports
at the patient’s bedside
• Patient can identify a family … • It is time for evening shift change. … During shift change,
Jack notes he is slightly disoriented and drowsy and his
headache has returned
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-rittenhouse.pdf
April 01, 2015 - • To sustain change, funding for primary care transformation must be robust and stable. … Not
every clinic was able and ready to implement change, regardless of the incentive, and some clinics … were slow to implement change because of insufficient organizational capacity.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
March 01, 2017 - What care change(s) need to be made? … Who is responsible for executing and documenting the change to the care plan? … Who is responsible for executing and documenting the change to the care plan?
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preventiveservices.ahrq.gov/teamstepps-program/training/index.html
March 01, 2024 - , instructors or a mix of team members and admin staff that would create your facility’s TeamSTEPPS change … course offering and is recommended for individuals and teams who are interested in making a sustainable change … TeamSTEPPS 3.0 – Condensed
Half day 4 hours CE credit offered
Individuals, instructors or change
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-baseline.pdf
January 01, 2014 - Strongly agree ........................ 5
AR5
FOA Required
Leadership strongly supports practice change … Strongly agree ........................ 5
AR8
FOA Required
It is hard to get things to change … Book
4
AR16
Collaboratively determined
core item
Most people in this practice are willing to change … this office openly talk about what is and isn't working: Off
Leadership strongly supports practice change … Off
Most people who work in our practice seem to enjoy their work: Off
It is hard to get things to change
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - and led to a comprehensive understanding of practice change.”9
However, the specific data collected … Support and strategies for change among small
patient-centered medical home practices. … Medical Home Transformation in Pediatric
Primary Care: What Drives Change? … Contrasting trajectories of change in primary
care clinics: lessons from New Orleans safety net. … Medical home transformation in pediatric
primary care—what drives change?
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/research-results/research/evaluation-design.html
March 01, 2021 - Unhealthy Alcohol Use
Building State Capacity
Managing Urinary Incontinence
Tools for Change … Additionally, the cooperatives were required to measure practices’ capacity using the Adaptive Reserve and the Change … support
Same as above
NW
Pragmatic 2x2 factorial design; matched external controls
Practice Change
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems
Checklist for Change … Checklist for Change Management
http://www.saferpatients.com/wp-content/uploads/2016/01/Leading-Change-Checklist.pdf … The PDSA cycle is shorthand for testing a change
by developing a plan to test the change (Plan), carrying … (requires free account setup and login)
A change concept is a general notion or approach to change … This Institute for Healthcare
Improvement Web page outlines change concepts such as error proofing,
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - Risk
Current Clinical Conditions
Contributing to Transfer
Risk P
ol
yp
ha
rm
ac
y
High-Risk Change … On-Time Preventable Hospital and ED Visits Electronic Reports 3
• Polypharmacy.
• High-risk change … in condition within 7 days (CHF or chest pain or MI, pneumonia or
bronchitis, mental status change … For each of the six high-risk change categories, the number of symptoms
that were found in the last … High-risk change in condition within last 7 days
ED Visits Within Last 90 Days.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
October 01, 2017 - As suggested in Module 2, the change process of rolling out new practices tends to be most successful … Consider implementing small tests of change, whereby one staff nurse tries out the new practice for 1 … (For examples of how change can be incorporated into routine care, see page 58 in the Toolkit.) … Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that … change is needed.
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preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Although this process may require a big change in an organization's culture, it is very valuable. … Here are some examples of how scripts can help to change communications:
Instead of…
Say…
"No, … frequently asked questions and to place the most common requests (e.g., new identification (ID) card, change … of address, change of primary care provider (PCP)) without the intervention of a service rep. … Developed a broader range of self-service options (e.g., change own address or PCP, see claims status
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preventiveservices.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - Create a change team (the leaders and key staff who will drive the initiative). … TeamSTEPPS is an initiative designed to change how our teams work together on an ongoing basis. … John Kotter’s nationally acclaimed organizational change theory:
Create a sense of urgency. … Formulate a change vision and strategy. … Using change team members.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - For the change effort to be successful, designated teams must work to support and guide the process. … Expertise in change management.
Analytical skills.
Desire to improve the system. … be a senior leader with influence and authority to make decisions and support the widespread culture change … Leaders should promote the organization's commitment to this change process using existing communication … Outcome Measures
The Gap Analysis can be used to help you establish a baseline from which to measure change