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261. Self-Assessment Worksheet for Pressure Ulcer (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
     January 29, 2015 - .  When weight loss has occurred e.  Change in meal intake f.  Change in fluid intake g.  Change … in mobility h.  Change in continence i.  Change in communication 8. … When there is a change in condition Yes  No  d. With each MDS assessment Yes  No  14. … a.  Change in condition b.  Weight loss c.  Change in meal intake d.  Change in fluid intake … e.  Change in mobility f.  Change in continence g.  Change in ability to communicate pain

262. Fallpxtool2G (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2g.docx
     January 28, 2013 - 2G: Managing Change Checklist Background: This tool can be used to monitor your progress on completing … the managing change activities. … Managing Change Checklist Implementation Team composition Team leader identified and in place … analysis conducted between current practice and recommended practice Setting goals and plans for change

263. Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Hansford and Murray (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-riverside-handoffs-webcast-hansford.pdf
     January 01, 2023 - Composites 2021 2022 2023 % Change 2023 BnchMrk Above or Below BnchMrk Reporting Patient Safety … Above or Below BnchMrk 2023 BnchMr k 2023 YOY Change Above or Below BnchMrk Handoffs and … To improve SOPS "During shift change, important patient care information is often left out" from 38% … Involve RN shared governance team for front line engagement and driving change. 2. … PDSA Plan: Med/Surg will implement small test of change for shift to shift hand offs utilizing the

264. Planning for Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-planning.html
     May 01, 2017 - Step One: Determine Change Has Achieved Acceptable Levels of Capability and Reliability The desired … means that the change is consistently producing this level of impact. … Step Two: Develop and Use a Sustainability Prediction Tool To Understand Nature of Change and Context … Predicting sustainability yields quantifiable, actionable information on the likelihood that a change … Your team can use the tool and the information it yields to strengthen areas of weakness in the change

265. Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
     January 01, 2024 - If training does not change behavior, it was not successful. … Therefore, direct observation or other direct measures of process or outcome change are helpful to use … If teaching TeamSTEPPS to fix specific problems, ask: What behaviors do we want to change? … Stress the need for TeamSTEPPS to ultimately change results or outcomes within your organization. … In addition, you may want to discuss these insights with the Change Team your organization has formed

266. Methods and Metrics Issues in Delivery Systems Research
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
     February 16, 2011 - a given DSC is implemented and practiced is influenced by range of factors surrounding the specific change … These factors constitute the social system or social context of change These factors may explain why … , when, and how a DSC works (or not) Delivery System Change 4 “Experimentalists have pursued too … Readiness for change a precursor to the successful implementation of complex changes in health care … settings Readiness measured as collective motivation and collective capability Readiness for Change

267. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/introduction.html
     July 01, 2021 - The change ideas, resources, and examples presented in this toolkit reflect efforts by state Medicaid … Specifically, the toolkit includes: A collection of strategies and change ideas for health plans, … The key drivers, change ideas, and resources provided are intended to serve as options that states, plans … Process improvement teams can reference the key driver diagrams  to brainstorm and implement change

268. Transforming Primary Care: Evaluating the Spread of Group Health’s Medical Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/funding/grants/transform/profiles/reid.html
     March 01, 2017 - To facilitate spread across the practices, the redesign was segmented into four practice change and four … management change modules. … The four management change modules were: strategy for telephone call management, use of team huddles, … Only one process change module did not meet the implementation target—chronic disease management, the … There was no significant change in inpatient admission rates.

269. Transforming Primary Care: Evaluating the Spread of Group Health’s Medical Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/reid.html
     October 01, 2015 - To facilitate spread across the practices, the redesign was segmented into four practice change and four … management change modules. … The four management change modules were: strategy for telephone call management, use of team huddles, … Only one process change module did not meet the implementation target—chronic disease management, the … There was no significant change in inpatient admission rates.

270. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
     December 01, 2017 - Understand the CUSP framework for initiating culture change Apply culture change theory to urinary … Slide 9 Aims Understand the CUSP framework for initiating culture change Apply culture change … Slide 13 Leading Change For anything to change, someone has to start acting differently. … Image: Book cover for a book titled: "Switch: How to Change When Change is Hard". … Slide 60 So why is it so hard to change things? What is YOUR biggest barrier?

271. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - What, then, is the role of the coach in the context of change? … processes, can erode or derail the change process. … • Coaches understand that context mediates the change/improvement process. … The new meaning of educational change. New York: Routledge; 2007. 3. Coetsee L. … International handbook of educational change. New York: Springer; 2005. 7.

272. Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.pdf
     January 19, 2017 - This document is intended to be used by the team champion and the change team members to help keep the … Leadership agrees to identify a change team champion and establish a multidisciplinary change team to … Step 2: Contact Vendor The change team champion or information technology (IT) representative contacts … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team The change team consists … Identify Multidisciplinary Team Members To Serve as the Change Team Within 2 weeks 4.

273. TeamSTEPPS for Office-Based Care Knowledge Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/knowledge.pdf
     December 02, 2015 - change, EXCEPT: a. … Rewarding incremental change b. Making all staff accountable c. … Assigning responsibilities for change actions d. Expecting all staff to embrace change 5. … are important aspects of which of the Eight Steps of Change? … Developing the change vision and strategy c. Communicating for understanding and buy-in d.

274. Saworksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
     December 15, 2016 -  Daily  At every dressing change  Weekly  Other (specify):_________________ 3. … the following changes to the resident’s clinical status would be considered when determining if a change …  Change in condition  Weight loss  Change in meal intake  Change in fluid intake  … Change in mobility  Change in continence  Change in ability to communicate pain 5. … – Always, V- Varies, as needed) Frequency of Meeting (Weekly, Biweekly, Monthly, Quarterly, Change

275. Engage the Senior Executive | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
     December 01, 2012 - Slide 11: Supports Both Technical and Adaptive Work of Change Slide 12: Supports Both Technical … and Adaptive Work of Change Slide 13: Collaborates To Develop and Implement a Plan Addressing Safety … Supports the technical and adaptive work of change. … Work Addresses problems that require a change in: Attitudes. … Leaders, staff, and key stakeholders share responsibility for change.

276. Module 2: Example (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
     May 01, 2017 - Plan: Describe your first (or next) test of change (Every goal will require multiple tests of change … List tasks needed to set up this test of change (include getting ready to measure) Person responsible … At least one staff person suggests a change that can be tried on second cycle 3. … At least one staff person suggests a change that can be tried on second cycle More description … Plan: Describe your first (or next) test of change (Every goal will require multiple tests of change

277. Planning for Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/planning.html
     September 01, 2017 - They can: Articulate a vision that inspires action and change Involve strategic partners and champions … Implement improvement through the partnership Spread successful change Evaluate the results Tackle … through the partnership   This figure illustrates the final layer and the complete process - spreading change … Plan-Do-Study-Act model can accelerate quality improvement Develop skills to spread organizational change … and Care shares strategies for regional quality improvement and examples of coalitions that effected change

278. Train-the-Trainer Session: Implementation Classroom Slides | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/lep/traintrainers/lepslimp.html
     December 01, 2012 - Effect culture change through coaching and integration, monitoring the plan and continuous improvement … Processes to change. Behaviors to change. Training logistics. … Return to Contents Slide 8: Goals and Outcomes Goals and Outcomes What needs to change? … Level 3: Behavior: Did the participants change their on-the-job bahevior based on what they learned? … Level 4: Outcomes (top level): Did the change in behavior positively affect the patient?

279. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
     June 01, 2017 - Is change goal focused (not too encompassing) and actionable?   … Financial resources   Is funding adequate for the time period required to achieve the change … Integration   Are change goals aligned with strategic goals of participating entities (macro … Are change goals integrated with other performance measures and reward systems of participating entities … Problem solving: If change goals are not aligned and integrated with the strategic goals, performance

280. Evaluating TeamSTEPPS Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_eval_exsheet.pdf
     April 24, 2017 - instances of coming out of his room in just his socks and yelling obscenities during the evening shift change … Many times additional nurses are required, but the shift change has led to some confusion about who … Stevens’ room is not visible from the area where the shift change occurs, it is often unclear about … Because they can hear what is going on in his room from the area where the evening shift change briefing … They also agree that prior to conducting the shift change briefing, the staff will discuss Mr.