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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
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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
-
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
-
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
-
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
-
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
-
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
-
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.
-
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.
-
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?
-
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.
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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.
-
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.
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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
-
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.
-
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
-
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
-
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?
-
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
-
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.