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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
May 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 goal? … Are change goals integrated with other performance measures and reward systems of participating entities … Are change goals integrated with existing programs, policies/procedures, and information systems of participating … Problem solving: If change goals are not aligned and integrated with the strategic goals, performance
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapb.html
July 01, 2018 -
Organizational Context
PubMed
353
85
36
16 terms used: hospital; organizational change … to present; human subjects
CINAHL
162
162
17
16 terms used: hospital; organizational change … Database not productive for this subject
PsychInfo
92
92
0
6 terms used: Hospital; change … to present
ABI Inform Business Global
196
0
0
15 terms used: hospital; organizational change … 1999-present
HSR Project Database
304
131
0
15 terms used: hospital; organizational change
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
August 13, 2015 - up.
87%
82%
Our ideas and suggestions are
valued in this facility.
75%
52%
43
43
Change … (negatively worded)
58%
26%
45
45
Change Implemented
• Trained certified medical assistants … Staff are told about patient safety
problems that happen in this facility.
86%
74%
48
48
Change … Implemented
Staffing, Work Pressure & Pace
Change Implemented
Staff Training
Response to Mistakes … Change Implemented
Going Forward
-
www.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5.
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - on Priorities of the Heckler Report for Hispanics
Priority Trends Most Recent Disparity Disparity Change … improving 33% worse 0% narrowing
Care for Substance Use Disorders No improvement No disparity
No change … worsening 75% worse
0% narrowing
Infant Mortality and Maternity Care 43% improving 43% better No change … All cancer deaths per 100,000 population per year Better No Change
Women ages 21-65 who received a … These disparities did not change over time.
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www.ahrq.gov/takeheart/about/index.html
December 01, 2022 - Foundational Resource
Cardiac Rehabilitation Change Package
TAKEheart applies change concepts, … change ideas, tools, and resources from the Million Hearts ® /AACVPR Cardiac Rehabilitation Change Package
-
www.ahrq.gov/takeheart/about/initiative/index.html
December 01, 2022 - designed to promote the use of strategies described in the Million Hearts ® /AACVPR Cardiac Rehabilitation Change … Cardiac Rehabilitation Change Package
Explore the Million Hearts ® /AACVPR Cardiac Rehabilitation … Change Package for change concepts, ideas, tools, and resources that CR champions can use as they seek … Learn more about the Cardiac Rehabilitation Change Package.
Ready to Get Started?
-
www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/antibiotic-tool.html
September 01, 2017 - New or worsening delirium (sudden onset of confusion,
disorientation, dramatic change … New or worsening delirium (sudden onset of confusion,
disorientation, dramatic change … mental status)
Delirium (sudden onset of confusion, disorientation,
dramatic change … mental status)
Delirium (sudden onset of confusion, disorientation,
dramatic change … mental status)
Delirium (sudden onset of confusion, disorientation,
dramatic change
-
www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
July 01, 2018 - Self-Management Support Programs Aim to Change Patient Behavior
Self-management support programs assume … Developers expect these programs to change patients' behavior by increasing the patients' self-efficacy … The pivotal objective, however, is to change people's behavior. … If the pivotal objective of self-management support is to help patients change their behavior and manage … For example, patient self-efficacy and behavior need to change before reduced hospitalizations and costs
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - When weight loss has occurred
___ Change in meal intake
___ Change in fluid intake
___ Change in … mobility
___ Change in continence
___ Change in communication
Do your facility's pressure … Change in fluid intake
___ Change in mobility
___ Change in continence
___ Change in ability to … When weight loss has occurred
___ Change in meal intake
___ Change in fluid intake
___ Change in … Change in fluid intake
___ Change in mobility
___ Change in continence
___ Change in ability to
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
December 01, 2017 - Nurse Shift Change Report
5. … CNA Shift Change Report
3. MDS Assessment Documentation
4. … Root Cause Analysis for New Pressure Ulcers
On-Time Risk Change Report
… CNA Shift Change Report
3. Dietary Department Internal Review
4. … Nurse Shift Change Report
6. Rehab Department Internal Review
7.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - The training also explains the role of the Facilitator in working with the nursing home Change Team to … The On-Time Facilitator will:
Establish a relationship with the Change Team. … Guide the Change Team to implement the program. … Multidisciplinary Change Team and designated team champion. … At a Change Team meeting, Facilitator helps Change Team use these tools to select team meetings or huddles
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
November 24, 2014 - The training also explains the role of the Facilitator in working with the nursing home change team to … The On-Time Facilitator will:
Establish a relationship with the change team. … Guide the change team to implement the program. … Multidisciplinary change team and designated team champion. … At a change team meeting, Facilitator helps change team use these tools to select team meetings or huddles
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/donahue.html
August 01, 2018 - were provided through the North Carolina AHECs to serve as practice coaches and assist with practice change … They also provided practices with monthly practice change and leadership ratings to track implementation … Cross-training: Among practices with higher practice change scores, cross-training of staff was critical … Partnerships : Partnering with local organizations, such as AHECs, to provide practice change support … committed midlevel manager, in addition to a visionary leader, is essential for successful practice change
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
December 20, 2016 - In the scripted exercise, you will play the parts of the Facilitator
and change team members. … These
handouts are intended to help the change team make their
implementation decisions. … The change team then decides
how to pilot the use of the reports. … In reality, a change team may
make these decisions over a number of change team meetings. … to test a change and allow examination and refinement.
-
www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - Key Outcomes Are Continuously Monitored and Communicated
Success Is Communicated and Rewarded
Change … package, which is now no longer described as change, but rather as “this is how we do things here.” … package, failing to require continuing competency checks, not incorporating the change package into … The role of the champion goes beyond cheering on the change initiative. … A Framework for Spread: From Local Improvements to System-Wide Change.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Are we ready for this change?
2. How will we manage change?
3. … Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that … change is needed. … You should use information from the pilot to change the bundle to meet your hospital needs and to change … This aspect, while valuable, is not enough to change practices.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Are we ready for this change?
2. How will we manage change?
3. … Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that … change is needed. … You should use information from the pilot to change the bundle to meet your hospital needs and to change … This aspect, while valuable, is not enough to change practices.
-
www.ahrq.gov/teamstepps/officebasedcare/module7/office_sum-ig.html
April 01, 2022 - Review the role of practice facilitators and the change team in introducing TeamSTEPPS in an office-based … these core principles are the tools that you will use to help improve the practice that you and your change … TeamSTEPPS is culture change, pure and simple. … You also train with a change team, many of whom may be coaches who will serve as frontline champions … These coaches on the change team are people who understand how TeamSTEPPS tools can be used on a daily