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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.pptx
March 13, 2017 - mm3
□ Increase in immature white blood cells (Left Shift) with >6% bands or >1,500 bands/mm3
Acute Change … Disorganized thinking (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change … Disorganized thinking (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change … Disorganized thinking (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change … Disorganized thinking (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change
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www.ahrq.gov/ncepcr/tools/pf-handbook/pfhandbook/fig14.1.html
May 01, 2013 - Assessing Practice Readiness for Change
Module 12 Trainer’s Guide: Assessing Practice Readiness for … Intervention/Change Concepts lead to key drivers lead to outcomes. … Intervention/change concepts include implement registry, leading to using registry to manage population … Other change concepts include use templates for planned care, leading to planned care, employ protocols
-
www.ahrq.gov/hai/patient-safety-resources/cre-toolkit/cretoolkit-intro.html
April 01, 2014 - Assessing Your Readiness for Change
Section 2. Starting Your Project
Section 3. … For those familiar with leading change processes and implementing process changes, the first few sections … Section 1, Assessing Your Readiness for Change , may be useful if you are concerned about your organization's … ability to adopt new guidelines and/or change processes for any type of healthcare-associated infections
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
September 01, 2015 - % Most of the time/Always
87%
74%
63
63
Change Implemented
• Medical Director encouragement … % Most of the time/Always
88%
100%
65
65
Change Implemented
Basket of small gifts to reward … Follow Up
Communication in the Surgery/Procedure Room
Changes Implemented
Communication Openness
Change … Implemented
Near-Miss Documentation
Change Implemented
Going Forward
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-infmat.html
June 01, 2018 - Maternity Care for Blacks
Measure
Most Recent Disparity
Disparity Change
Live-born … infants with low birth weight (less than 2,500 grams)
Worse
No Change
Live-born infants with … very low birth weight (less than 1,500 grams)
Worse
No Change
Infant mortality per 1,000 live … births (more than 2,499 grams)
Worse
No Change
Birth trauma—injury to newborn per 1,000 live … Better
No Change
Obstetric trauma per 1,000 instrument-assisted vaginal deliveries
Better
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
June 27, 2014 - AHRQ Quality Indicators Toolkit
Getting Ready for Change Self-Assessment
What is the purpose of this … These capabilities are organized into two evidence-based domains:
Infrastructure for Change Management … Both domains are important to effectively implement change. … Complete both section 1 (Infrastructure for Change Management) and section 2 (Readiness To Work on the … Infrastructure for Change Management
This section will help you evaluate how ready your hospital is to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
December 02, 2015 - Review the role of the Practice Facilitator and the change team in introducing TeamSTEPPS
in an office-based … ............................................ 1 2 3
Comments:
Change Management
Instructor … List the Eight Steps of Change ...................................................................... … Identify errors common to organizational change...................................................... … Begin planning your organizational change strategy ..................................................
-
www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
June 01, 2012 - Module 2: Communicating Change in a Resident’s Condition. Student
Workbook. … C up to help her change and wash before bed, Mrs. … • Working together to identify what the change might
mean. … • Working together to identify what the change might
mean. … Who is responsible for communicating change in a
resident’s condition? We all are.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - Detecting Change in a Resident's Condition
Module 2. … Plan a change of pace every 8-10 minutes during a lecture. … Plan: Identify a problem and design a change to address it.
Do: Implement a small change. … Study: Measure and analyze the effects of the change. … a change, or extending an implementation more broadly.
-
www.ahrq.gov/patient-safety/resources/resdesign-tool/kit3.html
August 01, 2016 - Little change in the core health care processes over decades.
Silos of care provision. … Denver Health, of most concern at this point in time were the following: costs, safety, quality, lack of change … critically important for the leadership of a system to articulate these forces and how they necessitate change
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide70.html
October 01, 2014 - Support the patient's autonomy and right to choose or reject change (e.g., "I hear you saying you are … Reinforce and support "change talk" and "commitment" language: "So, you realize how smoking is affecting … Build and deepen commitment to change: "There are effective treatments that will ease the pain of quitting
-
www.ahrq.gov/hai/patient-safety-resources/cre-toolkit/cretoolkit2.html
April 01, 2014 - Assessing Your Readiness for Change
Section 2. Starting Your Project
Section 3. … What needs to change?
How do you start the work of redesign? … How should goals and plans for change be developed?
What goals should you set? … How do you develop plans for change?
How do you bring staff into the process? … Senior leadership support is important for successful change, but change must happen from the ground
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - Slide 8: Role of the Facilitator
Establish relationship with Change Team:
Introduce On-Time … Multidisciplinary change team and team champion. … Slide 11: Facilitator Role: Preliminary Support
Provide input on the composition of the change … Slide 16: Teaching On-Time Reports
The process for introducing the reports to the change team will … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - On-Time reports
Commitment from key leadership, including the DON or administrator
Multidisciplinary change … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use … Monitor the team’s level of engagement:
Are key members of the Change Team participating in meetings … Has there been any significant turnover in staff either on the Change Team or leadership that may affect … October 2017
On-Time Overview
30
Facilitator Role: Monitoring
Impact of On-Time
Assist the Change
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - Slide 11: Facilitator Role: Preliminary Support
Provide input on the composition of the change … Slide 16: Teaching On-Time Reports
The process for introducing the reports to the change team will … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use … Monitor the team’s level of engagement:
Are key members of the Change Team participating in meetings … Has there been any significant turnover in staff either on the Change Team or leadership that may affect
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - November 2016
On-Time Overview
7
7
Role of the Facilitator
Establish relationship with Change Team … Overview
10
10
Facilitator Role: Preliminary Support
Provide input on the composition of the change … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use … Monitor the team’s level of engagement:
Are key members of the change team participating in meetings … November 2016
On-Time Overview
30
Facilitator Role: Monitoring
Impact of On-Time
Assist the Change
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
July 31, 2017 - Training in behavioral change
concepts can help physicians
identify patients who are likely to be … Training to Advance Physicians’ Communication Skills
July 2017 6.G-4
A Model of Behavioral Change … in which there is no intention to change
behavior in the foreseeable future. … Stages of change across ten health risk
behaviors for older adults. Gerontologist 1999;39:473-82. … Helping patients at every stage of change. Behavioral Approaches
to Addiction Journal 1992;1(1):2-7
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - Slide 8: Role of the Facilitator
Establish relationship with Change Team:
Introduce On-Time … Multidisciplinary change team and designated team champion. … Slide 11: Facilitator Role: Preliminary Support
Provide input on the composition of the change … Slide 16: Teaching On-Time Reports
The process for introducing the reports to the Change Team will … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Are we ready for this change?
2. How will we manage change?
3. … Tools and Resources
Those who have been involved in multiple organizational change … The role of the Implementation Team will change as new practices are successfully adopted. … Without such change, it is possible that only short-term gains will be accomplished. … Generating and maintaining excitement about change is critical to success.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Are we ready for this change?
2. How will we manage change?
3. … Tools and Resources
Those who have been involved in multiple organizational change … The role of the Implementation Team will change as new practices are successfully adopted. … Without such change, it is possible that only short-term gains will be accomplished. … Generating and maintaining excitement about change is critical to success.