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1501. SOPS Nursing Home Survey Items and Composite Measures (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
      January 01, 2000 - Staff are told right away when there is a change in a resident’s care plan. B3.

1502. Best Practices in Fall Prevention
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
      June 16, 2017 - If not, how would you change it? … Communicate patient’s risk factors orally at shift change and medical rounds. ‹#› Document and Communicate … huddles (safety briefing) Page 44 ‹#› 37 Practice Insight Convene safety huddles at every shift change … Change plan of care. Involve patient/family in learning about the fall occurrence.

1503. New Models of Primary Care Workforce and Financing - Case Example #4: Foresight Family Physicians (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
      October 01, 2016 - records and changes in history, helping with procedures, doing preventive screenings, and some behavior change … To make changes, they now start small, working out the change with one provider and one team before … Measurement and data are foundations of QI, but empowering care teams to use data to change care patterns … The data specialist role is important, bridging data management and practice change.

1504. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
      February 16, 2021 - AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions SOPS® Hospital Survey Items and Composite Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a W…

1505. Step 2: Determine Whom To Engage | Agency for Healthcare Research and Quality
      www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
      March 01, 2019 - Who has the political or professional clout to make change happen? … sustained and strengthened, ask: How has the membership changed over time, or how is it likely to change … Has there been a change in the leadership of your institutional home?

1506. Depression Screening and Follow-Up for Adolescents and Adults (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-2.pdf
      March 01, 2016 - Clinical Recommendation Statement Standardized instruments are useful in identifying meaningful change

1507. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
      October 01, 2015 - This tool is part of the Readiness To Change section in the Toolkit Roadmap. … Slide 12 Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety • Change … Laterality – Greater specificity in code assignment • The AHRQ QIs have been updated to reflect this change

1508. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
      www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
      September 01, 2017 - Reassessment should be done whenever there is a change in a patient’s condition, or when he or she is … What elements in this case study may change quickly and reduce his risk for a fall? … If not, how would you change it? … You also need to communicate patients’ risk factors orally at shift change, and by review of the medical … Slide 49 Do: Start a discussion of opportunities for change and action steps for Key Intervention

1509. Office-Based Teams Instructor Guide
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach-ig.pptx
      January 20, 2006 - to foster continual development and process improvement and is vital to sustaining lasting culture change … OBJECTIVES SAY: As a practice facilitator you’ll take the material you learn here to prepare your change … In fact, depending on the size of your practice you may need more than the members of your change team … That is why it is important for each member of the change team to also be trained as a coach. … implementation to work, the coach needs to be a champion of the implementation and will most likely serve on the change

1510. Job Aid: Presenting Performance Data (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
      May 17, 2021 - Job Aid: Presenting Performance Data Primary Care Practice Facilitator Training Series 1 Job Aid: Presenting Performance Data Overview Presenting performance data to a practice in a way that facilitates meaningful action is an important part of quality improvement and an essential activity for a …

1511. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report, Part 1 (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt1.pdf
      January 01, 2015 - When the same mistake keeps happening, we change the way we do things. … Use survey feedback as an impetus for change. … that involves developing a small-scale plan to test a proposed change (Plan), carrying out the plan … If you determine that a change has worked, communicate that success to staff by telling them what was … Alternatively, your evaluation may reveal that a change is not working as expected or has failed to

1512. Methods and Measures | Agency for Healthcare Research and Quality
      www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/index.html
      March 01, 2021 - Unhealthy Alcohol Use Building State Capacity Managing Urinary Incontinence Tools for Change … Practice capacity was measured using two instruments: Change Process Capability Questionnaire (CPCQ

1513. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
      September 08, 2015 - A South Carolina physician commented, “Everybody has to understand that change is not one person’s … “Everybody has to understand that change is not one person’s job, it is the practice’s job. … The providers interviewed for this study were beginning to accept and adapt to that change.

1514. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
      May 20, 2016 - hospitalization ∗ Procedural complication during hospitalization ∗ Restraints used ∗ Return to surgery ∗ Change … hospitalization ∗ Procedural complication during hospitalization ∗ Restraints used ∗ Return to surgery ∗ Change … 4 o “The incorporation of non-punitive reporting mechanisms also helps to identify areas in which change

1515. EvidenceNow Executive Summary - New York City Cooperative (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
      November 01, 2017 - Use qualitative methods to assess factors that help and hinder practices in implementing change and … Numbers are subject to change based on final data analyses.

1516. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
      December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Executive Summary 2019 NATIONAL HEALTHCARE QUALITY & DISPARITIES REPORT Executive Summary 2019 This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2019 Nati…

1517. SITUATION MONITORING (ppt file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
      January 01, 2008 - For example, if the Activator was the nurse, his or her role could change from primary caregiver in the … Physician shift change (responsibility). Evolving patient condition. … What went wrong and how can we change the RRS to prevent recurrence? … She did not note any specific change in clinical status, though she agreed that the patient seemed lethargic … The nurse called the physician at 3 a.m. and described the patient’s general status change as being “

1518. ENSW FIELD NOTE FORM (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-notes-sw.pdf
      July 19, 2018 -  E-Learning modules  Empanelment [C]  Evidence-based guidelines  Huddles  Managing complex change … ELearning modules: Off Empanelment C: Off Evidencebased guidelines: Off Huddles: Off Managing complex change

1519. Management Practices for Sustainability Module 4: Observation and Integration | Agency for Healthcare Research and Quality
      www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
      June 01, 2017 - work methods (e.g. surgical safety checklist and communication behaviors) How will you know that a change … alignment between agreement and actual practice shown in surgical safety checklist record What can you change

1520. Fillmore (pdf file)
      www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
      August 01, 2014 - course that seeks to develop the knowledge and skills needed to build organizational capacity for change … cause analysis, academic detailing, developing QI plans, and supporting practices in implementing change … practices in a way that helps them identify areas for improvement and that stimulates a desire to change … appropriate for specific projects, and creating QI teams to facilitate projects and organizational change … the process, and explain how the student would help a team use the workflow map to make and sustain change