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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
June 02, 2025 - The goal of this training is for teams to learn to identify
TeamSTEPPS principles and tools that promote … Goal of summation is to identify specific ways for each participant to improve teamwork
skills in their … Welcome and Introduction
5 minutes Welcome & Why we are here
Goals and Overview
Video Scenario
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - The goal of such categorization is twofold:
1. … always some experimentation on the part of the caregivers
and continual correction to achieve the goal … Guidance for remedial actions
As noted in the introduction, one of the main goals for working with
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www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0715-minutes.html
December 01, 2015 - Addressing the goal of disseminating PCOR results, AHRQ will fund a cooperative agreement to create a … Ling added that a statement of goals of care can be very helpful. … We need better triaging of questions and challenges, with a goal of targeting the appropriate research
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - In
this second phase, they conducted individual and group interviews directed
toward the specific goal … first phase of the
process analysis allowed Harder and Bloomfield to ask probing questions with the
goal … The goal-directed
interview process used by Harder and Bloomfield allowed them to uncover the
Advances
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - York State Department of Health convened
the Procedural and Surgical Site Verification Panel with the goal … The goal of reporting is to create a body of data that can be used to identify the causes of errors … This is covered by the National Patient Safety Goals and
need not be included in an invasive procedure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
June 02, 2025 - Indicate whether goals set for each best practice on the project charter were successfully
implemented … _______
____________________________________
____________________________________
_
_
_
Goal … Goal achieved? Yes No
c. Goal achieved? Yes No
d. Goal achieved? Yes No
e. … Goal achieved? Yes No
f. Goal achieved? Yes No
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
June 02, 2025 - Indicate whether goals set for each best practice on the project charter were successfully
implemented … . _____________________________________ Goal achieved? … . _____________________________________ Goal achieved? … . _____________________________________ Goal achieved? … . _____________________________________ Goal achieved?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
June 02, 2025 - The Goal
Collect baseline data and set an improvement goal after the problem has been fully diagnosed … the goal was met. … .
· Adapt – The goal was not met, but there was improvement. … .
· Adapt – The goal was not met, but there was improvement. … the goal was met
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - The Goal
Collect baseline data and set an improvement goal after the problem has been fully diagnosed … whether the goal was met. … A dapt – The goal was not met, but there was improvement. … A dapt – The goal was not met, but there was improvement. … whether the goal was met.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-blank-temp.html
May 01, 2017 -
Slide 7: The Goal … goal>
Slide 8: Data Comparison
Slide 9: Data Comparison
Goal:
Observed performance … :
Current performance: Below Goal by X or Goal Achieved
Slide 10: Cause of the Problem
Goal by X or Goal Achieved
Slide 16: Additional … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Slide 21: Conclusions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
June 02, 2025 - goal>
Quality Improvement Study Template | ‹#›
AHRQ Safety Program for Ambulatory Surgery … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Data Comparison … Framework
12
Change Data
Pre-Intervention
Post-Intervention
Some improvement - below goal … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Quality … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Quality
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/diy-run-chart-tool.xlsx
June 02, 2025 - the colored cells under the respective "Numerator" and "Denominator” column headings.
4 To add a goal … line on the run chart, enter a number on the first cell of the “goal” column; the remaining cells in … Line
Debbieh: Consider using your own site's internal goal or a national/regional benchmark
Jul'12 … Line
Debbieh: Consider using your own site's internal goal or a national/regional benchmark
Jul'12 … :
Average Days
Debbie Hoyer: Insert the numerator of your measure here
Goal Line
Debbieh: Consider
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
June 02, 2025 - That's what we do on this next slide, the goal. … Is this goal aligned with the overall goals of your organization? … You want make sure you have a goal. In this case we set a goal of June 1. … We're below our goal by about 27 percent. … Now look, here we are at goal.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
-
www.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
-
www.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - Slide 8: The Goal
In this case, our goal is to achieve 100 percent completion rate for all elements … Is this goal aligned with the overall goals of your organization? … You want make sure you have a goal. In this case we set a goal of June 1. … We're below our goal by about 27 percent. … Now look, here we are at goal.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
May 01, 2017 - 5/2015
3
2
67%
3/6/2015
6
3
50%
Totals
23
12
52%
Slide 8: The Goal … : 100%
Observed debrief completion rate: 52%
Current performance: Below goal by 48%
Slide 12 … Slide 17: Data Comparison
Debrief completion rate goal: 100%
Observed debrief completion rate: … Slide 22: Data Comparison
Debrief completion rate goal: 100%
Observed debrief completion rate: … 100%
Current performance: Goal achieved 100%
Slide 23: Conclusions
The goal of 100% debrief
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - Surgery
Implementation Guide Appendix K – Quality Improvement Study Framework
8
Data Comparison
Goal … Implementation Guide Appendix K – Quality Improvement Study Framework
10
Debrief completion rate goal … : 100%
Observed debrief completion rate: 52%
Current performance: Below goal by 48%
Data Comparison … : 100%
Observed debrief completion rate: 73%
Current performance: Below goal by 27%
Data Comparison … Surgery
Implementation Guide Appendix K – Quality Improvement Study Framework
20
Data Comparison
Goal