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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
June 02, 2025 - administer a company-wide
survey and then do nothing with the
feedback”
Source: https://www.tinypulse.com … What areas do you want to focus
on for improvement? … success
Resources
AHRQ Case studies
SOPS Webcasts
SOPS Resource lists
21
Section 2
Planning … • Identify a leader and/or champion
► Essential to identify enthusiastic, respected leader
and/or champion … What areas do you want to focus on for improvement?
2. What are your goals?
3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
June 02, 2025 - In this study we sought to gain a deeper understanding of how physicians
view the potential benefits … How do physicians think about potentially harmful clinical preventive
services?
2. … Do physicians know about the harms of screening tests and consider
them in relation to other factors … In Phase 2, we developed case studies from interviews with selected
patients along with their physicians … From our case studies interviews with primary care physicians and their patients, we learned that:
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb18.html
December 01, 2017 - Handout for Inservice #2, How to Reduce Falls in Nursing Facilities
Previous Page Next Page … Case Study and Program Examples
Appendix D. … Keep a clear path 2 to 3 feet wide around the bed, from the bed to the hall, from the bed to the bathroom … Report ones that do not hold the chair firmly in place. … Do not share wheelchairs among residents.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - Describe what to measure and how to use the data. … Consider using the 3 A’s to decide what to do next:
A dopt – The goal was reached. … Do not continue with an obviously unsuccessful intervention just for the sake of adherence to the plan … Once again, consider using the 3 A’s to decide what to do next:
A dopt – The goal was reached. … Communication/Reporting of Findings
Schedule a time to share all of the data collected, how it
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - How are they actually happening?
What can we do to close that gap? … How many observers do you need? … That’s really how much data you want to collect
How do you determine how much data to collect? … We have a lot of work to do on just the basics. … study of one hospital team’s approach to debriefing.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - Assess fidelity to the model of care.
What do we need to do? … How can we do it with our resources and culture?
Analyze the data. … How do we know if we made a difference? … Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? … Do contact precautions cause depressions? A two-year study study at a tertiary care medical centre.
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool7.html
March 01, 2014 - Summary
References
Appendix A. Case Studies
Appendix B. Shared Appointments
Appendix C. … Do you have a way to securely send and receive electronic fax information?
… Are there eligibility criteria for your program and if so, how do you assess it?
… On a scale of 1 to 10... … confident would I feel sending my patients to organization—do I think they will receive high-quality
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www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
January 01, 2024 - did the PCA actually DO in
response to your statements of
concern about needing a doctor's
note for … Though descriptive, USP data trends showed that, when providers respond to SDoH, they do
not do so uniformly … How do core outpatient safety-related
competencies assessed in OSCEs transfer to clinical practice ( … How do Residents
Respond to Unannounced Standardized Patients Presenting with Social Determinants of … How Do
Clinical Care Providers Respond to Social Determinants of Health?
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 6. … Studies
Introduction to the Case Studies
Case 1. … study on LHC. ee The case study methods, including the criteria for selection of the projects for analysis … Return to Contents
Description of Horizon Hospital
This case study reports on the replacement … In our other case studies of Lean, barriers were usually mentioned much more often than facilitators.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-use-ready-or-not.pdf
June 02, 2025 - (Jacquie will be the patient voice during this webinar)
3 Patient Case Study
Carol: We’re going … But, Doc, I’m just not ready to
give them up.”
Carol: So, what do you say and do next? … Why do so few receive treatment? And
how can we do better? … a staff member call to find out how it’s going. … Addressing Tobacco Use
2 Welcome by Carol Ripley-Moffitt, MDiv, CTTS
3 Patient Case Study
4 Objectives
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-slides.pdf
January 30, 2020 - THE GAP
The Opportunity: How to Close the Gap
12
EVIDENCE-BASED
APPROACH
EVIDENCE-BASED
APPROACH … The Opportunity: How to Close the Gap
13
PARTICIPANTS • Automatic referral: EMR based referral
built … 17
PARTICIPANTSFOR PATIENTS
• Do not get referred to CR; lack of care coordination
for CR even if … Importance of CR
The Opportunity: How to Close the Gap
The Opportunity: How to Close the Gap
The Opportunity … : How to Close the Gap
The Opportunity: How to Close the Gap
Barriers to CR Participation: Why So Low
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www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - Specific Aim 3: The achievement of this aim involved assessment of the case study scenarios using
FMEA … In order to complete this study, case study analyses were utilized to
document cases that demonstrate … document case studies. … This study utilized use case
analysis, based on the previously developed case studies and FMEAs, to … The framework’s data model was created using the case studies as a basis for information types.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - The education format will be a mix of concepts and case studies. … But how do you know if this is an issue? … Slide 13
So, how do you know if you are facing a cultural challenge? … How can you do this? … Slide 2
Let’s begin with the case study.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - What You Can Do:
Develop a contract or commitment form for those involved in SWAT to outline expectations … What You Can Do:
Shadow pilot unit staff to ensure that tasks are completed correctly and in a timely … What You Can Do:
Conduct a process analysis of your facility’s supply dispensing system to ensure … plan and provided the following to all nurses on the pilot units:
Case study to test proper EHR … What You Can Do:
Hold a Patient Safety Fair to share information about pressure injury prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
August 01, 2014 - As part of its work in this area, AHRQ commissioned Mathematica Policy Research to conduct case
studies … We hope that these case studies will be useful to groups and individuals who are developing or
improving … We are deeply grateful to the case study participants from the three exemplary programs for their time … This case study profiles Coach University, a training program offered by
HealthTeamWorks, a nonprofit … This case study was developed as part of a contract funded by the Agency for Healthcare Research and
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www.ahrq.gov/research/publications/search.html?page=1
September 01, 2024 - Tertiary Care Health System in Brazil: A Case Study
Diagnostic Safety Issue Brief #20. … This case study describes how we used our survey to create an initial approach to developing and implementing … a program to recognize and address diagnostic errors. … Support Primary Care Quality Improvement: A How-To Guide
This how-to guide shares guidance about … To do this, we provide an overview across AHRQ's primary care grants and contracts, highlight studies
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
June 01, 2019 - For example, you could review the AHRQ Case Studies or talk with other organizations to
learn about … You might also talk to other hospital leaders,
look at the case studies on these different resources … I might provide some case studies. … Since our entire hospital was scoring low and as far as a well-used
technique and there's case studies … And any evidence from case studies or the literature could demonstrate to leadership that the initiative
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
October 01, 2024 - A defect is defined as anything that you do not want to have happen again. … How do we reduce the likelihood of this defect from happening again?
4. … How do we know the risk is reduced? … Slide 40
Case Example: How Do We Reduce the Likelihood of the Defect From Happening Again? … Slide 42
Case Example: How Do We Know the Risk Is Reduced?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
January 01, 2017 - Ventilated Patients
1
Learning Objectives
After this session, you will be able to—
Describe how this … We Need To Do? … Build a business case to prepare for these questions. … Giving Statistics Local Meaning
Example: If we reduce VAP by 50%, how many patients avoid VAP and how … Pitch
How should you present this to your CFO?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
July 07, 2002 - To do that, they rely on the pager or phone, a variety of
cognitive artifacts, knowledge of surgery … schedule, operating room (OR) graph, and OR board—provides a
means to understand how acute care teams … The following brief scenario offers a glimpse of how the coordinators use the
schedule to manage the … The coordinator draws a bracket to enclose one set
of cases. “You may not do these,” he says. … “If you can do one, do this. He’s fast.”
[Referring to the surgeon.]