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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
January 01, 2020 - Specifically, we would like to share lessons learned including how do
these strategies affect response … And how do
characteristics of respondents to electronic and traditional modes differ? … about how to ask a question. … criteria and had to do with things like clarity and layout and how
cluttered the designs were. … It's very feasible and we know how to do it statistically and how to create the
scores.
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - It is harder to do that now
because he has to talk to us at the beginning of the case. … of teamwork, adherence to safe surgical practices, and
consequences of safe surgery (e.g., how safe … opportunity for observers to discuss between themselves how they would apply the
tools. … The ability to use the tool almost
immediately is important, as most participating hospitals do not … Managing the change to an automated office: Lessons from five case
studies.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - For example, if a patient is at the end of life, clinicians may start antibiotics just to “do something … To do this, we will provide frontline staff with the tools and support they need to identify and tackle … to do something or missing a step. … How were the results communicated to the prescribers? … Once developed, staff will need to be educated about how to use the tools.
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www.ahrq.gov/talkingquality/translate/scores/framing.html
March 01, 2016 - how to present an individual score or composite, you are “framing” the presentation. … , you need to decide whether you want to tell people how well health plans or providers are performing … or how poorly at least some of them are performing. … But in some cases, a negative frame can reduce people’s willingness to even look at a report. … do reverse scoring, i.e., turning a negative frame (percentage of patients who died) into a positive
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapn.html
April 01, 2018 - and that everyone has a chance to respond to these questions. … It will be by job to manage the Q&A so please understand if we need to wrap up comments you are making … Do you have any questions before we begin? … Probes:
How do such tools impact the care that you deliver? Your group? Your organization? … Has feedback/reporting from such a system led to improvements in care where you practice?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
December 01, 2017 - a shared understanding of local
defects, build consensus and a plan for how to mitigate those defects … What did you do to reduce risk?
4. How do you know that risks were reduced? … Tools you can use How you’ll use them
HSOPS Survey User’s Guide Learn how to plan and administer your … What did you do to reduce risk?
4. How do you know that risks were reduced? … Team Needs To Do
Take a defect identified in your clinical area (incident report, sentinel event, liability
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - How do we implement best practices in our organization?
5. … How do we measure our pressure ulcer rates and practices?
6. … How do we sustain the redesigned prevention practices?
7. … the QI agenda and how to get this project prioritized at a higher level. … Do you have a process(es) to improve quality or performance?
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - How do we implement best practices in our organization?
5. … How do we measure our pressure ulcer rates and practices?
6. … How do we sustain the redesigned prevention practices?
7. … the QI agenda and how to get this project prioritized at a higher level. … Do you have a process(es) to improve quality or performance?
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - study at large academic medical in the Midwest, 19 inpatient units with unit-level
observations
• … How likely are you to:
• Submit an incident report about what happened? … o The presence/absence of psychological safety within a culture of
safety plays powerful role in how … Based on what you have learned today,
What would you like to do differently or better
to improve the … The Ultimate Stress Test for Psychological Safety
Why Do We Struggle to Respond to Harm Events?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150917/introducing_the_new_cahps_c&g_survey3.0.pdf
September 01, 2015 - We know that the Q&A part of this is often the most valuable
to participants so we really do want to … and how that relates to a shorter recall period. … to the six-month period and a
good thing to do is to test what are the effects of that. … how best to do it in a way in which the results weren’t influenced by how the survey was
distributed … So
that’s why we’re saying, you know, if you do a Visit Survey, you have to sample a lot more visits
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
December 01, 2017 - We want to distinguish between process and outcome measures, describe how the SSI investigation tool … SAY:
It is a method of assessing your team’s performance.
ASK:
How do you do that? … SAY:
The process measures are what we do to patients to prevent harm. … Slide 5
Identify Defects With SSI Investigation Tool
ASK:
So how do we improve? … SAY:
Because that bundle contains all your process measures, that’s what you want to look at to see how
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www.ahrq.gov/patient-safety/reports/engage/appf.html
March 01, 2017 - Yes
Yes
Moderate
Case study of having patients serve an auditing function for hand … No
Yes
Suggestive
Case study of impact of PCMH approach to engage patients and … Explore as case study and possible intervention. … Trust, temporality and systems: how do patients understand patient safety in primary care? … Moderate
Toolkit provides a brief how to guide for organizations on how to better engage
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
June 01, 2022 - This is usually in the form of case studies for students to review, student assignments, and questions … To aid educators in selecting the appropriate case study for use, the chart below maps teaching environment … to specific case studies. … Educational Setting
Suggested Case Study
Classroom/didactic
1,2,3
Pre-clinical
1,2,3 … How should such a recommendation be interpreted in clinical practice?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - Frontline personnel are typically taught how to do their clinical job well. … This tool involves asking all staff to fill out a survey that asks the following: “Please describe how … As a team, identify how to measure success for each intervention. … For out-of-stock wipes, the team decided to identify wipe alternatives and for EVS to do so by 6 weeks … Defects are clinical or operational events that you do not want to happen again.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
January 01, 2018 - This Guide includes additional information and guidance -- in the form of tools, templates. articles, case … studies, videos, slide decks, and more -- for anyone wishing to dig even more deeply into the core topics … a specific individual
Specifies completion dates
15
More guidance about how to conduct each of these … Understanding these issues on a population level can complement the work you do on an individual level … co-pay
Limited insurance coverage
Education
Poor health literacy
Failure to believe they can do it
Don
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
September 01, 2019 - "How did you like your medical care?" "What your
doctor's office do better?" … The obvious thing we have to do is go out and do a field test to apply what we think we
learned, but … doing
a lot of reading is probably a good thing to do. … How do you ensure respondents
take up the evaluation or the invitation to complete the survey? … Jack Fowler
Yeah, I'm not sure about the issue about how do you get something not to show up in junk
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - patients’ mortality and morbidity and prevent suffering
Incidence (how many infections do we see?) … How will we know that a change is an improvement? … What changes do we have the resources to make? … Staff articulate desire to learn how to implement rapid cycle changes as they design and implement a … the potential to significantly contributes to patient safety
Staff eagerness to understand how to do
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
January 01, 2019 - population.
4 www.ahrq.gov/cahps |
Case Study: A Comparison of Electronic and Mail Survey … who do not use email. … Case Study: Findings from Administering Child HCAHPS on the Day of Discharge
– Sara Toomey, MD, MPhil … communicate that there’s a purpose to the survey
and that someone cares and will do something with … Also, some people also do not want to risk their ability to get
care in the future or damage their physician
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www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - This module explores how to take the work from the unit level to the organization level. … spreading and how it affects the population it is spreading to. … as a Plan-Do-Study-Act cycle. … Finding one person who is willing to do it all. … Plan-Do-Study-Act (or PDSA)
This tool helps organizations test a change by planning, doing, studying
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - We asked our staff how the next patient will be harmed and what we can do about it. … new tray with 60 percent fewer instruments and undoubtedly, reduce costs and save time.
18
Case Study … They are the ones who understand how work actually gets done on a day-to-day basis. … Overview ‹#›
AHRQ Safety Program for Surgery – Onboarding
ASK:
So, how do you start to build … What is the “right” thing to do?