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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-diagnostic-excellence-webinar.pdf
June 01, 2025 - Director & Senior Researcher, RAND Corporation
Implementing Diagnostic Excellence
Across Systems (IDEAS … ) Project
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IDEAS supports diagnostic safety across settings … IDEASproject@rand.org
March 2025 June 2025 August 2025
mailto:IDEASproject@rand.org
Why participate in IDEAS … Recommendations from Participants
Diagnostic Safety Resources
Speaker Welcome
Slide Number 37
IDEAS … supports diagnostic safety across settings and users
Resource-specific considerations
Why participate in IDEAS
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
July 01, 2023 - can result in two distinct cases of conflict:
Informational conflict involves differing views, ideas
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emotional-wellness-resources-electronic.docx
March 01, 2022 - /about-us/your-local-211
The COVID-19 Frontline Workers Screener from Mental Health America offers ideas
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap4.html
August 01, 2022 - Managing the flow of ideas: A local management approach to message design. In: Burleson B, ed.
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psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Study
“I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists.
Citation Text:
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…
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psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - majority, late majority, and laggards) and how these personality types influence the spread of new ideas
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psnet.ahrq.gov/node/867529/psn-pdf
January 15, 2025 - “I had no idea this happened”: electronic feedback on
clinical reasoning for hospitalists.
January 15, 2025
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical
reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. doi:10.1007/s11606-024-09058-1.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Specifically, it helps your team organize ideas about how a defect happened, think about problems and … When you are ready to hold your LFD meeting, use the LFD tool to collect your team’s ideas.
I. … We came up with a lot of ideas. … Once the flow of ideas slowed down, the team leader reviewed each level of the system – patient level … Specifically, it helps your team
organize ideas about how a defect happened, think about problems and
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www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
January 01, 2024 - Ideas such as the use of incentives and the relevance of measures should be studied. … Valdez closed the session by asking for ideas about improving the relationships among the three parties—AHRQ … re-establish the notion of community so that systems share rather than legally protect new and good ideas … Kline, MD, presented ideas from another of the pre-meeting breakout groups.
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integrationacademy.ahrq.gov/sites/default/files/2020-07/ben_miller.docx
January 01, 2020 - in the future is a place where the community can come and share these stories, can talk about these ideas
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - In verbal communication, ideas are first encoded, or created, when the sender relays a message with meaning … insignificant components comprise the overall communication system in which providers share information, ideas … Developing supportive environments in which L&D unit staff will be able to discuss ideas, plans, and
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-implement.html
November 01, 2017 - Phase 2: Own
Ideas for change that come from outside an organization are often treated as suspect ( … —which makes those ideas easy to ignore or dismiss. … accrediting bodies, government regulators, and payers, fatigue or even outright hostility to outside ideas
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www.ahrq.gov/talkingquality/translate/web/index.html
May 01, 2019 - Classic research in cognitive psychology indicates that people can keep seven, plus or minus two, ideas … in their short-term memory at one time. [ 1 ] So when you have data on more than seven or eight ideas
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.docx
January 01, 2022 - Se nos anima a aportar ideas sobre maneras más eficientes de hacer nuestro trabajo.
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5 … Nos agradece por nuestras ideas para mejorar la eficiencia
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psnet.ahrq.gov/node/43698/psn-pdf
November 19, 2014 - Alcohol and drug testing of health professionals following
preventable adverse events: a bad idea.
November 19, 2014
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873.
https://psnet.ahrq.gov/i…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016154-nashan-final-report-2009.pdf
January 01, 2009 - where multidisciplinary teams from each organization and
expert faculty come together to exchange ideas … rely on group collaboration as a means of
educating health care providers and support staff in new ideas … The key ideas in the Model for Improvement are to
determine: 1) What are we trying to accomplish (e.g … Using a PDSA for several
tests of ideas/changes before full implementation is key. … In addition, there were opportunities for teams to get together and
brainstorm ideas for change and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facnotes-spanish.docx
June 02, 2025 - .
· Los directivos desafían el proceso de las siguientes maneras:
· Escuchar ideas ajenas para mejorar … · Experimentar y arriesgarse, permanecer abiertos a ideas nuevas, promover pruebas pequeñas de cambio … para evaluar la viabilidad de las ideas nuevas, resolver los problemas de un área en particular antes … integrantes del equipo lleguen a conocerse interactuando a nivel personal y profesional, intercambiando ideas … DIGA:
Los directivos desafían el proceso de las siguientes maneras:
· Buscar oportunidades, escuchar ideas
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - I was at Alcoa, I created the Alcoa University and offered to teach people in the community
these ideas … He decided these ideas were right. … PO: I think there are more businesses that have learned the ideas of continuous learning and continuous … I thought
people will now see this, they will look at their own place, and they will adopt these ideas
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-a.pdf
May 01, 2016 - impressed, and excited that there
was a practice interested enough in improving that they
would take ideas
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - of this Unit is to have a team focused on systematically identifying and implementing high priority ideas … nudges have the potential to reduce unnecessary care. 9
Planning and Development Process
Solicit ideas … Nudge Unit has demonstrated that the frontline clinical staff are the best source of suitable project ideas … Take a systematic approach to understanding the problem and identifying solutions. 3
Identify ideas