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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.docx
October 01, 2016 - Determine individuals responsible for specific processes and steps
Identify potential barriers and how … to address them
20 minutes
Start-up activities: Identify activities to be carried out to use … Schedule monthly team meeting to review progress and address questions/problems
5 minutes
Identify
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psnet.ahrq.gov/node/61077/psn-pdf
October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services
in Helping to Identify and Reduce High-risk …
https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high … https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk … https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
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psnet.ahrq.gov/node/60973/psn-pdf
September 30, 2020 - During the pandemic, aspire to identify and prevent
medication errors and to avoid blaming attitudes … https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid- … https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes … https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
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psnet.ahrq.gov/node/836853/psn-pdf
April 06, 2022 - Use of e-triggers to identify diagnostic errors in the
paediatric ED. … Use of e-triggers to identify diagnostic errors in the paediatric ED. … https://psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
Trigger tools and … https://psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
https://psnet.ahrq.gov
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - You may want to use tool 1B, Key Stakeholder Analysis, to identify individuals and departments that may … Use: Use the completed template to identify actions needed to involve all stakeholders in the project … Instructions:
Have the implementation team identify and define every step in the current process … If the process is different for different shifts, identify each individual process. … Identify the steps of your defined process.
Press for details.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
January 01, 2017 - infection (SSI) prevention bundle.
2
Model for Improving Care1-2
Educate staff on science of safety
Identify … executive
Learn from defects
Improve teamwork and communication
Summarize the evidence in a checklist
Identify … the evidence supporting all of the components of the PAD guidelines, mobility and reducing VAE
5
Identify … Local Barriers1
Solicit feedback from all stakeholders
Identify potential gains or losses
Walk the process … to identify defects at each step
Identify local barriers to implementation
2
Observe staff performing
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - You may want to use tool 1B, Key Stakeholder Analysis, to identify individuals and departments that may … Use: Use the completed template to identify actions needed to involve all stakeholders in the project … Instructions:
Have the implementation team identify and define every step in the current process … If the process is different for different shifts, identify each individual process. … Identify the steps of your defined process.
Press for details.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - The Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify … Slide 2
SAY:
Some of the tools that will help CUSP teams identify and learn from defects include— … team should apply tools to identify defects, define them, and identify their sources. … Identify the contributing factors.
Step 3. Prioritize the contributing factors.
3. … CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - larger system
Engage collaborative multidisciplinary teams centrally and locally
Summarize the evidence
Identify … Four Es of Early Mobility ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
4
Identify … Local Barriers1
Solicit feedback from all stakeholders
Identify potential gains or losses
Walk the process … to identify defects at each step
Identify local barriers to implementation
2
Observe staff performing … right thing
Learn from mistakes Update process for mobilizing patient
Review policies and protocols
Identify
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
March 01, 2019 - Identify and recruit stakeholders.
Monitor the group’s membership. … The scan also may help you identify areas of expertise and skills that can help your initiative succeed … Consult the logic or key driver model for your QI initiative ( Task 1.1 ) to identify critical players … Are there State agencies or other organizations that you can leverage to identify stakeholders? … CHIPRA Quality Demonstration State Experiences: Leveraging Existing Groups to Identify Stakeholders
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.pdf
October 01, 2016 - (b) Determine individuals responsible for specific
processes and steps
(c) Identify potential barriers … Start-up activities: Identify activities to be carried out to
use the tools (e.g., creation of new forms … Identify the next steps and agenda for next meeting 5 minutes
Tool 4.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - Slide 3: Module 3 Goals
Identify opportunities for improvement:
Which pressure injury prevention … Goal: to identify patients at risk. … Order support surfaces and skin care products for patients you identify as at risk. … Slide 32: Identify Your Bundle of Best Practices
Slide 33: Identify Best Practices
Comprehensive … Slide 35: Identify Best Practices
Risk assessment:
Which standardized risk assessment scale
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www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
May 01, 2017 - Identify strategies for implementing the Medication Management strategy in primary care settings. … Complete medication reconciliation using the accurate medication list
Identify & correct safety issues … Leadership Buy-in
Identify a Medication Management practice champion. … Identify a process improvement team
Engage a patient or two in developing your plan. … Identify resources for implementation.
Slide 15: Design Support
Before Appointment.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - Verify Nursing Home Readiness
Leadership agrees to identify a change team champion and establish … Identify Multidisciplinary Team Members To Serve as the Change Team
The change team consists of a … The facilitator guides the team to identify gaps and begin to think about ways On-Time reports can be … In completing this task, the team may identify problems in, for example, CNA documentation completeness … Implementation Progress Monthly
After about 6 months, the facilitator's role is to check in to identify
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digital.ahrq.gov/principal-investigator/sikora-andrea
January 01, 2025 - Cluster analysis driven by unsupervised latent feature learning of medications to identify … Cluster analysis driven by unsupervised latent feature learning of medications to identify novel pharmacophenotypes … Unsupervised machine learning analysis to identify patterns of ICU medication use for fluid overload … Care Pharmacist Resource Prediction
Unsupervised machine learning analysis to identify … Unsupervised machine learning analysis to identify patterns of ICU medication use for fluid overload
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - Identify the source for each item.
4. … Identify the person who goes to the source for each item.
5. … Identify where the visual management board will be kept (default: wherever you will do daily huddles) … Identify date of huddle where the board will first be used.
8. … Identify appropriate format for each item (e.g., a bar chart from Excel?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Sensemaking
Defect or failure identification Defects Human/active failure
Latent/system conditions
Ways to identify … Defects Form Eindhoven Model
4
AHRQ Safety Program for Perinatal Care
Sensemaking &
Learn from Defects
Identify … Defects Overview
Define defects
Identify sources of defects
Apply CUSP tools to identify defects
5 … clinical or operational events that you do not want to happen again
CUSP and Sensemaking tools help teams identify … defects and identify ways to deter them from occurring in the future
20
AHRQ Safety Program for Perinatal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
January 01, 2017 - Learning Objectives
After this session, you will be able to—
Understand and apply the Science of Safety
Identify … Program for Mechanically Ventilated Patients
2
CUSP STEPS
Educate staff on the Science of Safety
Identify … Program for Mechanically Ventilated Patients
14
CUSP STEPS
Educate staff on the science of safety
Identify … senior executive
Learn from defects
Improve teamwork and communication
ADAPTIVE COMPONENTS OF CUSP
Identify … potential safety risks
Seeks to identify threats in the clinical area by asking:
How do you think the
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Identify 'Natural' Second-Victim Supporters .
Establish Team Infrastructure . … Care for the Caregiver Program Implementation Objectives
Identify executive champion(s) and key individuals … Identify individuals within your facility to determine who could serve on a steering team to implement … YES NO
Identify high-risk clinical teams that should be monitored closely by supervisory … YES NO
Identify various facility-wide and department-specific meetings to introduce
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identify … combines simulation-based clinical systems testing (SbCST) and simulation-based training
(SbT) to identify … medical emergency, participants engaged in a facilitator-led debriefing process and were asked
to identify … innovation/let-us-twisst-plan-simulate-study-and-act
https://psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review