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  1. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
    February 01, 2005 - Although we have made improvements in the safety of the health care system since that time, there is
  2. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
    February 01, 2005 - Although we have made improvements in the safety of the health care system since that time, there is
  3. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
    February 01, 2005 - Although we have made improvements in the safety of the health care system since that time, there is
  4. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
    February 01, 2005 - Although we have made improvements in the safety of the health care system since that time, there is
  5. www.ahrq.gov/practiceimprovement/delivery-initiative/execsumm.html
    June 01, 2017 - describe the contextual factors associated with physicians who demonstrated high post-Lean performance improvements … The most significant post-Lean improvements evident in our statistical analyses involved workflow efficiencies … Clinical Quality Improvements in coordinated diabetes care metrics, no change in preventive screening … relevant for system leaders and managers of any organization attempting to implement and scale process improvements
  6. www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
    February 01, 2017 - Empowers staff to be actively engaged in safety improvements. … Linked with improvements in clinical outcomes and human resources outcomes.
  7. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-northwest.pdf
    November 01, 2017 - Assess the sustainability of changes made in QI capacity and ABCS improvements and develop a model of … It is associated with ABCS clinical quality measures and tracks closely with observed improvements in
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard_facnotes.docx
    December 01, 2017 - It signals where your team receives passing marks and where improvements are needed. … Use the safety culture improvements to validate the work efforts of your frontline staff.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
    May 01, 2017 - Many participating ASCs have demonstrated improvements in safety practices. … SAY: Many change efforts fail to result in sustained improvements.
  10. www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
    October 01, 2015 - Peripheral venous catheter care in the Emergency Department: Education and feedback lead to marked improvements … Sustained improvements in peripheral venous catheter care in non-Intensive Care Units: A quasi-experimental
  11. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-planning.html
    May 01, 2017 - See the section below on sustainability from IHI on planning for sustaining improvements. … IHI: Sustaining Improvements in Ambulatory Surgical Safety The current thinking around sustainability
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - • Implement an error-detection system with built-in feedback loops, so that continuous quality improvements … Wireless Networking, Expanded Drug Libraries In 2004, further safety improvements were achieved with … Implementation also results in practice improvements, increased interdisciplinary communication, and … Analysis of CQI data is useful to identify opportunities for practice improvements and to target medication … Wireless networking and multidisciplinary collaboration allow implementation of those improvements efficiently
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
    April 06, 2008 - accessible training is necessary; involvement of clinicians achieves buy-in and contributes to ongoing improvements … log has been kept of every user transaction, which has provided a rich source of data for making improvements … Feedback should be encouraged from all, incorporated, and used to facilitate system improvements, enhancements … enhancements were made throughout this time, with vigilant monitoring and constant attention paid to improvements … integration testing are necessary • Feedback from users should be encouraged and used to make improvements
  14. www.ahrq.gov/patient-safety/capacity/candor/demo-program/grants/summary.html
    May 01, 2016 - specific evidence-based interventions (e.g., clinical bundles, team communication) may be associated with improvements … disclosure and resolution program) In an extension of an existing program, UIC Medical Center showed improvements … The project reported significant improvements in communication processes, including a 52% increase in … The baseline rates were generally very low, with most CSAE improvements occurring in favoring intervention
  15. www.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan-ig.html
    September 01, 2015 - The goal of Phase III is to sustain and spread improvements in teamwork and in associated clinical processes … This in turn will prevent the targeted problem from recurring, or lead to your targeted improvements. … two sentences what you hope will be achieved, who will be involved, and when and where the improvements … assessment of the effectiveness of the intervention and for identification of opportunities for further improvements
  16. www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
    March 01, 2017 - describe the contextual factors associated with physicians who demonstrated high post-Lean performance improvements … The most significant post-Lean improvements evident in our statistical analyses involved workflow efficiencies … Clinical Quality Improvements in coordinated diabetes care metrics, no change in preventive screening … relevant for system leaders and managers of any organization attempting to implement and scale process improvements
  17. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
    January 01, 2012 - improving your performance on CAHPS or whichever surveys you use to monitor your improvement and drive improvements … If you make improvements in the communication of caring by all members of the staff, then you will see … improvements on many CAHPS and patient satisfaction survey items. … Slide 13 You’ll see improvements in response to pain, did people do everything to help pain, did they
  18. www.ahrq.gov/news/newsroom/case-studies/201408.html
    June 01, 2014 - "Overall, all 15 medical practices completing the assessments showed remarkable improvements in the two
  19. www.ahrq.gov/news/newsroom/case-studies/201716.html
    April 01, 2018 - been critically useful—specifically post-delivery and for real-time learning—and have contributed to improvements
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2b.docx
    January 15, 2016 - QI refers to a continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness

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