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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
January 01, 2013 - When your hospital invests in a new program, quality
improvement intervention, or technology, leaders … • Resources needed to implement the intervention.
• Target population. … • Measures of health care quality likely to be affected by the intervention. … • Measures of health care utilization likely to be affected by the intervention. … • Shutdown costs for time-limited intervention or failures.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - , what was the degree of residual harm to the patient
from the incident (and subsequent intervention … , what was the degree of residual harm to the patient from
the incident (and subsequent intervention … , what was the degree of residual harm to the patient from
the incident (and subsequent intervention … , what was the degree of
residual harm to the patient from the incident (and subsequent intervention … in the fall by INTERVENTION(S) IN
PLACE AND USED TO PREVENT FALL.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/unhealthy-alcohol-use.pdf
January 01, 2019 - Evidence-based guidelines recommend routine
screening and brief intervention for unhealthy alcohol use … • Augment rates of screening for unhealthy alcohol use in primary
care
• Increase rates of brief intervention
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www.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
September 01, 2021 - support overall implementation as well as use input from your team and other staff members to develop an intervention … Stewardship Programs in Long-Term Care (DOCX, 382 KB)
General Implementation Tools
Choosing an Intervention
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www.ahrq.gov/evidencenow/projects/alcohol/index.html
October 01, 2024 - Evidence-based guidelines recommend routine screening and brief intervention for unhealthy alcohol use … Increase rates of brief intervention and referral for treatment in patients who screen positive for unhealthy
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - In November, staff began a biweekly audit of intervention performance measures. … · See if results are sustained over time.
· Track the implementation of an intervention. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of … The bottom portion of the chart shows a decrease in HAPIs per 1,000 patient days in the intervention … the intervention.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - In November, staff began a biweekly audit of intervention performance measures. … Track the implementation of an intervention. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of … The bottom portion of the chart shows a decrease in HAPIs per 1,000 patient days in the intervention … the intervention.
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Other exclusion criteria included lack of rigor, small sample size), lack of intervention or protocol … Surveillance may improve compliance with other PSPs when it is part of a multi-component intervention … Cases of major bleeding were reported in some of the intervention protocols. … Intervention models were primarily led by a pharmacist or physician. … Post-intervention periods ranged from months to years.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
April 02, 2025 - Let’s look at Key Intervention 2, which is to identify the bundle of prevention practices to be used … DO: Read the key intervention tasks from the slide. … Slide 39
DO: Start a discussion of prioritized opportunities for change for Key Intervention 2. … We discussed the opportunities for change for Key Intervention 1. … ASK: What are the steps to complete Key Intervention 2?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
April 02, 2025 - They found a 50 percent variance in scoring and inappropriate intervention selection and only 20 percent … For the key intervention on patient and staff education, the team plans to do the following. … For the key intervention to identify changes in the EHR, the team plans to do the following. … Instructor’s Note: Here are some examples of Key Intervention 3 (assign roles and responsibilities for … This plan will be used for Key Intervention 3.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - Real-time assessment or intervention.*
Solicited patient reports
Understanding of system-related … Real-time assessment or intervention.*
Administrative billing data
Detection of diagnostic … Real-time assessment or intervention.*
Advanced data science methods, including natural language … Real-time assessment or intervention.*
Table 1, continued
Data Source
Strengths … Intervention and investigation with minimal recall bias possible due to detection of safety concerns
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Is tailored to include members based on clinical intervention. … CUSP teams have diverse local "opinion leaders" and dissenters that are willing to help to spread the intervention … CUSP teams have diverse local "opinion leaders" and dissenters that are willing to help to spread the intervention … CUSP teams have diverse local "opinion leaders" and dissenters that are willing to help to spread the intervention … Monitors progress of the intervention.
Disseminates results and shares stories.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - practice patterns and inconsistencies in practice, so you can more easily pinpoint opportunities for intervention … Once defects have been clearly identified, you can design a quality improvement intervention to address … such as the Surgical Complication Prevention guide, to guide your team through the quality improvement intervention
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www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
May 01, 2014 - in the pre-intervention audit using Tool 2. … Tool 4 provides a sample of the survey used in our intervention. … Findings on Changes in Documented Discussions on Weight Status in Our Intervention. … Community Resource Referral Rates in Our Intervention. … Check pre-intervention or post-intervention as appropriate to the audit
period you are using.
2
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/toolkit-overview.pdf
March 01, 2022 - for non-ICU patients with
devices is designed to serve as a roadmap for hospital champions of this intervention … information and decision-making tools
required to perform an evidence-based assessment of the need for this intervention … • Describe the roles of clinical champions who will oversee the decolonization intervention
and support
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/southwest.html
March 01, 2021 - and Maintenance) to examine two practice transformation approaches (i.e., standard versus enhanced intervention … collaborative sessions
Access to e-learning modules and a CVD toolkit
Practices randomized to an enhanced intervention … group also receive an enhanced practice transformation intervention consisting of optional patient engagement … qualitative data collection efforts are robust and involve practice facilitator field notes, a quarterly intervention
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
March 01, 2024 - For example:
■ A pretraining intervention that was developed to help small and rural hospitals implement … ■ A simulation-based intervention created to teach physicians and nurses about team-based error
disclosure … The intervention potential of VRE and capacity for building
mutual understanding was demonstrated during … Identifying a gait belt as an intervention
decreases the odds of patients falling unassisted. … Intervention and implementation strategies to support this type of work will be important
going forward
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - Design an intervention. … ‘Design an intervention’ links to CUSP modules ‘Identify Defects Through Sensemaking’ and ‘Understand … Slide 24
Examples of Defects or Errors That
Affect Patient Safety
Defect
Intervention … presents a series of defects and their interventions:
Unstable oxygen tanks on beds resulted in an intervention … A medication look-alike incident led to an intervention in which education was conducted, medications
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts.html
April 01, 2016 - Level: Exercise
Sample Risk Change Report: Resident Changes and Declines From Prior Week
Sample Intervention … History for Nutrition Risk Report
Sample On-Time Resident Clinical, Functional, and Intervention Profile … Return to Contents
Sample Intervention History for Nutrition Risk Report
#
High-Risk Residents … 10/3/13
1/2 /14
2/18/13
12/4/13
12/4/13
Note: The Intervention … Return to Contents
Sample On-Time Resident Clinical, Functional, and Intervention Profile Report
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
July 01, 2013 - Allows timing and degree of intervention impact to be detected. … Below the text is the image of a control chart titled "Did the intervention really decrease the use of … Benneyan et al., Qual Saf Health Care 2003;12:458–464 Slide 10 Using a Control Chart to Evaluate an Intervention … variation in a stable period: Observe process or outcome variables over time in the absence of an intervention … Monitor data for evidence of special-cause variation after intervention is introduced: This indicates