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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - Patient falls involve other intrinsic
factors, such as patient sex, medical condition, mobility impairment … safety event could not be attributed to the hospital, did not
reach the patient, did not appear to involve
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Building partnerships to improve quality of children’s health care
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Introdu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - Also think about other leaders to involve (e.g., unit directors and nurse managers).
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Many simulation
applications involve mannequins that
present with symptoms and respond to
the simulated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
March 01, 2017 - Using Lean techniques to redesign care delivery
- Attention to “flow”
- Change management: involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
March 01, 2016 - If you are unfamiliar with database structures, involve the IT department immediately.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
January 01, 2017 - Currently, human factors that involve staffing levels, staffing skill mix, staff orientation, and things
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - Some organizations choose to involve patients/families in some manner in the event analysis process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - date
Education
Plan for follow-up
*
Project Planning
Establish and engage CAUTI team members
Involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
December 01, 2017 - ASK:
Do you have a list of defects that involve an area of the hospital, such as instrument sterilization
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide1.html
October 01, 2014 - The IRB conducts reviews of all our federally funded research projects that involve human subjects.
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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 - Lack of leadership Designate an overall leader who is involved and committed to quality improvement
Involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
May 01, 2017 - Figure 4 reminds you that many improvement projects involve a series of PDSA cycles.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - Program for Perinatal Care
Assemble Team/
Engage Leadership
18
Stages of Engagement
Engagement: “To involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/advisors.pptx
May 01, 2017 - Care
Working With Patient
and Family Advisors
Identify Potential Advisors
Look for opportunities to involve
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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 - Team factors
Team factors may involve issues with teamwork, communication, inadequate supervision, and
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
December 01, 2017 - On-Time Pressure Ulcer Assessment
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
The On-Time Pressure Ulcer Assessment incorporates elements from the Bates-Jensen Wound Assessment Tool (BWAT) with additional standardized treatment and intervention descriptors. The On-Time Pressur…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Involve care team staff in the practice’s performance evaluation and quality improvement activities … Involve patients/families/caregivers in quality improvement activities or on the practice’s advisory
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - AHRQ’s role can involve helping organizations build capacity to move knowledge into practice.
Ms. … cited AHRQ-supported research networks and registries, which feature patient-reported outcomes and involve
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a-1.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
2.a-1 Preintervention Survey of Clinicians and Practice Staff
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Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps…