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www.ahrq.gov/cahps/quality-improvement/research/index.html
March 01, 2025 - Leaders highlighted a survey’s ability to track performance against other practices as an important tool … Implementation of Practice Transformation: Patient Experience According to Practice Leaders. … The use of brainstorming and reflection tactics by improvement leaders may increase the implementation … Pediatric Inpatient Leaders’ Views Changed with COVID-19: A Call to Re-engage in Quality Improvement. … Pediatric Inpatient Leaders’ Views Changed with COVID-19: A Call to Re-engage in Quality Improvement.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - Section A helps board members and staff better understand the AHRQ PDIs and assist senior and
quality leaders … Getting Ready for Change Self-
Assessment
Includes survey to assess leaders’ perspectives on
organizational … and Safety
Tool A.1 iii
Section B: Applying QIs to Your Hospital’s Data
Section B helps quality leaders … Priorities for Quality Improvement
Section C includes a prioritization worksheet to help senior and quality leaders … Quality and Safety
Tool A.1 v
Section F: Analyzing Return on Investment
Section F helps senior leaders
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - way forward
At that point, didn’t have a tool per se so we simply sent out
the NAPfAPS and asked leaders … • Develop a plan to ensure that all senior leaders are trained and understand the principles of patient … , interventions to be tested, and
associated measures to assess progress toward aims.
• Assess all leaders … Logo designed and adopted.
• Launched Unconscious Bias training for all leaders
Initiative/ Tactic Who … Now required for all new leaders.
• Very good content and discussion, engaging facilitator
• Better clarity
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
June 01, 2017 - huddle, visual management, escalation, observation of safety work, problem solving, and integration with leaders … Consider huddle only for unit leaders to discuss problems touching multiple parts of the facility (e.g … Remember to report progress to leaders such as the medical directors and ambulatory surgery center board
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www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
July 01, 2011 - Union representatives, community leaders, and leaders of faith-based organizations can also be helpful
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - Chapter 1 , these included three primary data collection methods:
Two TEPs constituted of stakeholder leaders … the five interview stakeholder groups: (1) HSR and PCR researchers, (2) health care delivery system leaders … Other Research Users
Federal Research Leaders
Total Interviews
Northeast
4
2
2 … , seven other research users, and four federal research leaders. … ’ stakeholder group; and one applicable to the health care delivery system leaders, state-level health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
January 01, 2017 - It can be a challenge for frontline staff and unit-level leaders to recognize all stakeholders. … The same is true of executive leaders. … However, not all leaders are great at building this culture. … Leaders are expected to lead and make decisions. … ASK:
What do you think your executive leaders value and prioritize most?
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - As an alternative, your hospital leadership and potential Implementation Team leaders may want to answer
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
April 01, 2016 - Purpose: To provide guidance to leaders and staff who are building a business case for implementing the … Leaders (administrators, director of nursing, medical director, etc.) and any staff who are
leading … engaged, the implementation
steps used to develop and/or spread the
practices and strategies, and key leaders … information about accomplishments
to date, especially audits of practices,
observations by staff and leaders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - help ensure our staff members find value in the work they do.
7
Safety Program Leverages National Leaders … These leaders serve several critical functions. … Surgeon leaders:
Serve as role models for surgical safety activities,
Meet with the safety team at least … Formal and informal leader actions and expectations
Do leaders really put safety as their number one … SAY:
Leaders who actively demonstrate that a culture of safety is the most critical goal of their work
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www.ahrq.gov/news/newsletters/e-newsletter/914.html
May 01, 2024 - efforts to advance patient safety, the agency has published two new evidence reviews to help healthcare leaders … Leading quality and safety on the frontline—a case study of department leaders in nursing homes . … The largest number of associations between survey measures were overall support from hospital leaders … Literature Development and evaluation of patient safety interventions: perspectives of operational safety leaders
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Aligning the incentives of organizational leaders, physicians, and other staff with safety goals and … Leaders must create a compelling vision, one that answers the questions, “What do we want to achieve? … Step 5: Empower Others To Act
Leaders must change the systems or structures that undermine the change … Leaders must be relentless in instituting all the needed changes until the vision is a reality. … Steps leaders can take include:
Acknowledge hard work.
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www.ahrq.gov/ncepcr/tools/case-studies/health-team-works.html
August 01, 2014 - HealthTeamWorks leaders describe these two components as “the information side” and “the human side,” … Program content
HealthTeamWorks leaders consider the joint principles of the PCMH, along with other … To facilitate learning, HealthTeamWorks leaders encourage storytelling and interactive learning among … HealthTeamWorks leaders believe the ideal size for its intensive in-person coaching class is 8 to 12 … HealthTeamWorks leaders believe this diversity of skills and knowledge among the coaching faculty—or
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - patient-safety-leadership-walkrounds (second item requires
free account setup and login)
Senior leaders … They also provide practical tools for trustees
and the health system leaders who support them to govern … bridge gaps in knowledge
and resources by providing chief executive officers and other healthcare leaders … The toolkit includes a concise synopsis of activities that help leaders and
medical staff members activate … A
panel of nurse leaders explored this issue at a roundtable, “Using Acuity: Optimizing Patient
Care
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - Continued senior leader engagement will also improve as leaders see the return on investment and routinely … Planning early also allows your facility to identify key leaders and to engage senior leaders and administration … Team leaders may need to be coached on how to build a measurement system to collect process, outcome, … Encourage team leaders to discuss actual resident stories to drive home important lessons. … Consider measuring how frequently senior leaders and administrators review data in order to check how
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Most
clinicians and leaders supported encouraging patients to voice concerns, but implementation was … Because IMOC had been developed, endorsed, and prioritized for dissemination by MedStar leaders, it … Leaders from each of the MedStar hospitals met with the MedStar health site PI (Kelly Smith)
and/or … , patient experience leaders (e.g., Patient Advocacy, Patient Care Manager), unit
leadership (e.g., … Leaders noted the value of the detailed reports from
the WWTK specialist and the timely provision of
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Leaders should also provide access to resources for an empowered staff. … Many staff report that meetings with leadership are intimidating or that leaders do not welcome their … Slide 20: Positive Reinforcement 3
Say:
As staff demonstrate their empowerment, leaders should … Team leaders must both change the systems that undermine the team's vision and also remove obstacles … It's essential that team leaders remove as many barriers as possible.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-summary.pdf
January 01, 2022 - Safety
80% of respondents "strongly agreed" or
"agreed" that supervisors. managers, or
clinical leaders … average score by staff position and unit/work area
Staff Position
Supervisors/
Managers/
Clinical Leaders … /
Senior Leaders
(highest)
81%
positive
Advanced
Practice Nurse
(NP, CRNA, CNS,
CNM)
(lowest
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/dutta.pdf
December 19, 2014 - Project Aims
The project aims were to:
1) Develop and test the CCA for training local leaders of … local context.
2) Develop and test a health disparities hub that can be
accessed by community leaders
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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/module6/module-6-slides.pptx
March 01, 2017 - practices
Measureable outcomes
Prevent project fatigue
Control processes
Monitor progress
Engage senior leaders … Sustainability | ‹#›
9
Planning Early
Develop plan for financial, staffing, and other resources
Identify leaders … staff should—
Feel comfortable bringing up resident safety concerns to other team members or team leaders … Stories
Stories are a powerful way to engage staff in ways that numbers cannot
Encourage your team leaders … proposed improvements
Encourage active senior leader engagement
Consider measuring how frequently senior leaders