-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - Defects: Clinical or operational events or situations that you do not want to happen again
Examples of … Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
Key Takeaways
Defects are clinical or operational … The impact of operational failures on hospital nurses and their patients.
-
www.ahrq.gov/action-alliance/webinars/workforce-safety-well-being.html
October 01, 2024 - are equipped with the skills and tools needed to make these interactions meaningful, detailing the operational
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Actionable
Metric for the Ability to Speak Up in Healthcare Settings
• SCORE: Safety, Communication, Operational … and the Journey to Highly Reliable Care
Allan Frankel, MD, Senior Vice President
Operational excellence … Knowledge
Transparent, actionable, and visible
clinical, operational, and cultural data
to prioritize
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-burnout-slides.pdf
December 10, 2024 - COMPASS Group Operational Points
• Virtual vs. in-person
• Mandatory vs. voluntary
• Intact team vs. … COMPASS Groups
COMPASS Group Trials
COMPASS Group Topics
COMPASS Study Conclusions
COMPASS Group Operational
-
www.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
January 01, 2025 - This database became operational in early 2020; it is a joint project between the Agency for Healthcare
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Operational Dashboard.
Portfolio Presentation.
Conditions of Participation Handout. … Slide 24: Establish an Operational Dashboard to Track Implementation and Outcomes (Tool 6)
Image: … Two screencaps display Implementation and Outcome pages from the Operational Dashboard Tool.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - What are clinical or operational problems that have or could have jeopardized patient safety? … Defects
Identify defects and Sensemaking share several common themes
Defects or failures are clinical or operational
-
www.ahrq.gov/cahps/news-and-events/events/20140115_DB/webcast_01_15_14_cg.html
July 01, 2018 - slides (PDF, 1.4 MB)
Deborah Kilstein, BSN, MBA
Vice President, Quality Management and Operational
-
www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Patients are
generated by the model at the beginning of this operational time interval and accumulate … processing patients
continuously, 24 hours a day (around the clock), ambulatory units have fixed operational … To reflect this schedule constraint,
we established a 12-hour operational time interval for the model … Any patients remaining in the
queue at the end of the 12-hour operational time interval remained unprocessed … Detailed examination of traces reveal that, over longer operational intervals,
exceedance is disproportionately
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Detailed process data relating to abnormal event sequences, non-standard operational conditions,
failure … We then conducted a series of
systematic observations in an existing, fully operational system of care … To illustrate the value of the
mission timeline decomposition and specification of operational time … Within each of these
major mission phases, moreover, there are specific operational time intervals during … A data-based method for assessing and reducing human error to improve
operational performance.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Use the Staff Safety Assessment Form to first, identify clinical or operational problems that have or … Defects or failures are clinical or operational events that you do not want to happen again.
-
www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
January 01, 2024 - associated with poor care transitions among patients from
participating hospitals and SNFs.
3) To assess operational … Aim 3:
We evaluated operational challenges, sent satisfaction surveys to our intervention SNF
providers … “ECHO’S Echo: Overcoming modern healthcare operational challenges with
provider-to-provider video communication
-
www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects
Slide 11
Staff Safety Assessment
Step 1: What are clinical or operational … The top arrow contains the text: What are clinical or operational problems that have or could have jeopardized … Identify defects and Sensemaking share several common themes
Defects or failures are clinical or operational
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
June 01, 2017 - simple question: What methods are used in leading health care organizations to maintain consistent “operational … on what was learned, IHI has developed a set of management principles and tools designed to sustain operational … Visual Management
Daily reference to board including key operational metrics and updates on improvement
-
www.ahrq.gov/takeheart/training/index.html
February 01, 2023 - feature experts and CR champions from diverse hospitals sharing knowledge and strategies for addressing operational … Operational Adjustments While Resuming In-Person Cardiac Rehabilitation Programs
This Learning
-
www.ahrq.gov/ncepcr/reports/grants-transform/overview.html
March 01, 2017 - Quantitative assessments included analysis of operational and administrative data (such as claims data … practice changes on quality measures, patient and provider satisfaction, and clinic operations using operational
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.html
October 01, 2015 - Quantitative assessments included analysis of operational and administrative data (such as claims data … practice changes on quality measures, patient and provider satisfaction, and clinic operations using operational
-
www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - A defect is any clinical or operational event or situation that you would not want to have happen again … Was there adequate operational (administrative and managerial) support?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - simple question: What methods are used in leading health care organizations to maintain consistent “operational … on what was learned, IHI has developed a set of management principles and tools designed to sustain operational … Visual Management
Daily reference to board including key operational metrics and updates on improvement
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Limitations:
Operational definition of mobility calls for prediction of future mobility state, which … Limitations:
Operational definition of mobility calls for prediction of future mobility state, which … Operational definition of “expected LOS <48 hours” calls for judgment and could lead to ambiguity (e.g … Operational definition of "expected LOS <48 hours" calls for judgment and could lead to ambiguity. … Surgery types "minor, moderate, major" need operational definitions, similar to the NICE model.