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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN … HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal … • Care plan training LTA – inaccurate (organizational practices). … Organizational self-assessment: Using this tool, HHAs agencies could evaluate the
effectiveness of organizational … A key finding from that study
was the attribution of preventable hospitalizations to organizational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Workshop A4 & B4: Building a Multi-Organizational QI Support System
PA SPREAD:
Pennsylvania Spreading
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Bringing about organizational change of any type is difficult. … 1.1 Do organizational members understand why change is needed? … At this early stage, the focus is on urgency at the organizational level. … You should not move ahead until you are confident of organizational readiness. … Organizational Readiness Checklist
Why is change needed?
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Bringing about organizational change of any type is difficult. … 1.1 Do organizational members understand why change is needed? … At this early stage, the focus is on urgency at the organizational level. … You should not move ahead until you are confident of organizational readiness. … Organizational Readiness Checklist
Why is change needed?
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-030817.ppt
January 01, 2017 - High Reliability Organizational (HRO) Culture using Standardized Patient Simulation and TeamSTEPPS … High Reliability Organizational (HRO) Culture using Standardized Patient Simulation and TeamSTEPPS
March … 05.2
Slide *
March TeamSTEPPS Monthly Webinar
Objectives
Understand the value of high reliability organizational … sustain a culture of creative inquiry to encourage healthcare innovation and achieve a high reliability organizational
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
February 01, 2014 - How does the quality/cost of care vary among the organizational types? … What are the distinct types of organizational culture and their prevalence? … What are the external and internal factors that promote particular types of organizational culture? … Factors promoting patient engagement
What organizational structural, cultural, and process factors … How do external incentives affect organizational structures, cultures, and processes?
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Managing the Risks of Organizational Accidents. … Image: Organizational chart showing the unsafe acts algorithm. … Organizational Leadership and Culture 4th ed. San Francisco: John Wiley & Sons; 2010. … Organizational Leadership and Culture 4th ed. San Francisco: John Wiley & Sons; 2010.
Wiegmann. … Managing the Risks of Organizational Accidents .
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14ref.html
June 01, 2014 - Designing and using organizational surveys: a seven-step process. … The improvement guide: a practical approach to improving organizational performance.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily4.html
July 01, 2018 - Organizational context within hospitals, including structures and processes that influence patient and … Facilitators for providers include those factors discussed in the organizational context section. … Organizational Structure
Structural aspects of a hospital that influence the ability to initiate and … Organizational Processes
Processes that affect an organization's ability to implement and sustain change … There is more limited information for patients and family members about how to develop organizational
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www.ahrq.gov/chsp/about-chsp/index.html
May 01, 2021 - Focus Areas of the Centers of Excellence
Market and Organizational Factors That Influence Implementation … Study how market and organizational factors influence the implementation of biomedical, health system … Role of incentives, Health Information Technology, and Organizational Integration Within Systems
RAND … Explore the role of incentives, use of health IT, organizational integration, and strategies used by
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - The relative lack of
established organizational efforts in patient safety was both an opportunity and … Press, 1993) –
leadership, culture of safety, redundancy designed into systems, and organizational … We planned on using a
focus on devices as an entrée or pathway to learning more about organizational … memory (or amnesia) for safety-related events and possible harms and
organizational approaches to … Simulation Approaches and Integration into an Organizational Safety Program.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
January 01, 2017 - s Four Phases of Growth
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
18
Organizational … [OCC] enables an organization to upgrade or revise existing organizational competencies while cultivating … WQ Judge, 2011)
Ingredients:
Human skill sets and resources,
Formal systems and procedures, and
Organizational … performance
B
WORK
Change Capacity:
Organizational competency in planning, leading, and sustaining … #›
Small Office Setting
20
Leveraging Different
Approaches to Change
Individual
Working Team
Organizational
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www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
January 01, 2025 - safety management
Organizational learning Organizational contributors
– Latent conditions
– Performance … • Care plan training LTA – inaccurate (organizational practices). … Managing the Risks of Organizational Accidents. Brookfield, VT: Ashgate, 1997.
20 Vincente K. … Managing the Risks of Organizational Accidents. Brookfield, VT: Ashgate, 1997.
25 Reason J. … Managing the Risks of Organizational Accidents.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
July 01, 2016 - Improve Hospital Quality and Safety
Tool D.1 Slide ‹#›
Prior to Action Planning
Use Assessment of Organizational … The improvement guide: a practice approach to enhancing organizational performance. … The improvement guide: a practice approach to enhancing organizational performance. … The improvement guide: a practice approach to enhancing organizational performance.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
May 26, 2016 - Improve Hospital Quality and Safety
Tool D.1 Slide ‹#›
Prior to Action Planning
Use Assessment of Organizational … The improvement guide: a practice approach to enhancing organizational performance. … The improvement guide: a practice approach to enhancing organizational performance. … The improvement guide: a practice approach to enhancing organizational performance.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-0173-tables1-6.pdf
January 22, 2020 - 11c, 11d, 13, 22b
Reported Frequency for Medication
Reconciliation
11b, 14a-f, 22a,
Reported Organizational … Use
2 10 – 16
Good
Organizational
Use
3 17 – 22
Advanced
Organizational
Use … 4 23 – 27
Organizational
Use Leader
5 > 27
Reported Frequency for Medication
Reconciliation … Use
2 10 - 16
Good
Organizational
Use
3 17 - 22
Advanced
Organizational
Use
4 23 - 27 … Organizational
Use Leader
5 > 27
Reported Frequency for Medication
Reconciliation
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www.ahrq.gov/innovations/will-work/guide1.html
February 01, 2021 - If you have been looking for a solution to an organizational problem, an innovation may appear to be … Organizational decisionmakers should assess the extent to which an innovation is consistent with their … Innovations may be used as part of a strategy to change organizational culture, or measures can be taken … If you want to formally assess your organization’s culture, take a look at the Organizational Culture … A 2003 review of available tools to assess organizational culture in health care can be found at http
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-evans.pdf
July 03, 2023 - intervention
► Sometimes additional themes
for intervention
45
Perspectives from Leadership –
Organizational … Leadership Perspectives
Perspectives from Leadership – Use of Narratives
Perspectives from Leadership – Organizational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
June 05, 2016 - Improve Hospital Quality and Safety
Tool D.1 Slide 2
Prior to Action Planning
• Use Assessment of Organizational … The improvement guide: a practice approach to
enhancing organizational performance. … The improvement guide: a practice approach to
enhancing organizational performance. … The improvement guide: a practice approach to
enhancing organizational performance.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
June 05, 2016 - Improve Hospital Quality and Safety
Tool D.1 Slide 2
Prior to Action Planning
• Use Assessment of Organizational … The improvement guide: a practice approach to
enhancing organizational performance. … The improvement guide: a practice approach to
enhancing organizational performance. … The improvement guide: a practice approach to
enhancing organizational performance.