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Showing results for "process".

261. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
     April 07, 2008 - The FMEA process includes five steps: (1) team selection, (2) process identification, (3) process flow … We focused on the emergency C-section process because it is a high-risk process with a large amount … Step 3: Description of the process. … The FMEA team studied the process by flow-charting the key process steps, identifying process weaknesses … The process mapping identified six major stages of the emergency C-section process: (1) admission of

262. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
     June 01, 2023 - Communicate throughout the change process.  … Mobility Process for early and consistent mobility Documentation strategy Diet Process for diet advancement … Multimodal Pain Management Process for multimodal pain management VTE Prophylaxis Process for patients … Mobility Process for early and consistent mobility Documentation strategy Diet Process for diet advancement … Multimodal Pain Management Process for multimodal pain management VTE Prophylaxis Process for VTE prophylaxis

263. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
     August 01, 2022 - Event review: the overall process of assessing an adverse safety event to determine contributing factors … Solutions meeting: a meeting where major stakeholders and individuals who are able to make process changes … IT structure: solutions consist of changes to programs or interfaces that will change a process. … Process: solutions that change the workflow to reduce hazards, such as eliminating unnecessary steps … Review: an assessment of a particular system or process with the aim of changing the studied process

264. The CAHPS Ambulatory Care Improvement Guide: Determining Where to Focus Efforts to Improve Patient Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/5-determining-focus/cahps-ambulatory-care-guide-section-5.pdf
     May 01, 2017 - Process Mapping To figure out how to improve a process, it helps to map it. … the outputs of the process. … your process map. …  Draw the final process map. … particular process.

265. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
     August 15, 2019 - 2017 Low reporting Risk use only Lack of standard process What do we report? … Conducted process mapping workshop 5. Produced high-level and detailed ideal state process maps 6. … for event review • Launched new process in 7 areas both inpatient and outpatient, with planned launch … in all areas within a year • Re-launched our Patient Safety Committee to align with the new process … Map Safety Assessment Code (SAC) Matrix Process Launch Achievement Summary Where are we now?

266. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
     January 01, 2024 - and the barriers each encountered in carrying out this process. … of the intended medication administration process. … Results from Part II of the Project The process maps, with barriers in the work process for each facility … This finding represents a paradox in the quality improvement process of hospitals. … and analysis of the process maps may be useful.

267. TCD Screening and Communication Processes – Flow Diagrams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/tcd-screening-flow-diagram.pdf
     June 02, 2025 - This process is illustrated below.

268. Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
     January 01, 2025 - At the end of this process, we had a total of 74 quality measures. … I Process Chart 2 When a primary care team ordered a blood test, x- ray, or other tests, a follow-up … I Process Chart 7 If a child is 2 years or older, the child's body mass index should be calculated … V Process Patient Survey 3 The clinic or medical home should have a formal process in which patient … Last, patient- and family-centeredness are viewed as integral parts of the care delivery process.

269. Tool 12: Cross Continuum Collaboration Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool12_collaboration.docx
     June 02, 2025 - potential referral volume and to discuss shared expectations for what an effective referral-linkage process … After testing this process with a few key providers, build a portfolio of effective referral pathways … Ask the provider/agency to work with you to develop a reliable process to ensure linkage to posthospital … How did the process go on the hospital side? How did the process go on the provider/agency side? … Continue to improve the process so that: Your staff reliably identifies patients with needs that can

270. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/clabsi_invest-slides/CLABSI-Investigation-Walk-the-Process-Sept-14-2010-508.ppt
     January 01, 2010 - What I mean by walking the process is to look at the entire central line process from insertion to removal … infection, this is also a good to do as on ongoing process to ensure that every patient is receiving … We suggest walking the process from line placement to maintenance before adding new technologies. … * Process Auditing Patient Level -- Was the checklist used? Was the protocol followed? … Process Audit: Lessons Learned IV Administration Set Replacement Pronovost, et al.

271. Final Progress Report: EMR Planning To Improve North Iowa Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
     January 01, 2024 - The process followed a logical sequence. … process. … The process followed a logical sequence. … process. … The planning process was logical and efficient.

272. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
     December 01, 2017 - ASK: What are they getting out of this process? … It is a transparent process. … Slide 23 Debriefing Process SAY: Here is an overview of the debriefing process. … Slide 24 Debriefing Process SAY: Here is a breakdown of the followup process for debriefing comments … Slide 32 Debriefing Process SAY: Here is a recap of the debriefing process.

273. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
     March 01, 2023 - • The data collection process. … • Symbols represent different parts of the process. • A flowchart visualizes the process. … Tips for Workflow Process Mapping • The mapping process is usually iterative. … Process improvements take time. … How to Use the Workflow Process Map Fishbone Diagram Additional Workflow Process Mapping Guidance and

274. Final Progress Report: Blood Product Transfusion & Safe Practices (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
     January 01, 2024 - The process uses wireless mobile devices, barcode technology, and a new online data-capture-response … with a point-of-care, computerized scanning process, addressing the following specific risk areas: … The initial pilot utilized a dual process, requiring staff to first perform the new barcoded process … for all steps and then perform the old manual process. … many more errors than did staff using the manual process, thereby increasing patient safety.

275. Tool: Teach-Back | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
     May 01, 2023 - This process also solidifies the information. … The nurse shows the patient and family caregiver the process and technique for changing the dressing. … This process might include premedicating with pain medicine 30 minutes before wound care, effectively … The patient and family caregiver repeat back the process, step by step, and then demonstrate the process … They would then ask the patient or family caregiver to explain the process back to them to verify that

276. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
     January 01, 2024 - Scope: We examined high-risk vulnerabilities in the medication use process for oral chemotherapies, … a process that includes prescribing, dispensing, administering, as well as monitoring and follow up. … Results: Each stage of the medication use process poses risks to oral chemotherapy safety. … Based on this information, we constructed process maps for each of the oral chemotherapies. … the medication use process.

277. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
     January 01, 2007 - Develop Future  State Process  Process  Control  Strategy  Baseline  Current  Process  Identify  Operational …   5S, Visual  Controls, Error  Proofing  Process Map Check sheet Process Control  Plan    Voice … the process under investigation. … Lean tools and techniques, such as process flow diagramming, direct process observation, spaghetti … redesign 1 Hospital lab process redesign 4 Discharge process redesign 2 IT process redesign

278. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
     December 31, 2022 - Identify the problems and process failures your team will need to solve. 41 The purpose of process … Maps Use process maps to identify process gaps and failures that you’ll need to address as you design … A flow chart can help visualize the process. … Start by breaking down the referral process. … Start by exploring the patients involved in the process.

279. Implementation Planning | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
     February 01, 2024 - Identify the process during which the problem, challenge, or opportunity occurs by stating what the process … Process change is feasible and likely within the short term. … Identify potential failure points in the redesigned process. … Be focused and specific to facilitate the training process. … Measure and monitor the process and outcome changes you've targeted.

280. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
     July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5. … Assessment and Process Evaluation Chapter 7. … On [insert date] , [insert organization/area] will implement [insert process]. … [Insert brief description of process] .