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Showing results for "process".

321. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
     September 01, 2020 - Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused … right plan for the task but erred only in the execution (e.g., forgetting a step in the preoperative process … types of errors are easily prevented by a checklist that prevents clinicians from skipping steps in the process … A frequently used item on checklists in the diagnostic process is “What else can it be?” … , 13 which prompts the clinician to reconsider the diagnostic process and reflect on possible alternatives

322. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - Standardizing the process, and having a tool to assure adherence to the correct process, prevents the … SAY: Checklists should contain only the important steps in a given process. … These audits can be used to determine any deviation from the correct process. … ASK: Why would you use process audits in your facility?     … 28 NOTICE Process Audits 29 Checklist and Audit Tools SAY: This is an example of the NOTICE process

323. Daily Goals During Interdisciplinary Rounds: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
     February 01, 2017 - Slide 3: Basic Components and Process of Communication Say: This is an illustration of a simple … It is both a tool and a process. … The intention of a Daily Goals process is to have a coordinated care plan for the patients. … Ask: What is the process and does it vary depending on who is running the rounds? … Are daily goals a part of your rounding process?

324. Nursing Intervention to Remove Non-necessary Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
     January 01, 2013 - Health & Hospital Association Keystone Center for Patient Safety and Quality Building a Team and a Process … team to reduce CAUTI risk Determine the essential members State what is expected from them Explain the process … CAUTI risk Know the approved indications for catheter use Understand how to implement and sustain a process … build a rounding process to check for catheter appropriateness? … will be continued after implementation with the patient’s nurse owning the process 36 Creating

325. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - Process boundary: A process boundary separates systems into adjacent component processes, also known … An example of a process boundary might then be the boundary between the process of dispensing and delivering … It is the most basic component process of interest. … For example, within the larger process of administering medications, which might have a process boundary … , or overall process studied in the system.

326. Mod4-Event-Checklist (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
     April 01, 2016 - CANDOR Event Checklist Communication and Optimal Resolution Toolkit CANDOR Process Steps Event Report … ■ Initiate process to hold hospital and professional fee billing. … ■ Flow chart the process, if applicable. ■ Conduct a literature review, if applicable. … ■ Keep leadership up-to-date on the process. … ■ Implement changes to process, procedures and policies, as appropriate.

327. Six New Jersey Hospitals Reduce Adverse Events With AHRQ Medication Reconciliation Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips85.html
     October 01, 2014 - Clara Maass Medical Center in Belleville, New Jersey, redesigned its process for medication reconciliation … It also supports the further success of our medication reconciliation process." … Through education on the use of this six-step tool, the medication reconciliation process and compliance … redesign for the medication reconciliation process, which led to the overall success of the project. … The team spent considerable time and effort reviewing the electronic medication reconciliation process

328. Presentation: Optimize Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
     December 01, 2017 - ASK: Are there opportunities to revamp your process? … Develop a process to follow up on the comments, or defects, uncovered during the debriefing process. … Observe the process and solicit feedback. … At first, the surgeons challenged the new process. … The surgeons actually like the process.

329. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
     July 17, 2008 - Process refers to the health care activities—i.e., what was done with the structure. … The phase of the medication use process refers to the steps required to process a medication order. … The process begins when the medication is procured by an organization. … regardless of the cause, that characterizes an error within the medication use process. … Pharmacists affect all phases of the medication use process.

330. Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim3.html
     July 01, 2013 - Interim Data Report Executive Summary Introduction and Objectives Methods Results Outcome and Process … ; however, process data are collected only within specific days for each of these periods—that is, 15 … Units must submit process data directly into the Care Counts database, but outcome data may be entered … Unit teams are given 2 weeks from the end of a measurement period to enter process data. b. … Outcome and process measures are described throughout the remainder of this report.

331. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
     January 01, 2024 - An analytic inductive process of transcript review identified common process maps and vulnerabilities … What is the process by which patients manage medications (is there one common process or many different … the process diagrams with patients in focus groups. … The entire team then reviewed and confirmed the process models. … reviewing all the process flows with each focus group.

332. Appendix N. Part 1—Transport, Leak Testing, Cleaning: Transcript/Facilitator Notes - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-n-fac-notes.html
     May 01, 2017 - We are now recommending that attachments are kept with the scope throughout the entire process. … They provide a step-by-step process. … that scope by the delayed process. … Rinsing is a very important part of the process also. … There's also cleaning verification to ensure the effectiveness of the cleaning process.

333. Module-5-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
     June 02, 2025 - Keep in mind AR is only one step in the referral process. … If you did not involve IT in the mapping process, get their perspective on the CR workflow process. … First, the team needs to define the testing process. … “Cardiac Rehabilitation: Electronic Referral Process Communication Tool.” … “Cardiac Intermediate Care Unit CR Referral Process.”

334. Appendix 2: CED Compiled Public Comment Themes (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
     June 02, 2025 - There were many comments that were outside of the scope of this project in that they addressed the CED process … of review, the need for better criteria for defining when the process is complete, and a lack of clear … There were also a few comments related to the role of cost or cost-effectiveness in the CED process. … Life sciences industries to have also been included during the KI process. … A general lack of transparency to this comment process.

335. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
     March 01, 2025 - Re-Engineering the hospital discharge: an example of a multifaceted process evaluation. … Process mapping: a valuable tool for construction management and other professionals. … Optimum level of process mapping and least cost business process re-engineering. … The essence of business process re-engineering. Hemel Hempstead, UK: Prentice Hall; 1995. … Process modeling. Commun ACM 1992 Sept;35(9):75-90. Oakland JS.

336. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
     March 01, 2025 - Re-Engineering the hospital discharge: an example of a multifaceted process evaluation. … Process mapping: a valuable tool for construction management and other professionals. … Optimum level of process mapping and least cost business process re-engineering. … The essence of business process re-engineering. Hemel Hempstead, UK: Prentice Hall; 1995. … Process modeling. Commun ACM 1992 Sept;35(9):75-90. Oakland JS.

337. Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
     June 02, 2025 - EnvironmentTasks Person Technology and Tools Organization EnvironmentTasks Person Health IT-supported process … focus on EHR (Patterson et al., 2016 – AMIA) 6 Health IT and Diagnostic Safety  Diagnostic process … IT=one element of the work system  Fit of health IT within workflow and work system  Diagnostic process …  Distributed (virtual) team  Health IT for engaging patients in diagnostic process [mhealth, wearables … and Patient Safety�[SEIPS = Systems Engineering Initiative�for Patient Safety] Health IT-supported process

338. Monitoring Progress for Sustainable Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 02, 2025 - , including how to establish measures to track your efforts and suggested steps for the monitoring process … If your hospital does not have an established monitoring system, you will need to develop a process … Consider both process and outcome measures for inclusion in your monitoring system. … You will need to make the following choices in designing your reporting process: 1. … This process mirrors the one you used to implement your process improvements, for which tools in this

339. Monitoring Progress for Sustainable Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
     June 02, 2025 - , including how to establish measures to track your efforts and suggested steps for the monitoring process … If your hospital does not have an established monitoring system, you will need to develop a process … Consider both process and outcome measures for inclusion in your monitoring system. … You will need to make the following choices in designing your reporting process: 1. … This process mirrors the one you used to implement your process improvements, for which tools in this

340. Final Progress Report: Multi-Method Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/pace-report.pdf
     January 01, 2024 - Pr oactive risk assessment through a visual process map and group reflection. 2. … The overall results were used to guide the focus of the visualization process. … Error Visualization Process Even though the visualization process helped finalize the Action Plan developed … The small group rapidly understood the process maps. … time allotted for the process.