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  1. 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
  2. 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?
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
    March 29, 2008 - Minear Abstract The perioperative care process is a unique and challenging environment. … HIT is typically deployed to meet the needs of a broad process or a function. … It is critical to focus reporting and analysis with a process-based approach that analyzes key process … , or outside the process, to share relevant information. … The possibilities of using RFID tags in the perioperative process are many and varied.
  4. 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
  5. 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.
  6. 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.
  7. 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
  8. 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.
  9. www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
    February 01, 2024 - One of the most impactful initiatives was a debrief process, referred to as a “SWARM,” that took place … The process embedded expertise for coaching and teaching and provided visible leadership support for … The HAPI reduction project saw initial positive results in process metrics, such as a 95% adherence to … During the project phases, the team reported process and outcome metrics every other week to PI Priority … Information captured by the SWARM process was tracked on a dashboard that could be filtered by unit.
  10. 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.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
    June 02, 2025 - four categories of related articles addressing (1) safety and organizational issues, (2) clinical process … Many of the issues and concerns raised in these papers related to clinical process improvement are similar … from one clinical process to another. … While most of the articles in section two represent clinical process improvements at the micro system … The articles in this section describe the process of design and redesign that have been used to make
  12. 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.”
  13. 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.
  14. www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
    January 01, 2024 - However, an increasing number of applicants submitted cases for which the CRP process was ongoing in … Nonetheless, submitters did not identify suggestions for streamlining the application process: 12 … What is that perspective from the patients and families, and how can we improve the CRP process to … If left unaddressed, this could give the impression that the CRP Certification process is skewed in … However, the shared learning integral to this process has emerged as an even greater motivation and
  15. 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.
  16. 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.
  17. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/learning-from-defects.html
    April 01, 2025 - There are four key questions in the CUSP Learning From Defects process: What happened? … From Defects After reviewing the content of this presentation, viewers will be able to— Describe a process … learn from defects Explore the Learning From Defects tool Work through an example of a defect and the process … Tools and Resources CUSP Tool: Learning From Defects Tool (DOCX, 406 KB) Guides teams through the process … Tool: Investigating a Defect Worksheet (DOCX, 460 KB) Summary worksheet of the Learning From Defects process
  18. 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
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    June 02, 2025 - Assess how organizational culture influences health IT and patient safety 29 30 Development Process … Training (3 items) • EHR System Support and Communication (3 items) • EHR and Workflow/Work Process … EHR Workflow/Work Process 42 EHR and Workflow/Work Process Comments 43 “Need more portable workstations … EHR System Support & Communication EHR System Support & Communication Comments EHR Workflow/Work Process … EHR and Workflow/Work Process Comments EHR Overall Rating EHROverall Rating Comments Health IT Patient
  20. 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

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