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Total Results: 5,626 records

Showing results for "process".

361. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
     January 01, 2024 - Pre-implementation surveillance was conducted to establish baseline process failure rates. … These meetings served to uncover process failures and to develop measures to prevent these failures. … Multiple caregivers can be involved in the process of carrying out an order. … Not surprisingly, the process failures identified in these meetings corresponded to the gaps in care … Medication Delivery Process Overview (Site A) [large arrows represent gaps in the process] Figures 2

362. Central Venous Catheter Insertion
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
     April 01, 2022 - 3,6 Promotes standardized supplies and insertion process Reduces potentially harmful variations in care … Build the new process, prepare staff, and conduct the pilot. … Act Adopt, abandon, or revise the process. Educate all staff on use of CVC insertion checklist. … Amount of products stocked on the unit In-unit process for ensuring supplies are available Business … hours versus after-hours and weekends process (if different) AHRQ Safety Program for ICUs: Preventing

363. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
     July 01, 2023 - Unit-established process for disclosing unintended outcomes. … , along with debriefing, monitoring, and feedback that can be used for process improvement. … should be included as part of the admission process. … , and make changes to the process if appropriate. … with process improvement.

364. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
     January 01, 2024 - for using the tool during the healthcare facility design process. … A Delphi process was established for gathering data. … provide opinions and feedback about the process. … RESULTS Delphi process result (including Year 1 seminar) As a result of the Delphi process, consensus … Using a Safety Risk Assessment in the Health Care Facility Design Process.

365. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
     August 01, 2024 - Healthcare Research and Quality supports research on the quality and safety of the hospital discharge process … Transitions in Two Texas Hospitals IDEAL Discharge Planning Improving the Emergency Department Discharge Process … Reconciliation MATCH Toolkit Impact Case Studies: Georgia Hospitals Improve Medication Reconciliation Process … AHRQ Toolkit To Improve Medication Reconciliation Maryland Hospitals Revise Medication Reconciliation Process … With AHRQ Toolkit Missouri Hospitals Improve Medication Reconciliation Process Using AHRQ Toolkit (

366. 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.

367. 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.

368. Practical-Methods-Care-Coordination-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/practical-methods-care-coordination-slides.pdf
     June 02, 2025 - PARTICIPANTS HOW TO POLL 3 Audience Question 1 Question 1: Which part of the care coordination process … decided to participate in TAKEheart 6 Care Coordination Insights 1 What did you learn during the process … 7 1 How and Why to Do Successful Process Mapping • What you did to make your process mapping successful … • Who you included • How you made it work • What you learned through your process mapping that enhanced

369. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - A Patient Diagnostic Questionnaire (PDQ) that aligns with the “Patient Experience” Safer Dx process … ’s mortality review process. … The team has also been working to disseminate the structured care review process and interventions as … Analyzing diagnostic errors in the acute setting: a process-driven approach . … Analyzing diagnostic errors in the acute setting: a process-driven approach.

370. 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.

371. Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
     January 01, 2025 - (This process was studied in children with T1D.) … (This process was studied in children with ASD on antipsychotics.) … (This process was studied in both populations.) … Safer type 1 diabetes care at home: SEIPS-based process mapping with parents and clinicians . … Safer type 1 diabetes care at home: SEIPS-based process mapping with parents and clinicians .

372. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - If the focus is on the process and the system factors that facilitated the error, the process can be … ■ Process deviation – Why did the person deviate from the process? … Care Process ■ What are the steps in the process? … Care Process ■ Were there enough people to do the steps in the process? … Review: an assessment of a particular system or process with the aim of changing the studied process

373. Existing Measures for ADHD (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-3.pdf
     June 02, 2025 - of attention deficit hyperactivity disorder (ADHD) patients whose medical records are reviewed Process … medical records of newly diagnosed attention deficit hyperactivity disorder (ADHD) patients reviewed Process … an attention deficit/hyperactivity disorder (ADHD) medication during the 12- month Intake Period Process … medication during the 12- month Intake Period, who remained on the medication for at least 210 days Process … a WCV/other primary care visit during the measurement year who were enrollees in Medicaid/CHIP Process

374. Existing Measures for ADHD Prior to PQMP (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-3.pdf
     June 02, 2025 - of attention deficit hyperactivity disorder (ADHD) patients whose medical records are reviewed Process … medical records of newly diagnosed attention deficit hyperactivity disorder (ADHD) patients reviewed Process … an attention deficit/hyperactivity disorder (ADHD) medication during the 12- month Intake Period Process … medication during the 12- month Intake Period, who remained on the medication for at least 210 days Process … a WCV/other primary care visit during the measurement year who were enrollees in Medicaid/CHIP Process

375. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-n-part1-transcript.docx
     June 02, 2025 - 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.

376. Preparing Sample Files Before Collecting CAHPS Survey Data | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/preparing-sample-files.html
     August 01, 2024 - This can be a complex, multistep process that requires time and rigorous quality control. … In addition, because the survey sponsor may be responsible for some elements of this process and the … vendor for others, it is important to carefully coordinate this process. … There are several opportunities during the survey process to explain to respondents that their responses

377. Common Cause Analysis: Focus on Institutional Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
     January 20, 2008 - This process closes the loop for those conducting the RCA. … It starts with a process flow developed for the event. … At the committee meetings, a triage process identifies the most important actions and potential process … Error detectability can also relate to a process. … To make this process effective, Clinical Process Managers from the RCA team provide department leaders

378. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - Comprehensive geriatric assessment process The process of problem identification in nursing homes involves … - decisionmaking process when evaluating medication regimens of geriatric patients. … The process that was developed for updating the drugs includes a reproducible process that uses FDA’ … The GRAM RAP-Med report is intended for use in the admission assessment process. … Pharmaceutical care process Figure 2. An example of a GRAM RAP-Med report Figure 3.

379. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
     January 01, 2024 - The integration of information would improve medication management, the patient discharge process, … • The THQIT planning process would help introduce a more effective, consortium- wide planning process … This new paradigm would result in increased economies of scale, a more effective development process … Unless all three elements are present, the process does not function. … • Executive leadership did not remain steadfast to the Meditech implementation process and overall

380. Diagnostic Safety Research Priorities and Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
     August 01, 2023 - research topics related to diagnostic error 60 : Patient and family engagement in the diagnostic process … risk for an MDO. 123 Recently, a project bringing together various stakeholders in the diagnostic process … This process resulted in 20 priority questions for advancing diagnostic safety research. … Can we improve diagnostic safety by facilitating shared decision making in the diagnostic process, i.e … but also try to learn from cases where, despite its complexity, the diagnostic process or journey goes