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Showing results for "process".

381. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
     January 01, 2024 - Methods: In VRE Phase One, we recruited physicians and followed them during their rounding process … We divided the VRE process into three phases, so we had three different phases of data collection. … During Phase Three of the VRE process, study team members conducted semi-structured interviews with … The extent to which the process might work similarly in other contexts is unknown, although there is … In reflecting on our process, we determined start and stop times rather than participants, creating

382. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
     January 01, 2017 - 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. … In conventional rounds, “divergent” discussions or brainstorming is part of the rounding process, as … 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?

383. 7. Conclusions and Recommendations | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
     July 01, 2021 - Study participants noted the importance of the prioritization process using transparent and explicit … A separate prioritization process would also incorporate other distinct features of the PCR field. … The latter would need to be linked with the federal HSR prioritization process described above. … The PCR review process could utilize the data systems developed for the HSR process to identify potential … HSR review process described above.

384. Toolbox Contents | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/toolcon/index.html
     June 01, 2020 - Length-of-Enrollment Requirements Data Issues Small Numbers Resource and Burden Issues Development Process … Service Delivery and Units of Analysis Length-of-Enrollment Requirements Data Issues Development Process … Length-of-Enrollment Requirements Data Issues Sample Sizes Resource and Burden Issues Development Process … Analysis Length-of-Enrollment Requirements Data Issues Resource and Burden Issues Development Process … Length-of-Enrollment Requirements Data Issues Sample Sizes Resource and Burden Issues Development Process

385. Why Was This Guide Developed? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-why.html
     May 01, 2014 - Design, implement, and evaluate a participatory process using practice facilitation and community-health … We used the findings from this 2-year process to develop this toolkit to help other primary care clinics … This process highlights strategies to build on the ties that often already exist in rural areas. … Although our process is tailored to rural settings, we anticipate that many of the strategies will be … This toolkit offers key steps in our process, providing tools and recommended steps that we encourage

386. Review of SSI Prevention Program Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/ssi-prevention-tools.html
     April 01, 2025 - Site Infection Investigation Tool Sample (DOCX, 1 MB) Summary worksheet of the Learning From Defects process … CUSP Tool: Learning From Defects (DOCX, 408 KB) Guides teams through the Learning From Defects process … Tool: Learning From Defects Sample (DOCX, 411 KB) Guides teams through the Learning From Defects process … Tool: Investigating a Defect Worksheet (DOCX, 460 KB) Summary worksheet of the Learning From Defects process … Tool: Premortem Assessment (DOCX, 395 KB) The CUSP Premortem Tool walks teams through the premortem process

387. Closing Gaps in Research ~ Organizationsand Healthcare Diagnoses (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/goeschel-summit2016.pdf
     June 02, 2025 - Diagnosis and Reduce Diagnostic Error GOAL 1 Facilitate more effective teamwork in the diagnostic process … their families GOAL 2 Enhance health care professional education and training in the diagnostic process … that health information technologies support patients and health care professionals in the diagnostic process … Reduce Diagnostic Error GOAL 5 Establish a work system and culture that supports the diagnostic process … GOAL 8 Provide dedicated funding for research on the diagnostic process and diagnostic errors

388. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - 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.

389. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
     February 01, 2017 - Second-order problem solving often allows staff to make a current process obsolete. … Walking the process is a robust method for determining how a defect happened. … Listen to your colleagues during this process. … Seek to understand the process; don’t judge the individuals. … Simulate the process through role playing.

390. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
     August 01, 2023 - Clinicians reported that these pauses helped them identify opportunities to improve the diagnostic process … Aggregating cases with similar diagnostic process failures may allow patient safety leaders to implement … Further, the reports also generated insights about where in the diagnostic process errors often occur … . 60 The discussion centers on dual-process theory developed by cognitive psychologists Daniel Kahneman … both correct and incorrect decisions can arise from the application of intuition in the diagnostic process

391. Central Venous Catheter Insertion Bundle Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
     April 01, 2022 - If so, who is this responsible owner of this process? … Maybe your ICU hasn’t assigned anyone in particular to this process. … Overall, checklists can promote process improvement and increase patient safety. … Consider including a checklist in this process. … The process for ensuring supplies are available 24 hours a day and any differences in the process during

392. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
     January 01, 2017 - Second-order problem solving often allows staff to make a current process obsolete. … Walking the process is a robust method for determining how a defect happened. … Listen to your colleagues during this process. … Seek to understand the process; don’t judge the individuals. … Simulate the process through role playing.

393. Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
     June 02, 2025 - documented history was suggestive of an alternate diagnosis, which was not considered in the diagnostic process … physical exam was suggestive of an alternate diagnosis, which was not considered in the diagnostic process … The diagnostic process was affected by incomplete or incorrect clinical information given to the care … REVIEW THE CHART WITH A FOCUS ON DIAGNOSTIC PROCESS RATHER THAN THE 3 ULTIMATE OUTCOME • Start by evaluating … prompt, the more likely you think there was a missed opportunity for diagnosis at this stage of the process

394. Implementation Quick Start Guide: Medication Mangement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
     December 15, 2016 - Develop a process for preparing a complete and accurate medication list ......... 5 Step 3. … As the process becomes more routine, you can expand its use. … Develop a process for preparing a complete and accurate medication list. … The Sample Process for Medication Management Strategy is available to assist you in designing a process … Evaluate and refine your process.

395. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
     December 15, 2016 - It is meant to be used as a job aid by staff who are already familiar with the process. … As the process becomes more routine, you can expand its use. … Develop a process for preparing a complete and accurate medication list. … The Sample Process for Medication Management Strategy is available to assist you in designing a process … Evaluate and refine your process.

396. Maine Hospital Speeds Patients’ Admitting Time from the Emergency Department After Using AHRQ Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202001.html
     April 01, 2020 - team met weekly to understand and map the workflow from the ED to inpatient care to understand the process … and barriers, analyzing the workflow for opportunities to streamline the process. … They translated the workflow into an easy checklist and trained staff on a new process to reduce that … Miller found it vital that her team focused on process issues to avoid personal and departmental defensiveness … sign magnet with an estimated “room-ready time” on the door of empty patient rooms that were in the process

397. Teaching Pre-Implementation Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
     May 01, 2023 - introduce the concept of measurement, note that it’s an important topic throughout the implementation process … Have the class share outcome or process measures that they would like to use TeamSTEPPS to improve. … : (after the trainings) What process and outcome measures would be of most concern? … : handwashing (process), surgical site infection rates (outcomes)  What would be important to consider … when gathering data on these process and outcome measures?

398. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
     October 01, 2014 - Heritage House Nursing and Rehabilitation Center in Troy, New York, implemented a "One Source of Truth" process … Obercon, MSH, Eddy Heritage Administrator, reports, "The improvements in our medication reconciliation process … and cross-setting communications have resulted in a process that is easier for the nurses, is more accurate … Staten Island University Hospital in Staten Island, New York, had a medication reconciliation process … As we are in the process of developing a computerized medical record, this document will assist in setting

399. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
     June 02, 2025 - Be realistic about how long process changes take to affect outcomes. … Developing a flowchart or map of the process. Studying the process to identify risk points. … Team Process Aims: 1. 2. 3. Team Outcome Aims: 1. 2. 3. … Develop your Action Plan based on the 10-step process. … Leading the process of: Translating values into expected behaviors.

400. Figure 6: Screenshot 2: Nursing—Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/figure-6.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.