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Total Results: 5,567 records

Showing results for "process".

381. 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

382. 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.

383. 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.

384. 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

385. 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

386. 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.

387. 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

388. 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.

389. 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.

390. 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

391. 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?

392. 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.

393. 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

394. 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

395. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - Listen to colleagues during this process. … Bring them into the process, if appropriate. … Simulate the process that led to the defect. … Revisit the process map, if your team created one. … Review the Learning from Defects process.

396. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - In this case study, we describe the process used by St. … Involve patient/families in the design process. 4. … Process recommendation The challenge at St. … Conclusion The facility design process at St. … and process recommendations.

397. Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.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.

398. Figure 5: Screenshot 1: Medication Management Essentials | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-5.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.

399. Figure 6: Screenshot 2: Nursing—Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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.

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.