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www.ahrq.gov/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.
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www.ahrq.gov/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.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips79.html
October 01, 2014 - The facility redesigned its discharge process for patients taking warfarin, incorporating distribution … According to Dolores Luke, RN, BSN, NHA, CPHQ, Chief Nursing Officer, Performance Improvement, "The process … With a new medication reconciliation process that involves the hospital pharmacy, audits show pharmacy … Education Director, "Participation in this project allowed us to spend time reviewing and revising our process … We feel we have a solid foundation to make this an excellent process for patient safety in our hospital
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
June 02, 2025 - Instead, the QI team
implemented a manual process of adding appointment
notes to flag upcoming appointments … ▶ They created a manual process for adding appointment notes to alert clinicians of upcoming visits … Other barriers included:
▶ Lengthy approval process for automation. … An existing QI culture at Sugar House Health Center Primary Care helped staff adopt the new process … The Compendium was developed through a three-stage process:
(1) an environmental scan and literature
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
March 07, 2008 - Taylor, SSBB
Abstract
Whenever measurements are taken on a patient or health care process, the … The team determined a new qualification process for
MNPT to keep results consistent across all the labs … To identify areas for
process improvement, Rockwell Collins improvement specialists began work with … First, the process used to
calculate MNPT had to be
understood. … Lean tools, useful for addressing
process speed, are employed in this process to address the lag time
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8c.html
October 01, 2014 - Findings are organized below by measurement category (i.e., clinical outcome measures, clinical process … in no significant increases in generic and disease-specific quality-of-life scores. 2
Clinical Process … The clinical process measures examined in this review include exercise tolerance, recognition of severe … Findings are organized below by measurement category (i.e., clinical outcomes, clinical process measures … The clinical process measures examined in this review include screening rates and medication use.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-2.html
September 01, 2021 - The case demonstrates how deficiencies in multiple dimensions of the diagnostic process can lead to the … Figure 1 shows the key gaps in the diagnostic process and opportunities for improvement. … The Safer Dx framework adapts the structure-process-outcome framework 16 to describe the foundations … characteristics of care providers, their tools and resources, and the physical/organizational setting;
Process … often-fragmented healthcare system. 18,19 A number of different approaches can address these known process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
July 15, 2013 - 4
Goals of Evaluation in Implementation Science
Conduct formative evaluation
Rigorous assessment process … Conduct summative evaluation
Systematic process of collecting and analyzing data on impacts, outputs, … understanding of key barriers and facilitators to implementation
Facilitate mid-stream modifications
Process … Quantitative
Four areas of focus
Needs Assessment
Evaluability assessment
Implementation evaluation
Process … to the implementation team
Identified outputs
Role of the research team in the implementation process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - It will also cover the Learning From Defects process from the perspective of sustaining your quality … The Learning From Defects process can be very proactive. … SAY:
We recommend walking the process. … This part of the Learning From Defects process works well as a broad effort. … Develop a sampling process where you periodically audit.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdf
January 01, 2011 - Leadership, measurement, process design, performance management and accountability, training,
reward … , a standard form, and a standard peer engagement process. … By standardizing this process you can improve the quality and gain some consistently positive results … And this
process needs to be used in pre-screening job candidates. … And finally HR needs to make sure
that the performance review form and process aligns with the core
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
July 01, 2021 - need to partner with practices and quality improvement (QI) coaches to evaluate systems and develop process … Process measures can be developed from clinical guidelines such as the National Heart Lung and Blood … for the Diagnosis and Management of Asthma (PDF, 3.64 MB)
It is important to recognize that most process … Additionally, effective process measures should be evaluated longitudinally to assess performance over … Flow Diagram of the Steps in the QI Problem-Solving Process
The iterative process used to achieve
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-intermediate-progress.pdf
November 04, 2018 - Implement changes to
improve health
outcomes
Track intermediate
progress using process
measures … For example, mortality is not usually assessed at the provider
level, rather process measures are … Although the following is an example from an adult setting, it illustrates how process measures can … •The IMPLEMENT team assessed whether intermediate process measures used at the practice
level (e.g., … From a process of care to a measure: the development and
testing of a quality indicator .
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Patient Safety
• Work Pressure and Pace
• Overall Rating on Patient Safety
15
Survey Development Process … Supplemental Items (for hospitals)
► Focus on how the use of health IT affects patient safety
18
In
Process … Evaluate the impact of patient safety initiatives.
20
The Value of SOPS Surveys
"The entire survey process … Patient Safety Culture
Areas of Patient Safety Culture Assessed Across SOPS Surveys
Survey Development Process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - Planning (Tool 1)
Guide to Patient and Family Engagement :: 1
IDEAL Discharge Planning Overview, Process … Remember that
discharge is not a one-time event but a process
that takes place throughout the hospital … Educate the patient and family in plain language
about the patient’s condition, the discharge process … Discharge planning should be an ongoing
process throughout the stay, not a one-time event. … The elements of the IDEAL Discharge Planning process are incorporated into our current discharge.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - When you apply the process for improving surgical safety to new challenges. … Slide 6: Definition of Spread 1
“Spreading takes the process from the narrow, segmented population … (s) or group(s) and broadens it to include all the population(s) or group(s) that will use the process … “Formalizing a process provides a reference to others: those new to the organization and those in the … organization needing clarity about the specifics of the process.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
October 01, 2015 - Focus Measure Condition Subcategory Measure Type (Cost, Quality, or Utilization) Quality Category (Process … No
Back pain Imaging Quality Process Use of Imaging Studies for Low Back Pain: Percentage of Patients … No
Cardiac Coronary artery disease (CAD) Quality Process Adherence to Statin Therapy for Individuals … No
Cardiac Cholesterol Quality Process Dyslipidemia New Med 12-Week Lipid Test 583 Resolution Health … No
Diabetes Not applicable Quality Process Diabetes Care: All or None Process: Optimal Testing NA WCHQ
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety1.html
September 01, 2022 - Pragmatic Recommendations for Nurse Leaders and Educators
Introduction
Nurses’ Roles in the Diagnostic Process … However, nurses may have varying degrees of understanding regarding their roles in the diagnostic process … educators and leaders are critical to leveraging nurses’ roles as essential participants in the diagnostic process … their nurses and care teams and to guide nurses to embrace their leadership roles in the diagnostic process
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.html
July 01, 2024 - -5 An often overlooked potential benefit of EHR adoption is its role in documenting the diagnostic process … Errors in the diagnostic process can occur at various stages, from initial patient presentation to the … Health Records on Diagnosis” explored how the EHR facilitates diagnosis and improves the diagnostic process … improvement, including emerging technology-based strategies to improve the traditional documentation process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-ig.pdf
June 02, 2025 - It is
through the process of assessing their current practices related to
falls prevention that the … After the scripted exercise, we’ll have
some discussion about the facility’s self-assessment process … What did you see as the Facilitator’s role in the Self-
Assessment process? … What value do you think this added to the process as
compared with one or two people completing the … Introduction
Review of the Nursing Home’s Falls Prevention Program
Review of the Change Team’s Process