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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/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/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/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - analysis
and synthesis of findings, developing models of transitions based on process analysis, and … prototyping process
improvements. … These
simulation sessions identified numerous potential solutions for known challenges to the process … Our multi-modal care process redesign intervention was developed
and vetted with stakeholders. … In sum, our work
demonstrates the importance of including human factors in process design.
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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
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim5.html
July 01, 2013 - Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process … data submission has been challenging, interventions are in place to assist struggling units with this process … This database captures outcome, process, and cultural measures described above and highlights additional … The State evaluation process, named the 3-I's process, is a means for Identifying, Investigating, and … No process data.
Consistent increases in CAUTI rates post intervention.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - Program Process. Are the program interventions and policies being implemented as planned? … States should strive to have a balance of process and outcome measures. … Provides process measures.
Coding errors.
Provides no outcome measures. … Will the State provide tools, such as registries, to help expedite the process? … What resources within the State can ease the process for providers?
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www.ahrq.gov/policymakers/chipra/overview/background/index.html
December 01, 2009 - This background paper describes the publicly transparent, multi-stakeholder, evidence-informed process … the Secretary used to identify that initial, recommended core set and the results of that process. … Nominations
Delphi Scoring by the SNAC
SNAC Discussions
Electronic Voting Process … Quality Workgroup
A-5 Public Commenters
A-6 Description of the Modified Delphi I Scoring Process … A-7 Online Measure Nominations Template
A-8 Description of the Modified Delphi Process to
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www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
January 01, 2024 - The pump log data were transformed by the
process of selection, abstraction, and recoding. … Third, the teams completed a process map of the entire medication use process with
specific emphasis … , a
discontinued process (1), and potentially unsafe actions (2). … Process and technology
redesign solutions were suggested and implemented. … barcode”
was identified for action, as this process step is a technology safety check.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.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. … Meisel's internal data show that an effective medication reconciliation process can detect and avert … Centers for Medicare & Medicaid Services Process of Care (Core) Measures.
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.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. … Meisel's internal data show that an effective medication reconciliation process can detect and avert … Centers for Medicare & Medicaid Services Process of Care (Core) Measures.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
January 12, 2022 - (CRICO, 2014)
8
Slide
Communication and the Diagnostic Process
The diagnostic process is a complex … the diagnostic process.
… It is not surprising, therefore, that errors in the process occur. … We all can improve this process. … Both the diagnostic process and reflection derive from a spirit of inquiry.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - the diagnostic process. … • A healthcare work system that is not well designed to support the diagnostic process. … It is not surprising,
therefore, that errors in the process occur. … We all can improve this
process. … Both the diagnostic process and reflection derive from a spirit of inquiry.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/reid.html
October 01, 2015 - observe and analyze the ways in which the prototype clinic integrated process changes into its daily … including team role and responsibility definitions, patient flow diagrams, training schedules, and process … Process metrics for each module were posted and reviewed daily to facilitate performance improvement … Only one process change module did not meet the implementation target—chronic disease management, the … The Group Health application of the Lean method was generally successful in meeting process targets,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
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/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
June 01, 2023 - unplanned 7-day readmissions specifically used a two-physician diagnostic error review and adjudication process … been the most studied, and a variety of structured improvements have been made to standardize this process … Several interventions have focused on standardizing and improving the complexities of the discharge process … problems at home,
E ducating patients and families about the patient's condition and the discharge process … test results pending at discharge. 97–100
While many interventions focus on improving the discharge process
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www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
January 01, 2024 - Explain that implementation planning will equip trainees with a 10-step process for their introduction … Explain that implementation planning is a team-based process that includes each identified key activity … Use Slide 26, "10 Steps of Implementation Planning," to review the 10-step process that you'll discuss … Stress that designing the TeamSTEPPS intervention is an iterative process that is likely to evolve based … Alternatively, since implementation planning is an extensive process, the allotted time can be used as
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www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
January 01, 2024 - One pilot site team formed but did not
complete the initial assessment process and was dropped from … that are all subject to process failures. … Process mapping was conducted during site visits with projects at the beginning of the
project. … More than one site described this
process as “learning to walk a mile in my shoes.” … The research team coached the process and conducted the
analysis of the survey data.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - • AR is only one step in the referral process. … [The
workflow mapping process is described in Getting Started.]) … Once consensus is reached on the process, move on to bench testing. … • WHAT: Training in how to discuss the AR process with clinicians who are unfamiliar
with the process … assessing the process until the changes are completed