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  1. 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?
  2. 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.
  3. 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
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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 processProcess 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,
  10. 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.
  11. 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
  12. 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
  13. 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.
  14. 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
  15. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
    November 01, 2014 - a process established with the consultant at the inception of Lean. … This process helped keep the project moving forward. … Swim lane flow chart of the cardiology inpatient discharge process identified process responsibilities … improvements in clinical process and patient safety as a result of Lean implementation. … from patients to nurses decreased as a result of this new process.
  16. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
    November 01, 2014 - assessed what tools were missing from their toolbox to be able to achieve their goals in terms of people, process … Lean was selected as a complement to Six Sigma to address an identified gap in tools targeting process … Senior leaders worked with an external process improvement consultant and LHC's management engineers … In addition, we studied two specific process changes implemented at LHC's new Horizon Hospital to enrich … Executives report a $29 million return on investment since 2000 when use of the external consultant's process
  17. www.ahrq.gov/es/patient-safety/settings/hospital/match/table-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.
  18. www.ahrq.gov/patient-safety/settings/hospital/match/table-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.
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
    December 01, 2015 - How the Pediatric QI Toolkit Was Used Lurie Children’s Hospital used the improvement process laid out … Schroeder started the process with the “Getting Ready for Change Self- Assessment” (Tool A.3). … to everyone why physicians needed to take ownership of the problem and be part of the improvement process … By clarifying how the existing phone-based ordering process contributed to the problem, the improvement … process also revealed the need for an algorithm that physicians could use to help identify the most
  20. www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
    January 01, 2024 - Patient‐centeredness  as  a  key  concept  in  defining  a  medication  reconciliation  process. … Because roles differ at each step in the process (e.g., admissions, inpatient, outpatient) someone … must “own” the process and ensure that it is done. … Neither process nor outcome measurements can be adequately defined without a system in place. … Diversity among hospitals requires different process measures.

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