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www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
June 01, 2020 - The team created a graphic roadmap for using the quality function deployment process to share with organizations … Smart Agent system more efficient, safe, and usable than the current standard-of-care insulin infusion process … They also found the Smart Agent as trustworthy as the standard process. … Prioritizing healthcare solutions using the quality function deployment process. … Prioritizing healthcare solutions using the quality function deployment process .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 1)
IDEAL Discharge Planning Overview, Process, and Checklist … 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 01, 2017 - Walk through your current process to identify barriers at each step. … process at your organization. … Employ a systematic process to learn from your mistakes.
The last E is evaluate. … Define and then assess your process and outcomes measures regularly. … Address these questions: What is the process for mobilizing a patient?
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
April 01, 2022 - Process Mapping . The 5 Whys and Fishbone Diagramming . Practice Assessment and Surveys . … Process Mapping – Learn how to create a process map and swimlane diagram, facilitate a process mapping … session for a practice, and help a practice design process improvements. … Access additional resources and a table of contents for Process Mapping.
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www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - Site Visit Process Comparison
Appendix E. Study Parameters
Appendix F. … The process mapped by a ST-PRA model incorporates factors that are internal to the process and factors … room, internal process factors include choosing the incorrect disinfectant or not using appropriate … of data with the aim of building a process map. … For many of the basic events, this process was straightforward.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - The sequence of
nursing process steps was mapped to develop the cognitive pathway. … Subsequently, the latter definition
was used because the methodology incorporated the nursing process … The qualitative analysis measured the pattern and sequence of steps of the
nursing care process. … Steps in the nursing process are represented in a timeline as they occur along
the pathway. … A delay was an interruption occurring at a time when the
nurse was not involved in a nursing process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - Agency for Healthcare Research and Quality’s Transitions from Hospital to Home: IDEAL Discharge Planning process … IDEAL
Discharge Planning
Include the patient and family as full partners in the discharge planning process … appointments
Educate the patient and family in plain language about the patient’s condition, the discharge process … This process will include at least one meeting to discuss concerns and questions with the patient, family … the [identify staff]
who will work closely with the patient and family
Take part in trainings on the process
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
January 01, 2011 - Alt Text
Table showing Safety Quality/Improvement two part process. … Process Development
Education on the evidence
Quality Improvement Tools
1. PDCA 2. … Reliable System Process 4. TCAB 5. Other
Adaptive (CUSP)
Implementation/Sustaining
1. … Process Development
Education on the evidence
Quality Improvement Tools
1. PDCA 2. … Reliable System Process 4. TCAB 5. Other
Adaptive (CUSP)
Implementation/Sustaining
1.
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www.ahrq.gov/hai/cusp/cauti-interim/index.html
July 01, 2013 - Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process … Types of Hospitals Represented
Types of Units Represented
Data Submission
Outcome and Process … Measures
Outcome Measures
Process Measures
Culture Measures
Conclusions
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - Patient Safety
Culture Survey, surveys of patient or staff satisfaction, and unit- or site-specific process … For continued success, the organization needs to view the culture change as a process rather than
an … − Provide the unit training on teamwork and how to use the tool or process. … − Measure how the tool or process is being used and how the problem is being addressed. … • Involve key influencers in the process. These can be leaders, but they can also be staff.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/index.html
October 01, 2014 - Use and Dependence
Index to Slides
Index to Slides (Continued)
History
History
Development Process … Development Process
Funded by:
Panel Members
PHS Liaisons
Guideline Update Development Phases … Development Process
Development Process (Continued)
Development Process (Continued)
Development … Process (Continued)
Development Process (Continued)
Development Process (Continued)
Final Selected
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - This document summarizes the five-step process and provides more detailed explanations and sample forms … Program for Surgery Toolkit to guide your team through the quality improvement intervention design process … Summary of BIM Tool Process
Step 1: Assemble the Interdisciplinary Team
Compose a diverse subgroup … This process can take approximately 3 to 6 hours. … Walking the process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - Moving research results into practice is a multifaceted
process, involving many actors and systems. … This sifting process has been labeled
“knowledge distillation.”
1a. … The knowledge distillation process aims to identify results that are
valid for generating action. … Achieving
agreement on what is actionable is potentially a big challenge; the distillation
process … Advances in Patient Safety: Vol. 2
446
The distillation process involves an assessment of the new
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www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
January 01, 2004 - The
AAFP-Linnaeus taxonomy is grouped into two major sections: process errors and
knowledge/skills … Detail of the clinical activity, e.g., lab process, imaging process,
history taking, or physical examination … Some of the Derived Constructs were developed through an
iterative group process prior to analysis. … errors 3.04 1.42-6.52
Referral process errors 2.43 1.06-5.56
Delay in therapy (medical/surgical … Moving up the hierarchy, Table 3 (hierarchical constructs) represents
process errors examined across
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - The
AAFP-Linnaeus taxonomy is grouped into two major sections: process errors and
knowledge/skills … Detail of the clinical activity, e.g., lab process, imaging process,
history taking, or physical examination … Some of the Derived Constructs were developed through an
iterative group process prior to analysis. … errors 3.04 1.42-6.52
Referral process errors 2.43 1.06-5.56
Delay in therapy (medical/surgical … Moving up the hierarchy, Table 3 (hierarchical constructs) represents
process errors examined across
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
November 01, 2017 - It is through the process of assessing their current practices related to falls prevention that the facility … After the scripted exercise, we’ll have some discussion about the facility’s self-assessment process … Discuss the purpose of including the Self-Assessment in the On-Time Falls Prevention implementation process … What did you see as the Facilitator’s role in the Self-Assessment process? … Review of the Change Team’s Process for Choosing On-Time Reports, Incorporating Them into Meetings, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - The key safety elements focus on the use of a standard perioperative process that includes—
Preoperative … briefing
Timeout
Signout
Studies have found that the use of a standardized perioperative process with … these three components reduces surgical mortality and complications.5,6 This perioperative process should … The key safety element is to use a checklist to guide the safe surgery perioperative process. … Having a process in place to review severe maternal or neonatal morbidity and mortality events.
· A unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
April 14, 2004 - The process includes
issues of confidentiality, privacy, discoverability, informed consent, and Web … Errors Detected in Family Physician Offices
(Testing Process Errors). … The Testing Process Errors study involved
eight family practice offices. … Both groups conducted onsite analyses of process pathways in
selected practices. … These reviews
added months to the process and resulted in a loss of considerable data.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - To manage the change process effectively, the Implementation Team will guide, coordinate, and support … will provide the basis for addressing these issues and thus managing this change process successfully … Section 2.2.2 provided guidance for process mapping and gap analyses of current practices that can help … and the level of pressure ulcer prevention care that will result from the process. … Part of the process will be gathering feedback from staff and clinicians.