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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Indeed, one early study that described the RCA process within the Veterans Affairs health system did … Improving the RCA Process
In response to these problems with the RCA process, the National Patient … To begin, NPSF advised renaming the process "Root Cause Analysis and Action," hence RCA2. … Reevaluate the process regularly
Leadership should review the RCA2 process at least annually for effectiveness … However, a recent study suggested that a simplified approach to FMEA may improve the process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
June 02, 2025 - · Moral: Will someone champion the new process? … new process in a pilot unit. … patient population and may require a different process. … by the units that adopted the process earlier.. … Outcome improvement will follow process reliability.
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www.ahrq.gov/funding/process/app-forms/index.html
November 01, 2015 - Forms and Electronic Applications
Grant Application Forms
Sign up: Grants Review Process
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www.ahrq.gov/funding/process/study-section/peerdesc.html
July 01, 2017 - Sign up: Grants Review Process Email updates
Study Section Name
Number of Members
Meetings
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www.ahrq.gov/funding/process/study-section/index.html
February 01, 2023 - Study Sections for Scientific Peer Review
The Agency for Healthcare Research and Quality (AHRQ) has one chartered Health Services Research Initial Review Group (IRG) responsible for the peer review of grant applications submitted for study section review. This IRG comprises four subcommittees or study sections,…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
June 02, 2025 - o Ask each process representative, including patients to state their understanding of the
process. … • Create a flow diagram to visualize the process. … • Strategize methods for process improvements. … the redesign process. … Those
involved in the mapping process should “observe” the process, as much as possible, prior to coming
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psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
November 13, 2024 - Study
Resilient actions in the diagnostic process and system performance. … Resilient actions in the diagnostic process and system performance. … Resilient actions in the diagnostic process and system performance. … logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures
January 01, 2023 - Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures … Estimate impact of an EHR on specific patient outcomes and compliance with recommended process of care … Impact of Health IT Implementation on Diabetes Process and Outcome Measures - 2011 … Project Name: Impact of Health Information Technology Implementation on Diabetes Process and Outcome … Project Name: Impact of Health Information Technology Implementation on Diabetes Process and Outcome
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www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - 2 Training in FMEA process, introduction to the process flow that will be the
subject of the FMEA … Sample process flows for two steps in the transitional care pilot process
Final Report - 1 P20 HS017144 … An automatic process is one for which the initiation or completion of the
process step is not dependent … on a manual process. … Our intent in gathering this data was to inform the FMEA process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
April 01, 2016 - Introduction to the CANDOR Process
This section provides a description of the CANDOR process, which … implementing the Resolution process. … ’s> CANDOR
Process Overview
■ Briefly describe the program elements and the
CANDOR process … analysis post-CANDOR process). … Reinforces goals of the CANDOR
process; educates risk, legal, claims staff
about the CANDOR process
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www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - The medication administration process
is a complex process, beginning with the physician deciding upon … : the ordering process, the pharmacy
process of reviewing and
processing the medication portion … discuss the individual detailed process and make any necessary modifications to the
overall process … Minor effect
on process. … The three subprocess groups developed more detailed process maps for each step in the
process.
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www.ahrq.gov/hai/cusp/modules/spread/notes.html
December 01, 2012 - Moral: Will someone champion the new process? … new process in a pilot unit. … patient population and may require a different process. … by the units that adopted the process earlier … Looking at process and outcome measures quarterly.
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effectivehealthcare.ahrq.gov/sites/default/files/mcda-krishnan.pdf
August 27, 2012 - Use of Analytic Hierarchy Process to elicit stakeholder preferences for prioritizing research
Slide … 1
Use of Analytic Hierarchy Process to elicit stakeholder preferences for prioritizing
research … Analytic hierarchy process to establish priorities. … Picture: Flowchart of the analytic hierarchy process. … Picture: Flowchart of the analytic hierarchy process The top object labeled Decision
objective (
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - on and support the CANDOR process. … case for the CANDOR process. … Explain how Just Culture can enhance support for the CANDOR process implementation. … and the associated organizational changes necessary to sustain the process over time. … Understanding the CANDOR process is important in engaging staff in CANDOR process implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/q66-oh-aim-statement-worksheet.pdf
June 02, 2025 - We aim to improve: ____________________________________________________________________
(name the process … _____________________________________________________________________
(clinical locations in which process … is embedded)
The process begins with: ___________________________________________________________ … _____
(name where the process begins)
The process ends with: ________________________________ … __________________________________
(name the ending point of the process)
By working on the process
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www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
January 01, 2024 - of the health centers’ testing
process. … and
the risk of testing process failures. … reduce errors within the testing
process. … Improving the Testing Process in Primary Care Practice. … Improving the Testing Process in Primary Care Practice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - How To Manage Change
How To Manage Change
ADD Hospital Name
Module 2
QI Change Process
Change process … How do you bring staff into the process? … Use process mapping to examine key processes (Tool 2C). … process analysis. … Share process mapping from the unit.
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psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
June 22, 2022 - Commentary
Implementing a safe and reliable process for medication administration … Implementing a safe and reliable process for medication administration. … Implementing a safe and reliable process for medication administration.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
August 25, 2015 - process. … outlined in John Kotter’s 8-Step Process for Leading Change model. … Monitor process dynamics. … Monitor process dynamics. … work, so talk about the process every chance you get.
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www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
January 01, 2024 - the idealized process for all clinical areas involved. … The clinics implemented a similar process in 2007. … needs and determine areas of breakdown in the
process. … We also
described the impact of the process on resource needs. … Because of the complexity of the process, the ability of an organization to implement this
process can