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Showing results for "processes".

1321. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - health care delivery as a science, rather than an art, providers can focus on health care delivery processes … When we design processes using standardization, such as checklists, and create independent checks for … key processes, we improve our ability to reduce the risks of adverse events resulting in harm. … Creating independent checks for key processes allows teams to focus on patient care and provides a roadblock … Learning from defects is a powerful exercise in which teams evaluate their processes to identify gaps

1322. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - for Perinatal Safety Rapid Response AHRQ Safety Program for Perinatal Care Perinatal Safety 2 processes … This principle calls for L&D unit teams to evaluate their processes and learn from adverse events, … Learning from defects includes using both informal and formal processes that seek to understand rather … Simulations can be used to practice and train teams on rapid response processes. … get additional help quickly and activate a rapid response based on unit- established criteria and processes

1323. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - In 2006, 59 root cause analyses were performed as a result of PEERs reports, 16 policies and 123 processes … The objective was to create information from gathered PEERs data to implement safer care processes. … These sections of the report can provide the most valuable information as processes are redesigned. … However, too many processes in health care still rely on human perfection to prevent error. … It has helped drive common processes to deal with similar problems and events across the system and

1324. EvidenceNow Key Drivers and Change Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
      February 01, 2019 - Primary care clinicians usually have their own individual processes for staying up-to-date. … Embedding processes into information systems decreases the chance that any steps will be skipped, has … It is helpful to have a core group that understands QI processes, but the QI team will need to be dynamic … the rest of the practice on what progress is being made and also solicit their input regarding QI processes … Create dashboard reports for selected measures Dashboards – ongoing targeted reports on selected processes

1325. Tips for Implementing Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
      March 01, 2017 - presentation, ask staff to review discussion questions or activities and identify correct answers and processes

1326. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
      May 01, 2016 - Balance changes within the overall system to ensure other processes are not adversely stressed. … It is helpful if the team remains responsible for monitoring these issues, updating tools and processes

1327. Appendix A | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
      April 01, 2018 - Practices: Summary, Evidence Reports and Publications' 'Mistake-Proofing the Design of Health Care Processes … 'Leading Change' 'Medical and Legal Issues' 'Mistake-Proofing: The Design of Healthcare Processes

1328. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
      May 01, 2016 - Balance changes within the overall system to ensure other processes are not adversely stressed. … It is helpful if the team remains responsible for monitoring these issues, updating tools and processes

1329. Transforming Primary Care Practice: Lessons From the New Orleans Safety Net | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/rittenhouse.html
      October 01, 2015 - transformation of five safety net practices in New Orleans, some of which had begun implementing PCMH processes … expanding access to primary care services throughout the region's safety net and implementing medical home processes

1330. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - As a first step toward continuing to improve processes related to the use of EFM through the SPPC, a … These processes ensured that new policies and practices continued to center on patients and families … The new processes introduced as part of SPPC are now a regular practice. … Standardizing work processes across the hospitals reduces variation and opportunities for error. … The unit plans to reinforce the new processes through continued in situ simulations.

1331. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
      October 01, 2017 - Self-Assessment The team completes the Self-Assessment Worksheet that identifies details about the current processes … At this time, the team identifies potentially new processes that may be developed to use the reports. … with backup support by a QI staff member who may be assigned to conduct periodic monitoring of the processes

1332. Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
      January 01, 1993 - example, both adult and pediatric settings must identify the problems specific to their own hospital processes … Because hospitals vary in the extent to which they have existing quality improvement processes in place … for Sustainable Improvement Includes a tool to assist with planning for ongoing examination of processes

1333. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
      October 01, 2017 - The idea is to connect the Pressure Injury Prevention Program with existing processes and identify opportunities … I’d like to have ( him/her ) describe how (he/she) mapped the key processes of pressure injury prevention … activities and then share the process mapping from these units. ( He/she ) will point out the key processes … This assessment tool helps you identify what processes of care this hospital has in place and what areas … This is a working document that can be revised as the Team works through its planning processes.

1334. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
      May 17, 2016 - intact.11,12,14 Disinfect hubs, needless connectors, and injection ports prior to use.15 Best Processes … • Evaluate effectiveness of new processes, determine gaps, modify processes as needed, and reimplement … evaluate performance regularly to sustain improvements achieved.4 Additional Resources Systems/Processes … Best Processes/Systems of Care Introduction: Essential First Steps Recommended Practice: Assess neonatal … disease Educational Recommendation Effectiveness of Action Items Additional Resources Systems/Processes

1335. Ldusafety Facguide (doc file)
      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 - These key safety elements provide a starting point for each unit to consider as it establishes processes … elements can also be adapted and applied to other perinatal situations that require high-reliability processes … Hospitals can adopt checklists to ensure the completion of critical procedures and processes within health … safety elements are as follows: Communicating and educating patients and families around the clinical processes … Consider any existing hospital procedures, policies, processes related to these four situations.

1336. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - Process boundary: A process boundary separates systems into adjacent component processes, also known … The medication use system contains component processes of ordering, transcribing, verifying, dispensing … • Transformation: Transformations are processes that turn inputs into outputs; they are actions … Work System Analysis 343 • What people, technologies, tools, equipment, processes, and/or jobs are … In that case, hazardous processes in the pharmacy that lead to administration errors might be left

1337. Toolkit Materials | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/materials.html
      December 01, 2017 - It also introduces surgical care audit tools to critically assess your perioperative processes, and additional

1338. Toolkit Modules | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules.html
      January 01, 2017 - Module This module provides materials to support implementation of the following: Daily Care Processes

1339. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
      November 01, 2014 - Implementing an EHR prior to redesigning processes results in failure to realize the benefits of this

1340. Exhibit 3.1. Care management population selection and enrollment process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html
      October 01, 2014 - State Overviews [D] Text Description This is an exhibit showing three separate processes