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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Emphasis on stakeholders as participants and audiences for the improvement processes. … Use of structured, iterative processes to implement improvement interventions. … the Toyota Production System, is a tool used by businesses to streamline manufacturing and production processes … VSM coupled with 5S are proven tools to create processes that are "leaner," offer more value to those … defects and waste, thereby improving quality and efficiency, by streamlining and improving all business processes
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - To summarize, sustainability occurs when processes or improved outcomes last within an organization after … Project fatigue can be prevented by making new processes routine. … 1
Say:
This graph shows how effective processes help ensure that after the project ends, the desired … , leaders and champions could present ongoing evidence that the new process is better than previous processes … Slide 27: Key Concepts Review
Say:
In summary, sustainability can help organizations embed processes
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
November 01, 2017 - Self-Assessment helps the team to foster internal goals and motivation to change their processes as they … are driven by how they see their processes, not how someone else sees them.
… He asked questions about their processes that may help identify areas where improvements may be needed … each report to help the team think about how they could use the report to improve falls prevention processes … He can help them re-engineer their processes to be more efficient during the meetings so the meeting
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - How will pressure ulcer prevention be integrated with ongoing work processes? … Think about whether new processes are needed and, if so, what they will be. … How will pressure ulcer prevention be integrated into ongoing work processes? … Processes are streamlined to order and obtain support surfaces quickly for patients identified as at … Strategies for integrating pressure ulcer prevention into ongoing work processes.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - How will pressure ulcer prevention be integrated with ongoing work processes? … Think about whether new processes are needed and, if so, what they will be. … How will pressure ulcer prevention be integrated into ongoing work processes? … Processes are streamlined to order and obtain support surfaces quickly for patients identified as at … Strategies for integrating pressure ulcer prevention into ongoing work processes.
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - ASC teams and project staff conducted
walk-throughs and examined processes for unsafe practices, process … System wide tools to facilitate safe processes and continuity in
communication are needed to improve … Current literature details the experiences
of some individual organizations in evaluating multiple processes … Medication ordering and administration processes –
Medication errors harm an estimated 1.5 million people … , inadequate access to equipment, and insufficient redundant processes to act as
a failsafe.
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - The specific aims were to: Map diagnostic decision-making processes in the ED and identify contributing … Understanding diagnostic processes in emergency departments: a mixed methods case study protocol . … Understanding diagnostic processes in emergency departments: a mixed methods case study protocol. … Investigating Emergency Department Diagnostic Processes: Video Ethnography Methodology Development (poster … Understanding diagnostic processes in emergency departments: a mixed methods case study protocol .
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
October 01, 2024 - In essence, sustainability is achieved when the improved processes and interventions are embedded into … Quality improvement efforts should be constructed in a way that enhances current patient care processes … Finally, the project’s interventions must be designed with the necessary resources, processes, leadership … Whether it is a change in workflow, the introduction of new equipment, or new processes or steps in the … Ask questions about the processes.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/quality-survey-ok.pdf
August 02, 2018 - helped us improve our care
processes that increased our
performance on ABCS measures. … helped our practice improve
processes that increased our
performance on other quality
measures. … helped our practice improve
coding, reporting measures, or
implementing QI processes for
MIPPS or CPC … provided useful information and
tools to improve practice
processes.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Adapt an SSI Investigation Tool to reflect the care processes in your local SSI prevention bundle. … Slide 6: Identify Defects With SSI Investigation Tool
Identify lapses in infection prevention processes … Your team may want to investigate care processes not included in this tool. … This tool may include processes your team does not use.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Review team effectiveness periodically, including its outcomes, processes, and vitality. … Slide 14: CUSP Teams' Group Processes
Say:
Effective group processes for CUSP teams include: … Effective group processes provide opportunities for L&D unit teams to hone their skills in the areas … Verify the decision making, conflict management, and problem-solving processes are clear. … Execute the processes.
Evaluate what was accomplished.
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www.ahrq.gov/takeheart/training/getting-started/index.html
April 01, 2023 - foundation for implementing process change, including making the case to leadership, mapping current processes … Creating a multi-disciplinary team
Identifying goals
Developing an action plan
Adjusting workflow processes … Foundation, Leadership, and Action Plans
Training Module 3: Systems Change: Understanding Your Workflow Processes
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
March 01, 2022 - Diagnosis relies heavily on clinicians' cognitive processes: the depth and breadth of their knowledge … Although cognitive processes are clearly an appropriate target for addressing diagnostic error, few intervention … healthcare administration programs, must include specific content regarding the impact of health systems, processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - These types of data
qualitatively analyze existing risks inherent in medical care processes and cannot … FMEA prospective risk assessments are intended to specify the particular way that processes fail. … Risk assessments are conducted on processes thought to need improvement. … The processes and
criteria described here will be further modified iteratively through use. … Administrative (medical records and other clinically significant administrative processes).
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www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
December 01, 2012 - CUSP Teams’ Group Processes .
Slide 9. Team Performance .
Slide 10. … CUSP Teams’ Group Processes
Effective Group Processes include
Role Clarity. … Processes
Inside team.
Outside team.
Team traits. … Execute the processes.
Evaluate what you did.
Return to Contents
Slide 26.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - between patients/family members and providers through the testing and use of shared decisionmaking (SDM) processes … The project culminated in the development of an SDM train-the-trainer toolkit that integrates the processes … A bundle is a structured way of improving the processes of care and patient outcomes: a small, straightforward … The survey and processes were revised based on the findings from the pilot. … Notably, almost half (299 of 632) of reported near misses involved office processes.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology8.html
April 01, 2025 - Paradigms and Terms for Improvement Efforts
Foundational Terminology for Diagnosis Relating to Suboptimal Processes … misunderstandings, and miscommunication. 44 Patients and caregivers often describe protracted diagnostic processes
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - leaders have expressed a need for hands-on tools that bring clarity to systems change
through guided processes … leaders have expressed a need for hands-on tools that bring clarity to systems change through
guided processes … Cedars-Sinai Medical Center and Kaiser Permanente to present an overview
of their safety improvement processes … The next two sessions outlined concepts and processes of Patient
Safety Leadership WalkRounds and the … vocal support of senior
leadership, the presence of dedicated staff, and adjustments in WalkRounds processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
February 01, 2014 - these structures and processes more likely to be used). … for improving care
Most research on processes to date has focused on processes that can be used to … Processes aimed at reducing readmissions.
3. … These other components strongly influence the processes that
are used and how effective these processes … Examples of Processes
Processes aimed at discrete events, such as a surgical procedure or the generation
-
www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
February 01, 2014 - these structures and processes more likely to be used). … for improving care
Most research on processes to date has focused on processes that can be used to … Processes aimed at reducing readmissions.
3. … These other components strongly influence the processes that
are used and how effective these processes … Examples of Processes
Processes aimed at discrete events, such as a surgical procedure or the generation