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www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
January 01, 2024 - Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment … Medication Management at Home Final Report
Medication Management at Home:
Patient-Identified Processes … We explored methods and processes used by the participants to manage
medications. … Medication Management at Home: Patient Identified Processes and Risk
Assessment. … Medication Management at Home: Patient Identified Processes and Risk Assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
June 02, 2025 - An effective
care coordination system will include:
• Workflow processes and activities designed and … • Execution by a team vs. a single person
• specific Processes and activities aimed at facilitating … to work with your team and key stakeholders as you set goals,
assess processes, a nd review progress … • How well your care coordination processes are working. … and whether your
processes are achieving your defined goals.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
June 01, 2023 - Collectively, these processes can lower cost of care, compared to non–enhanced-recovery processes. … ISCR provides recommendations that reduce variation in processes and improve collaboration and buy in … Gaining buy-in from a multidisciplinary team when developing our processes improves the likelihood that … To date, we have implemented processes to improve [components of the ISCR pathway]. … Adherence to these processes have [explain trends in data].
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - Opportunities: Routinely assess processes for potential gaps, changes, or unidentified opportunities … and redesign outdated processes. … Develop processes to adapt, communicate, and continue operations during unexpected conditions, such as … Use simulation to improve processes and perform leadership rounds to engage frontline staff. … tools or processes for handoff communication and medication reconciliation.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Design Processes and Organize Work
Areas to Support Safe Practice
III. … and redesign outdated processes. … Design Processes and Work Areas to Support Safe Practice
Rationale: Organizing processes, supplies, … tools or processes for handoff
communication and medication reconciliation. … Design Processes and Work Areas to Support Safe Practice
Implementation Support
III.
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www.ahrq.gov/teamstepps-program/curriculum/implement/overview.html
May 01, 2023 - Key Implementation Phases and Activities
The figure below provides an overview of the key processes … tools by trainees and their continued use until they are fully embedded into your organization’s work processes
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology1.html
April 01, 2025 - Paradigms and Terms for Improvement Efforts
Foundational Terminology for Diagnosis Relating to Suboptimal Processes … diagnosis,” terminology and methods differ when defining success and failure in diagnosis and diagnostic processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
June 02, 2025 - Annual safety training
– Remove barriers to safety, e.g. staff intimidation,
time-outs
– Focus on processes … To improve processes and encourage
communication
30
© Aurora Health Care, Inc. … Pilot Study – Selected Results
• Surprises – Shows where
we have work to do:
– Processes for exchanging … Study
• Some QI Project Examples:
– Accurately identify patients using date of birth
– Improve processes … survey
• Involve all staff
• Emphasize safety culture
• Explain importance of
taking action on
processes
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www.ahrq.gov/hai/tools/enhanced-recovery/measuring.html
June 01, 2023 - teams, in conjunction with the review of evidence, to develop a clinical pathway that incorporates the processes … This worksheet includes evidence-based recommendations for processes that teams can adapt to their hospital … Improving Surgical Care and Recovery (ISCR) Pathway Checklist can be used to track compliance with ISCR 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/vol2/Advances-Baker_107.pdf
March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to … Electronic Systems
Analysis of Patient Safety: Converting Complex
Pediatric Chemotherapy Ordering Processes … However,
implementing CPOE is challenging, particularly for high-risk processes, such as chemotherapy … Parallel
processes then take place within these areas. … The processes identified as requiring
additional analysis are listed in Table 1.
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www.ahrq.gov/takeheart/about/initiative/partner-hospitals/stanford-health.html
November 01, 2022 - Profile
"Participating in TAKEheart provided me with strategies to automate our referral processes … Mapping workflow processes highlighted key gaps preventing referrals.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
November 01, 2014 - Team members are staff members with knowledge of the target processes and those impacted by the processes … Given the eight separate sub-processes that were discovered, the team decided to split the processes … into two priority areas: (nursing) care processes and environmental processes. … One process owner oversaw the care processes while the second focused on environmental processes. … Step 5: Physically walk the 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/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Define the problem/processes under investigation.
2. … Collect baseline data on current systems and processes.
3. … Identify operational barriers and failure modes in current processes.
4. … • What would you recommend to improve the current processes/procedures/policies? … an area or
instance of “waste” within their
processes, and apply Lean t
to improve the processes.
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www.ahrq.gov/takeheart/training/all-modules/index.html
December 01, 2022 - sought to simultaneously begin to implement or improve their automatic referral and care coordination processes … Systems Change: Understanding Your Workflow Processes to Prepare for System Change
This module describes … how to map workflow processes and provides direction on redesigning those processes to accommodate changes … status of current care coordination activities and provides guidance on redesigning care coordination processes
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www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
January 01, 2024 - We
refer to these improvised and informal changes in work processes as “workarounds.” … Nine percent of the pharmacists said they rarely, if ever, had to alter work processes. … Despite similar
medication administration processes, we found the perceived barriers, rework processes … process to develop more reliable processes for care (see also Tucker & Edmondson, 2002). … in the work processes.
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
February 01, 2014 - they use, and the outcomes of care generated by these structures and processes. … these structures and processes more likely to be used). … Analyses of interprovider/interorganizational processes for improving care. … Analyses of interprovider/interorganizational processes for improving care
Most research on processes … Processes aimed at reducing readmissions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool12_collaboration.docx
June 02, 2025 - Central to developing improved processes for posthospital care is to work with cross-continuum providers … efficiencies by “batching” the types of needs and services and creating more direct, less time-consuming processes … Collaboration is key to establishing a shared understanding and agreement of how processes can be improved … Collaboration is key to establishing a shared understanding and agreement of how processes can be improved … How can the processes to identify, refer, link, and connect within 48 hours of discharge be improved?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - What processes will be critical for patient safety in the future? … What processes are critical for patient safety in the future? … Three critical processes and six performance measures were corrected, and
eight new critical processes … Question 3: What processes are critical for patient safety in the future? … Support Processes Patient Safety Support
Processes: How the institution
coordinates departmental and
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr3.html
February 01, 2014 - The paper argues that research has been heavily focused on intraorganizational processes; these are important … , but not enough attention has been paid to interorganizational processes and to other components of … These other components strongly influence the processes that are used and how effective these processes … research include attention to these other components, though for the most part the focus remains on processes
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/state-key-drive-diagram.pdf
June 02, 2025 - Engage & Monitor TCD
Screening QI Efforts
• Identify health plan baseline performance
rates and processes … disease,
including increasing TCD screening rates
• Develop process for health plans to report
new processes … Provide performance feedback to
Medicaid health plans on regularly
scheduled basis
• Establish processes