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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-5.html
November 01, 2014 - preference cards
Project 4: Horizon—Lean Hospital and related processes …
X
X
X
X
X
X
X
Project 4: Horizon—Lean Hospital and related processes
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www.ahrq.gov/news/newsroom/case-studies/201501.html
March 01, 2015 - in Boston, the toolkit provides evidence-based tools to help hospitals re-engineer patient discharge processes … Nacogdoches Memorial administrators decided to work on improving discharge processes in 2012 as high
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/practical-methods-care-coordination-slides.pdf
June 02, 2025 - learn during the process mapping phase about changes you
needed to make in your care coordination processes … 4 What challenges have you encountered in your care coordination processes and
how have you been dealing
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
April 01, 2025 - Paradigms and Terms for Improvement Efforts
Foundational Terminology for Diagnosis Relating to Suboptimal Processes … Integrate patient and caregiver perspectives into diagnostic processes to learn from them.
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www.ahrq.gov/downloads/pub/advances/vol2/pace.pdf
January 01, 2004 - Most are
conceptually based with limited empirical evidence on their utility to characterize
processes … examining individual
codes, it allows the use of different analytical approaches to help uncover
processes … highlight similar process
errors across different clinical activities or among the array of error processes … use, have been
applied in the ambulatory setting.1, 5, 10 Given the major differences in the care
processes … Table 4, derived constructs,
represents errors in clinical activities across processes.
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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 - Most are
conceptually based with limited empirical evidence on their utility to characterize
processes … examining individual
codes, it allows the use of different analytical approaches to help uncover
processes … highlight similar process
errors across different clinical activities or among the array of error processes … use, have been
applied in the ambulatory setting.1, 5, 10 Given the major differences in the care
processes … Table 4, derived constructs,
represents errors in clinical activities across processes.
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
August 01, 2022 - Investigation, and Analysis Team Lead
Implements the event reporting, investigation, and analysis processes … Information Technology
Attends team meetings as needed; assists with implementing technology processes
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - These strategies were aimed primarily at Acute Episode Management processes of care. … These strategies were aimed primarily at Prevention processes of care.
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www.ahrq.gov/takeheart/training/module-6/index.html
December 01, 2022 - guidance on assessing current care coordination and provides direction on redesigning care coordination processes … Assess the effectiveness of current care coordination workflow processes for inpatient CR to outpatient
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
November 01, 2014 - Prework often involves reviewing data and/or observing processes within an area. … It is important to staff that the processes are ingrained to improve patient care. … The use of technology meant integrated and improved patient safety processes. … "We didn't want to implement the technology without evaluating our processes. … processes can prove challenging in disparate organizations.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Say:
Event reporting is the trigger for other CANDOR processes and is critical to establishing the … individual behaviors designed to prevent mistakes and fail to recognize the impact of faulty systems, processes … Identification of innovative solutions to prevent similar harm events and related hazardous behaviors or system processes … Human errors are abundant and inevitably repeated when system processes are not corrected or adjusted … By focusing on system processes and factors that facilitated the event, adjustments can be made to minimize
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
June 02, 2025 - electronic
health record (EHR), Athena, with a software, Epion, capable of automating regular screening processes … The clinic’s small size and lack of bureaucracy made it easy to make changes to its processes.
▶ Flexible … Epion, a programming tool that works with the Athena EHR to design, automate, and optimize business
processes
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www.ahrq.gov/patient-safety/resources/learning-lab/preventing-clinical-deterioration-long-desc.html
January 01, 2025 - Create and refine processes and training that engage patients and their caregivers as active and reliable … in the operational environment and formally evaluate the integrated detection and response tools and processes … 80 hours and conducted 17 interviews with oncologists to understand ambulatory cancer care and the processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - In understanding and
acknowledging this fallibility, individuals can
redesign care and delivery processes … treating medicine and care
delivery as a science instead of an art,
providers can scrutinize their processes … Standardizing procedures, such as applying
checklists and creating independent
assessments for key processes … sculpt the means with which
L&D unit CUSP teams are able to scrutinize
their environment and the processes … Learn from defects
This principle calls for L&D unit teams to
evaluate their processes and learn from
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_brochure.pdf
September 15, 2016 - Evaluate the implementation of teach-back, and
refine your processes. .............................. … Evaluate the implementation of teach-back, and
refine your processes. … Use the data to identify opportunities to improve both
individual and practicewide processes. … The team can work
collaboratively to remove barriers and challenges and to
improve processes across … Evaluate the implementation of teach-back, and refine your processes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Event reporting is the trigger for other CANDOR processes and is critical to establishing the CANDOR … individual behaviors designed to prevent mistakes and fail to recognize the impact of faulty systems, processes … Human errors are abundant and inevitably repeated when system processes are not corrected or adjusted … By focusing on system processes and factors that facilitated the event, adjustments can be made to minimize … System accountability
Processes, policies
Prevention mechanisms
Individual accountability
At-risk behaviors
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
May 01, 2017 - Successful L&D unit teams have reliable
processes in place for team members to work
and communicate … Slide 15
SAY:
As well as the inputs, processes alter the
outcome of any initiative. … These processes
may require interactions that take place inside
the team (internal) or outside the … External team
processes involve the procedures the team
carried out to put the initiative in action … Execute the processes, and
4. Evaluate what was accomplished.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
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
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - based on the principle of improving patient safety and quality of care by improving healthcare team processes … Examples of processes include admitting a patient, administering a medication, and transferring a patient … Tips for Success
Because the Change Team will focus on improving processes within its own unit, choose … relevant clinical expertise, a suitable workplace location, credibility, and direct involvement in the processes … Embed TeamSTEPPS concepts and tools into ongoing organizational processes and activities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - of This Tool
This tool will help your safety program team understand lapses in infection prevention processes … Your team may want to investigate care processes that are not included in this tool, or assess different … Also, this tool may include processes your team does not use.