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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
July 01, 2023 - How would it look (i.e., what behaviors or processes would we see) in this unit if 100 percent of staff … negatively worded so that the desired response is to disagree, how would it look (i.e., what behaviors or processes
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-preventablereadm-primcare-es.pdf
March 01, 2020 - promising practices in independent primary
care settings;
• Analyzed current postdischarge workflow processes … The project model goals and processes dovetail neatly with other primary care transformation
efforts
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www.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - Strategies to improve communication, teamwork, and healthcare delivery processes are also being studied … These processes–effective or not–are ubiquitous and inherently integrated into patient care efforts,
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
April 01, 2018 - (E2R)
78
They place a high priority on improving patient care
processes. … This office trains staff when new processes are put
into place. … Office Processes and Standardization
1. … Staff in this office follow standardized processes to
get tasks done. … They place a high priority on improving patient care
processes.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
April 01, 2018 - (E2R)
78
They place a high priority on improving patient care
processes. … This office trains staff when new processes are put
into place. … Office Processes and Standardization
1. … Staff in this office follow standardized processes to
get tasks done. … They place a high priority on improving patient care
processes.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - settings to predict patient anesthesia needs
identified critical interdependencies between scheduling processes … It was determined that the 3 processes for improvement
shared similar features and failure modes. … Preliminary data indicated that failures
were correlated with gaps in processes. … physical
environment (e.g., cluttered workspace), organization (e.g., hierarchical culture),
and processes … The conceptual
framework’s goals, principles, and processes dovetail neatly with other primary care
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - Commission (TJC), and the National Quality Forum
(NQF), have recognized the importance of systematic processes … Medication reconciliation is one of these processes and is
designed to identify and address medication … 19
Strategies for improving implementation can be addressed by defining guiding principles
and processes … Each hospital will define
its processes and measures in their own context. … Implications
Left unchecked, failed or inadequate medication reconciliation processes will continue
-
www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - FMEA) to identify modifiable risks associated with transition-
related (inpatient-to-ambulatory) care processes … When done correctly, risk analysis allows
organizations to improve the safety and quality of their processes … In healthcare, however, because processes are
idiosyncratic to a provider, generalizability from the … This process map
identified key sub-processes associated with transitional care; these sub-processes … The draft assessment tool also identifies whether processes are automatic or depend on a human
to be
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Most summarize that sustainability occurs when processes or improved outcomes continue to last within … Project fatigue can be prevented by sustaining and making new processes routine. … When organizations control processes and monitor outcomes, they evaluate themselves and take control … Say:
This graph shows how effective processes help ensure that after the project formally ends, the … Slide 40: Summary
Say:
In summary, sustainability can help organizations embed processes into their
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - Examples (which you can modify) of care processes you may want to focus on and discuss are listed below … Nursing
How will you document compliance with prehospital processes (e.g., bathing, reduced fasting)? … SSI, VTE Prevention
Processes for SSI, VTE prevention (antibiotic administration, skin preparation, sterile
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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - Thus, NRE are measures of care processes, which may directly or indirectly
affect outcome. … Given the
complexity of clinical processes and the large number of interdependent mediating variables … NRE represent disruptions in
these smooth expert processes. … in the operating room: Step one: Task analysis of
existing processes. … in the operating room: Step one: Task analysis of
existing processes.
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - 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 … Learn from defects
This principle calls for unit teams to evaluate their processes and learn from defects … Standardize when you can
Standardize to eliminate unnecessary or repetitive steps and simplify 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-Stock_72.pdf
January 01, 2007 - To
best understand these factors, it is important to examine the processes involved in each of those … key measurable component is “safety
culture,” which includes the management behaviors, safety system processes … These items suggest that leadership involves not only the actions of
leaders, but also the processes … The third
6
subdimension of “quality improvement” assesses the environment in which the processes … This raises the issue of whether improving
care processes leads to improved safety culture.
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www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
January 01, 2025 - Research about the processes and systems involved in
the transfer of pediatric patients has not yet … The evaluation of communication
systems (e.g., ways of communicating, processes for communicating) to … The FMECA method can be used in an iterative manner to support re-design of processes to
insure the … Internal processes required in the emergency transfer of a patient were not standardized and were … Discussion
Using the FMECA methodology to assess similar processes across multiple, diverse healthcare
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www.ahrq.gov/diagnostic-safety/research/grants-2022.html
July 01, 2025 - DECODE methods and tools, including specifications for information technology systems and workflow processes … This center will test whether data sharing and collaboration improve diagnostic processes and develop … case review infrastructure that can accurately identify diagnostic errors and characterize diagnostic processes … Develop site-level and groupwide benchmarking reports of error rates, diagnostic processes, and diagnostic … (ADEPT) study protocol: a multicenter, prospective quality and safety program to improve diagnostic processes
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www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - These events resulted in delays
and patient harm, and they involved failures in the processes of medication … Real-time, active surveillance of the people and processes within the ED
was used to monitor conditions … These data led to the identification of the process for which the HFMEA would be
conducted: the processes … The processes involved in getting
antibiotics as an inpatient boarding in the ED, through the unit-based … The
results support efforts to develop ED team cognitive aids for tracking processes and the early
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/user-guide.pdf
June 02, 2025 - Coordination (CC) describes the aims and proven benefits of
effective CC; provides guidance on improving CC processes … You may also find it helpful to read the discussion
of how to apply QI processes to the specific goal … An AR focus: If, after reviewing your data, you find your program has processes in place
to ensure
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Most familiar with the program goals, care processes, and outcome data to be used. … Slide 23: Integrate Prevention Into Ongoing Processes
Necessary for sustainability. … Slide 27: Monitor Implementation Progress
Baseline measures of pressure injury rates and processes … Tracking care processes to prevent pressure injury is a measure of implementation success and should
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - safety elements provide a comprehensive starting point for each unit to consider as it establishes its processes … 14
Key Safety Elements: Simulation
Use of simulation to practice and train teams on rapid response processes … to get additional help quickly and activate a rapid response based on unit-established criteria and processes … rapid response events, and solicit ongoing feedback from staff and patients to continually refine RRS processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
June 27, 2014 - Management processes
· Our management processes emphasize meeting quality performance standards … protocols and guidelines widely within the hospital.
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Overall, our hospital’s management processes … safety within their departments.
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· We have accountability, innovation, and redundant processes