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Showing results for "processes".

481. 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

482. 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

483. 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.

484. 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

485. 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.

486. 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.

487. 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

488. Advanced Methods in Delivery System Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/advanced-methods/index.html
     December 01, 2017 - Papers address: research designs for achieving mixed methods integration; processes in mixed method research

489. 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

490. 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

491. 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

492. 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

493. 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

494. 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

495. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
     December 01, 2017 - processes in tier 2. … It came from the World Bank, but it is actually very good and useful in health care processes. … This is even very important in processes that you've been using for a while. … I hope I've been able to show that using processes to collect, evaluate, adapt and publicize data is … Then, to review your processes, educate it and execute it.

496. Voluntary Hospital Coalitions to Promote Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
     January 01, 2004 - evidence that diffusion alone is not sufficient to ensure a change in practice.3, 4 The more active processes … improvement program requires that a hospital assess its structure around patient safety, focus on processes … The synergy of these two processes, i.e., dissemination and implementation, within one organization … reporting system in parallel to the newly mandated State reporting created duplicative data entry processes … The information related to outcomes, processes of care, medication use, medical errors, and other patient

497. 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

498. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
     November 01, 2014 - Several of the Lean projects at Grand focused on processes that will improve the quality and experience … In general, if a project goes well, team members may be asked to share their Lean redefined processes … Return to Contents Lean Projects Studied We selected two Lean projects that focus on processes … With the initiation of Lean, staff are realizing that waste exists in their processes. … Notably, there were very few statements related to the applicability of Lean to health care processes

499. Transforming Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
     December 01, 2017 - number of successful initiatives have been launched to help hospitals change their cultures and care processes … increased revenue. 32 Return to Contents Resources Improving the Health Care Environment and Processes … Mistake-Proofing the Design of Health Care Processes Synthesizes more than 150 practical examples … Toolkit for Redesign of Health Care Strategies for comprehensively redesigning and transforming the processes

500. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
     October 01, 2017 - Practice “collective mindfulness,” understanding that even small failures in safety protocols or processes … Eliminate deficiencies in safety processes through the use of powerful tools to improve their processes … Slide 31: Examining Processes To Understand Outcomes (Example) Images: Four line graphs show Percentage