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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - Organizational Learning—Continuous Improvement % Agree/Strongly Agree
We are actively doing things … Handoffs & Transitions % Disagree/Strongly Disagree
Things “fall between the cracks” when transferring … Organizational Learning—Continuous Improvement % Agree/Strongly Agree
We are actively doing things … Handoffs & Transitions % Disagree/Strongly Disagree
Things “fall between the cracks” when transferring
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - A Unit Guide To Infection Prevention for Long-Term Care Staff
Acknowledgments
Content leads for the preparation of this document were as follows:
Deb Patterson Burdsall, M.S.N., R.N.-B.C., CIC
Infection Preventionist
Lutheran Home/Lutheran Life Communities
Arlington Heights, IL
Steven J. Sc…
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www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
January 01, 2024 - 'Wrapping things up: A
qualitative analysis of the closing moments of the medical visit.'
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - numerous to review comprehensively and the impact on
outcomes is hypothetical, it is easy to imagine how things … What does this exercise suggest in terms of our ability to see things differently after
reflection? … numerous to review comprehensively and the impact on outcomes is
hypothetical, it is easy to imagine how things
-
www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
March 01, 2014 - comparable to joining a wellness
center or commercial weight loss group, even when accounting for things … See where your time is going, and if you are leaving enough time for
yourself for things you want to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - report is not consistently monitored, nurses may revert back to
familiar habits and ways of doing things … Patient and Family Engagement :: 8
• Q3: During this hospital stay, how often did nurses explain things
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - Improvement
Diagram/
Chart
Pareto Diagram According to the “Pareto Principle,” in any
group of things … • The group can generate a substantial
list of ideas, rather than just the few
things that first
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - Improvement
Diagram/
Chart
Pareto Diagram According to the "Pareto Principle," in any group of
things … • The group can generate a substantial list of
ideas, rather than just the few things that first
-
www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - A few
participants said they would bring the project team together and kick things off in a group setting … post-evaluation questionnaire, B6 wrote that they “spent
some time fishing around, figuring out what things
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
September 01, 2017 - an improvement means that the progress is locked in, and staff don’t revert to the old ways of doing things
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-presenters-notes.pdf
January 05, 2022 - focus on individual and team goals at the
beginning of the day often leads to improved attention to things
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
August 01, 2014 - It's missing key things they need.
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - Regular and better use of EHRs is needed to make measure-driven QI activities the “normal way of doing things
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
September 08, 2015 - share, twice a year,
where there is overlap, where we
can learn from each other, where we
can do things
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
May 01, 2013 - accordance with its mission; feedback is solicited from families and influences office policy (e.g. the way things
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - There are some crucial things to consider when using the DESC script:
Time the discussion.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - There are some crucial things to consider when using the DESC script:
Time the discussion.
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - They just poured out once we felt like someone was finally listening to our concerns about the way things
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - The Checklist Manifesto: How to Get Things Right. 1st ed., New York, NY: Metropolitan Books; 2009.
7.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - Slide 11
Offer Solutions
SAY:
Finally, let’s offer some things to try to solve the problem.