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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    June 02, 2025 - In this unit, we work together as an effective team. A8. … Staffing and Work Pace (Strongly Disagree, Disagree, Neither Agree nor Disagree, Agree, Strongly Agree … Staff in this unit work longer hours than is best for patient care. (negatively worded) A5. … The work pace in this unit is so rushed that it negatively affects patient safety. … How would you rate your unit/work area on patient safety?
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-material-guide.docx
    June 02, 2025 - Guide Overview of Quality Improvement Study Components A systematic approach to quality improvement work … These 12 elements support the plan, develop, execute, and evaluate phases essential to QI work. … Study Framework and the Quality Improvement Study Debrief Example, you are now ready to begin your own work … These tools can assist in the population of this template so you will be able to present your QI work
  3. www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
    December 01, 2017 - But technical work is concrete and backed by evidence-based literature. … In fact, sustaining adaptive work has a high failure rate. … An effective safe surgery team excites staff members about doing this work. … Slide 8: What Sustainment Strategies Work? … Slide 9: What Sustainment Strategies Work?
  4. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.html
    February 01, 2017 - Learning Objectives After this session, you will be able to— Differentiate technical and adaptive work … Slide 3: Key Concepts—Technical and Adaptive Work Image: Chart of technical and adaptive work. … Plays an essential role supporting a unit’s CUSP work. … Models leadership and active participation in safety work. … Work together to achieve the mission. Build frameworks for team behaviors and norms.
  5. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Sustainability Module 5: Visual Management Slide 2: A Frontline Management System To Promote Safety Standard Work … The elements include standard safety work by staff, the daily safety huddle, visual management, escalation … , observation of safety work, problem solving, and integration with leaders.   … Is a simple board, updated daily Guides daily and weekly safety work Typically integrates directly … Additional tests to consider Additional measures (e.g., tracking safety standard work staff training
  6. www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
    January 01, 2025 - Scope: The work was conducted at two large urban academic medical centers: Johns Hopkins (JHU) and the … We sampled across many different types of anesthesia work, understanding the challenges of work-as-done … Understanding “Work As Done.” … However, we feel that overall this did not detract from the quality or volume of the work and simply … area: anesthesia machine, work surface, pyxis drawer, work surface drawer, another provider, IV machine
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
    January 01, 2016 - Tenure in Current Work Area/Unit • Respondents with less than 1 year in their current work area/unit … needs to be done quickly, we work together as a team to get the work done.” 22 Chart 5-2. … When a lot of work needs to be done quickly, we work together as a team to get the work done. … When a lot of work needs to be done quickly, we work together as a team to get the work done. 87% … When a lot of work needs to be done quickly, we work together as a team to get the work done. 87%
  8. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - Let’s review what we mean by technical and adaptive work. … Technical work refers to challenges with an evidence-based solution. … For many reasons, adaptive work is challenging. … Adaptive work requires a partnership between the frontline and the executive levels. … Slide 5: Why is This Work Important?
  9. www.ahrq.gov/sites/default/files/2025-02/lofland-report.pdf
    January 01, 2025 - loss, days missed from work, absenteeism, presenteeism, survey, public, and database. … Days Missed From Work An individual’s reported annual number of days missed from work was estimated … The dependent variable in all analyses was the annual number of days missed from work. … Since the days missed from work data had a skewed distribution, the number of days missed from work … Of those who missed work, the mean (SE) annual number of missed workdays was 4.4 (0.39).
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
    January 01, 2003 - The success of clinical information systems depends upon their effective integration into complex work … Design of clinical information systems should ideally simplify work processes, resulting in improved … The distributed nature of the work requires accurate access to information. … Because interruptions are common in nursing work, some were also built into the scenario. … ” • At one point a nurse manager asked the test subject, “Can you work an extra shift?”
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
    December 01, 2017 - But technical work is concrete and backed by evidence-based literature. … In fact, sustaining adaptive work has a high failure rate. … Work? … Require current data to validate progress. 8 What Sustainment Strategies Work? … Though project implementation may have an end date, that doesn’t mean the work ends.
  12. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
    August 20, 2024 - hours, fatigue, and work unit safety rating, © 2024 American Medical Association. … of occupation, characterized by: • Emotional exhaustion • Feelings of cynicism and detachment from work … ; lack of engagement • Sense of low personal accomplishment or decreased efficacy in work • Impact … Drivers of Burnout – how we work • EHR is not routinely optimized for clinical practice • Practice … Culture of wellness Stanford WellMD Model Efficiency of practice: the system we work in impacts our
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/11-identifying-stakeholders.pptx
    June 01, 2023 - Safety Program for Improving Surgical Care and Recovery 2 How Do We Know Who To Engage in This Work … “If we were to help make your work easier in this next year, what might that be?” … Safety Program for Improving Surgical Care and Recovery 9 Questions To Consider How much will this work … How much influence does this stakeholder have in the success of this work? … How might this stakeholder contribute to this work? How might this stakeholder block this work?
  14. www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
    March 01, 2017 - Slide 4: Technical and Adaptive Work Say: Our work needs to be informed by science, and we accomplish … this by thinking about the technical and the adaptive work. … Where does the adaptive work come from? Adaptive work comes from the social science field. … What would it look like if we all came to work with a positive attitude?  … work
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
    November 01, 2017 - We are involved in making decisions about changes to our work processes. 54% 3. … We are involved in making decisions about changes to our work processes. 77% 65% 65% 2. … I received training on how to identify waste and inefficiencies in my work. 49% 37% 32% 2. … I made a suggestion to management about improving an inefficient work process. 77% 62% 59% 6. … I served on a team or committee to make a work process more efficient. 34% 21% 25% 8.
  16. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
    May 13, 2025 - PMID: 35985041; PMCID: PMC9422763. 21 Refs: Work-life Climate Validity Schwartz SP, Adair KC, et … Work-life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional … stress, a strain for me EE5item: fatigued, burned out, frustrated, working too hard, events at work … EE1item5pt: I feel burned out EE1item7pt: How often I feel burned out from my work EE5item 0.955 … https://ja.ma/3EoH6Om Same metrics used in well-being RCTs • Emotional Exhaustion • Work-life Climate
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
    January 01, 2017 - Slide 3 Technical and Adaptive Work SAY: Our work needs to be informed by science, and we accomplish … this by thinking about the technical and the adaptive work. … Where does the adaptive work come from? Adaptive work comes from the social science field. … What would it look like if we all came to work with a positive attitude? … SAY: The way we feel when we show up at work profoundly influences how well we do and what we do at work
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
    December 01, 2017 - But technical work is concrete and backed by evidence-based literature. … In fact, sustaining adaptive work has a high failure rate. … An effective safe surgery team excites staff members about doing this work. … Slide 7 What Sustainment Strategies Work? … Slide 8 What Sustainment Strategies Work?
  19. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-model-pdsa.pdf
    June 02, 2025 - is a simple framework that many primary care practices use to help them organize their improvement work … A successful PDSA finds out whether a change works or doesn’t work. … practice through the steps of the MFI and PDSA and a practice can use them after you complete your work …  Provide a practice with a copy of an MFI and PDSA worksheet they can use in improvement work … worksheet for each cycle  Store all completed worksheets together to create a record of the improvement work
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
    January 01, 2008 - Improvement teams were assembled in each ICU to do the work, and the chief executive officer of each … Get both the technical and adaptive work right. 3. … Get Both the Technical and Adaptive Work Right Conceptually, technical and adaptive challenges are … technical work, since it generates disequilibrium in existing systems. … A subset of teams agreed to do so, but it took far more work than many teams realized.

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