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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?
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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
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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?
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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.
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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
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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
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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%
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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?
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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).
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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?”
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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.
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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
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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?
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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.
-
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.
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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
-
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
-
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?
-
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
-
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.