martes, 19 de julio de 2016

Pediatric Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research & Quality

Pediatric Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research & Quality

AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

To download the tools:
  • To download the entire QI Toolkit as a single PDF document, use this file (PDF file PDF - 9.29 MB)
  • To download all of the tools in the Pediatric QI Toolkit at once, use this file (compressed file archive  Zipped - 10.21 MB)


Pediatric Toolkit for Using the AHRQ Quality Indicators

How To Improve Hospital Quality and Safety
A stand-alone pediatric version of the QI Toolkit is available to meet the needs of hospitals that serve children, and includes a concise set of tools to facilitate efforts to improve clinical quality. The Pediatric QI Toolkit contains tools for the same six steps (A through F) as the QI Toolkit, including materials that improvement teams can use to identify and catalogue quality and patient safety concerns, educate clinical leaders and staff, and hone in on priorities. It also includes 13 indicator-specific best practices for improving performance on the AHRQ Pediatric Quality Indicators (PDIs) and a case study of a Toolkit user in a pediatric setting. This new Pediatric QI Toolkit can be used to improve performance on the PDIs as well as other measures of inpatient pediatric quality.

Download the Pediatric QI Toolkit

The tables below list all of the resources available in the Pediatric QI Toolkit. You can download the tools one at a time or altogether in a PDF or ZIP file.
  • To download the entire QI Toolkit as a single PDF document, use this file (PDF file PDF - 9.29 MB)
  • To download all of the tools in the Pediatric QI Toolkit at once, use this file (compressed file archive Zipped - 10.21 MB)
Note: PDF files are accessible.

Section A: Assessing Readiness To Change

A.1. Introduction to Pediatric QI ToolkitIncludes this introduction to toolkit (A.1) and a fact sheet on AHRQ PDIs (A.1a)Introduction PDF [PDF file - 78.59 KB]
Fact Sheet PDF [PDF file -  48.6 KB]
A.2. Board PowerPoint Presentation on the AHRQ PDIsIncludes PowerPoint presentation to introduce project to the hospital board and/or senior leadershipPDF [PDF file - 2.66 MB]
PPT [493.96 MB]
A.3. Getting Ready for Change Self-AssessmentIncludes survey to assess leaders' perspectives on organizational readinessPDF [PDF file -  94.55 KB]
Word [63.99 KB]
A.4. Case Study of Improvement ImplementationIncludes a case study of how a children's hospital used the Pediatric QI ToolkitPDF [PDF file - 34.62 KB]

Section B: Applying QIs to Your Hospital's Data

B.1. Applying the AHRQ Pediatric Quality Indicators to Hospital DataIncludes instructions for performing calculations to identify current PDI rates in your hospitalPDF [PDF file - 200.9 KB]
B.2. PDI Rates Generated by SAS QI (B.2a) and Windows QI (B.2b) SoftwareIncludes sample output from both software packagesSAS PDF [PDF file - 100 KB]
Windows PDF [PDF file - 133.55 KB]
B.3. Excel Worksheets for Charts on Data, Trends, and Rates to Populate the PowerPoint Presentation Instructions; PowerPoint Presentation: The AHRQ Quality Indicators, Results, and Discussion of Data AnalysisIncludes instructions on how to use Excel worksheets to produce charts based on your hospital's data and a PowerPoint presentation templateInstructions PDF [PDF file - 42.7 KB]
Charts for Presentation PDF [PDF file -  435.65 KB]
Presentation PDF [PDF file - 765.84 KB]
PPT [127.29 KB]  Excel [58.81 KB]
B.4. Documentation and Coding for PDIsIncludes strategies for addressing documentation and coding issues with the PDIsPDF [PDF file - 238.63 KB]
B.5. Assessing Indicator Rates Using Trends and ComparatorsIncludes guidance for conducting trend and comparator analysisPDF [PDF file - 69.71 KB]

Section C: Identifying Priorities for Quality Improvement

C.1. Prioritization Worksheet and InstructionsIncludes Excel spreadsheet to assist in prioritizing selection of indicatorsWorksheet PDF [PDF file - 129.13 KB]
Instructions PDF [PDF file - 246.1 KB]
Excel [30.93 KB]
C.2. Prioritization Worksheet ExampleIncludes an example of a completed prioritization worksheetPDF [PDF file - 135.26 KB]
Excel [31.06 KB]
C.3. Staff Engagement PresentationIncludes a PowerPoint presentation template that can be used to engage frontline and other staffPDF [PDF file - 1.75 MB]
PPT [143.06 KB]

Section D: Implementing Evidence-Based Strategies To Improve Clinical Care

D.1. Improvement Methods OverviewIncludes an overview of the steps in a quality improvement processPDF [PDF file - 579.28 KB]
PPT [94.18 KB]
D.2. Project CharterIncludes a charter to help you define the implementation team, goals, and measures of progress for your improvement projectPDF [PDF file - 256.67 MB]
Word [45.27 KB]
D.4. Selected Best Practices and Suggestions for ImprovementsIncludes introduction to indicator-specific best practices and detailed information on best practices for selected indicatorsIntroduction PDF [PDF file - 38.47 KB]
PDI01 Accidental Puncture or Laceration PDF [PDF file - 62.74 KB]
PDI02 Pressure Ulcer PDF [PDF file - 110.08 KB]
PDI03 Foreign Body PDF [PDF file-96.96 KB]
PDI05/NQI01 Iatrogenic Pneumothorax PDF [PDF file - 80.96 KB]
PDI06 Pediatric Heart Surgery PDF[PDF file - 74.63 KB]
PDI08 Perioperative Hemorrhage or Hematoma PDF [PDF file - 77.91 KB]
PDI09 Postoperative Respiratory Failure PDF [PDF file - 65.96 KB]
PDI10 Postoperative Sepsis PDF [PDF file - 112.29 KB]
PDI11 Postoperative Wound Dehiscence PDF [PDF file - 61.87 KB]
PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [PDF file - 130.85 KB]
NQI03 Neonatal Blood Stream Infection PDF [PDF file - 153.19 KB]
D.5. Gap AnalysisIncludes a tool to help you understand how your organization's practices align with best practices to identify potential areas for improvementPDF [PDF file - 51.4 KB]
Word [48.25 KB]
D.6. Implementation PlanIncludes a tool to help plan and monitor steps needed to begin implementationPDF [PDF file - 81.28 KB]
Word [51.4 KB]
D.7. Implementation MeasurementIncludes an example of how to monitor progress once implementation has begunPDF [PDF file - 69.31 KB]
Word [52.92 KB]
D.8. Project Evaluation and DebriefingIncludes a tool to assist in evaluating the implementation process and identifying areas in need of further improvementPDF [PDF file - 41.9 KB]
Word [46.27 KB]
Please note that the D.3 tool no longer exists, but we have kept the existing numbering for the remaining tools.

Section E: Monitoring Progress and Sustainability of Improvements

E.1. Monitoring Progress for Sustainable ImprovementIncludes a tool to assist with planning for ongoing examination of processes and outcomes for continuous improvementPDF [PDF file - 62.3 KB]

Section F: Analyzing Return on Investment

F.1. Return on Investment EstimationIncludes a step-by-step method for calculating  return-on–investment (ROI) for an intervention aimed at improving performance on an AHRQ QI and an example ROI calculationPDF [PDF file - 213.64 KB]
Word [118.12 KB]

Section G: Other Quality Improvement Resources

G.1. Available Comprehensive Quality Improvement GuidesIncludes an annotated list of related comprehensive quality improvement guidesPDF [PDF file - 76.13 KB]
G.2. Specific Tools to Support ChangeIncludes an annotated list of other related quality improvement tools and resourcesPDF [PDF file - 297.07 KB]

Page last reviewed July 2016
Internet Citation: Pediatric Toolkit for Using the AHRQ Quality Indicators. Content last updated July 2016. Agency for Healthcare Research and Quality, Rockville, MD.

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