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Slide Presentation from the AHRQ 2007 Annual Conference

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Framework for Change—Senior leaders, Team leaders, & Staff

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  • Engage: How does this make the world a better place?
  • Educate: What do we need to do?
  • Execute: How can we do it with our resources and culture? What barriers must we overcome?
  • Evaluate: How do we know we improved safety?

Pronovost: Health Services Research 2006


This is the model we used for learning change. It recognizes the technical (science) part and the adaptive (emotional attitudes part.
Engaging people is adaptive work done locally by telling stories and showing current evidence of harm
Educate is technical. What is the evidence
Execute is adaptive and local. Given my resources, how do I ensure all patients reliably receive the evidence
Evaluate is technical. We have to measure in a scientifically sound way

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