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digital.ahrq.gov/ahrq-funded-projects/centers-medicare-medicaid-services-special-study-%E2%80%93-pilot-testing-electronic
January 01, 2023 - Care
Primary Care
Health Care Theme
Clinical Workflow
Medication
Patient Safety … In addition, the study evaluated the impact of e-prescribing on workflow, patient safety, and drug utilization … To measure the impact of electronic prescribing on patient safety and drug utilization in those practices … The two groups were compared in order to establish differences in culture, workflow, and efficiency, … The evaluation indicated that e-prescribing has a positive effect on patient safety.
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digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
January 01, 2013 - CHII Costs
AHRQ 2006 Patient Safety and HIT Annual Conference
Organization and Governance: Getting … improving health care quality, safety and value
Catalyzed in 2001, incorporated in 2002
Freestanding … and local landscape and activities
What a good EHR looks like if the goal is to improve quality and safety … Conference Synthesis, Research Agenda for Ambulatory Patient Safety
Similarly, this report further stated … Medical custom varies a great deal even among communities that are demographically and geographically
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - between user mental models/expectations and HIT
• Other
Data Quality
• IT contributed to entry of … data in the wrong patient’s record
• Organizational policy contributed to entry of data in the wrong … and displayed, printed or exported
data
• Faulty reference information
• Unpredictable elements of … automation
• Other
Contributing Factors (not HIT-specific)
• Environment
○ culture of safety … software programming calculations
• Security, virus or other malware
• Unforeseen software issue (e.g. safety
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - alcohol screening, brief intervention) NIAAA
• C-TRIP (CRC screening) NCI
• MS-TRIP (medication safety … , SC for networking and
dissemination of best practices related to Medication Safety, Standing Orders … Field notes
were taken regarding the Medication Safety component of the 2011 meeting that reflected … and adoption of
EHR tools to improve quality using their enhanced teams and a quality culture to activate … Transformation of Practice Culture and Quality is a process that evolves from engagement as a
team,
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digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - Venous Thromboembolism (VTE)
• VTE:
– Patient safety … Work System and Patient Safety
[SEIPS = Systems Engineering Initiative for Patient Safety]
(Carayon … Organizational culture
8. Workload
9. Technology access
10. Environment
11. … Organizational culture
8. Workload
9. Technology access
10. Environment
11. … • Health IT can improve patient
safety
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - The project used a set of national consensus measures and identified the organizational culture issues … at BMS, and the assessments providers made of the usefulness and actionability of EHR quality and safety … The main objectives of the project were to:
Develop and implement via EHR accurate quality and safety … assessments of EHR quality and safety data as useful and actionable, and evaluate whether deployment … of these measurement efforts will improve teamwork and safety climate at CHC.
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digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
December 01, 2005 - Microsoft PowerPoint - Health IT Implementation.ppt
Patient Safety Improvement Corps: An AHRQ/VA Partnership … Well, patient safety suffers! … future return
on investment and patient safety
– http://content.healthaffairs.org/cgi/content/abstract … Advancing Excellence in Health Care
Culture and Workflow Change
Problem: Some types of process questions … Advancing Excellence in Health Care
Culture and Workflow Change
(Remember: Culture change = Advertising
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - The objects of the project were to:
Evaluate the effect of the On-Time Pressure Ulcer program by … A year-long process of meetings informed the standardization of fall documentation and the development … The Team Strategies and Tools to Enhance Performance & Patient Safety (TeamSTEPPS) program was modified … designed to help health care professionals provide higher-quality, safer patient care and create a culture … of safety within their teams.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
January 01, 2011 - Institutional culture was measured using the PFCC culture survey. … a PHR on
ambulatory patients with hypertension which is one of the Ambulatory, Safety and Quality ( … Acceptance Model (TAM)
and addressed behavioral, normative, control, and other beliefs
Culture Survey … contributed to change
in culture as well as the snowball effect of culture changes overall. … the individual’s personal values, beliefs and
health care questions?
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health/annual-summary/2010
January 01, 2010 - A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT - 2010 … of New York at Buffalo
Funding Mechanism
RFA: HS07-006: Ambulatory and Safety Quality Program … This project studied the impact of an information technology (IT)-based SEMI-P on medication safety in … use of the IT tool and any changes in safety attitude constructs (safety climate, teamwork climate, … CRM; 2) the impact of the CRM on reducing adverse drug events; and 3) the changes in safety culture as
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digital.ahrq.gov/sites/default/files/docs/citation/health-equity-practical-guide.pdf
February 15, 2024 - Understand the cultural characteristics and beliefs of the communities for which a digital healthcare … their beliefs and
lived experiences. … Culture of Equity. https://www.michiganshield.org/
culture-of-equity. … org/Files/Health-Equity/QIRN345_HealthEquityChampions_062822_508.aspx
https://www.michiganshield.org/culture-of-equity … https://www.michiganshield.org/culture-of-equity
https://healthforce.ucsf.edu/blog-article/healthforce-research
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digital.ahrq.gov/sites/default/files/docs/page/2006Levett_051711comp.pdf
June 16, 2021 - Partnerships in Implementing
Patient Safety RFA
Grant No: U18 HS15830-01
Vision:
To create a community … model of
care delivery and patient safety
using ISO 9001 principles as a
quality framework for … Healthcare Alliance
Not-for-profit corporation
Seeking 501(c)(3) designation
Potential Patient Safety … Patient
Management
Clause 7
Employees
Community Framework for
ISO 9001
Anticoagulation
Clinic
Culture … of
Quality
Mercy St.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5s
January 01, 2023 - Uses
When there is disarray or a lack of order within an organization. … SUSTAIN: make 5S a part of workplace culture. … Improves workplace safety.
Creates a less frustrated workforce. … Adaptation of lean methodologies for healthcare applications. 2007 Society for Health Systems Conference
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digital.ahrq.gov/sites/default/files/docs/page/Telehealth_Issue_Paper_Final_1.pdf
December 01, 2008 - and evaluation of various information technologies that were intended to improve the
quality, safety … Members of the practice team received distance education
and training about patient safety and electronic … and culture of safety both pre- and post-tele-ICU implementation. … of safety following tele-ICU implementation, with nurses reporting the greatest
improvements. … such as
telehealth can improve the quality, safety, efficiency, and effectiveness of health care.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/wyoming
January 01, 2023 - There are significant concerns from the public as well as healthcare professionals regarding the safety … and confidentiality of information in an electronic network. … These concerns are exacerbated within Wyoming by the state's "frontier" culture. … The people of this state are often characterized as fiercely independent, with a strong desire for privacy … This collective "personality" of both the citizens of Wyoming and the healthcare professionals working
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digital.ahrq.gov/ahrq-funded-projects/decreasing-ades-montana-frontier-critical-access-hospitals-through-hit
January 01, 2023 - The study involved 39 of Montana's 45 Critical Access Hospitals which are located in 39 of 56 Montana … A baseline assessment of current medication management systems and the ADE reporting culture was conducted … Based on the results of this assessment, a six month pilot project to test the impact of a Web-based … in IT sites to a level which is counter-productive to improving patient safety. … dispensing process errors, clarified the impact of ADEs on patients, and reduced fear of censure or
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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering … Group Report Day 1
Industrial and Systems Engineering and Health Care: Critical Areas of Research … What is our model for testing in multiple environments and
cultures?
6. … What is the ease of compliance in regard to processes? … opportunity for stochastic optimization and
human factors mathematics modeling with respect to quality and
safety
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digital.ahrq.gov/population/physician-assistant
January 01, 2023 - Artificial Intelligence and Human Factors in Healthcare Quality & Safety … practices that enhance efficiency, prevent provider burnout, and ultimately improve healthcare quality, safety … Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety - Final Report. … Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization … medication safety program to an additional commercial electronic health record and added additional
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digital.ahrq.gov/sample-questions-answers-3
January 01, 2023 - other organizations with different technical capacities, project management expertise, organizational culture … safety initiative. … safety initiative. … Quality of Care and Patient Safety Outcome : Reduced medication transcription errors. … Quality of Care and Patient Safety Outcome : Reduced variability and percentage of doses exceeding recommended
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
January 01, 2009 - safety net system of care; and the top tier is focused on connecting the safety net
system of care … patients were concerned that information might be used for non-medical
purposes such as Immigration or Customs … Some individuals were especially sensitive to the risks of inadvertent data sharing in
cultures where … However, there was a
prevalent belief that the confidentiality risks outweighed the benefits for insured … Emergency room (ER) physicians,
who see both uninsured and insured patients, did not share this belief