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ahrqpubs.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - Hierarchy- What Does it Mean and Where Does it Come From\
Then ( 1380 Oxford English Dictionary ): ‘a system … and qualitative imbalances in the professional labour market; and weak leadership to improve health-system
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
November 02, 2017 - complaints to front-line staff—but these staff do not necessarily have the skills or the
resources to fix “system … • A clear system of resource
people, clear authority lines,
and backup systems for
dealing with … in
the operating room, flu season packs the appointment schedule, implementing a
new call center system … specific person in the
service process, which reflects a training problem, while others are the result of system … Commit to identifying
failure points in the system
• Using complaint data, identify failure points
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
February 01, 2021 - home” portal may allow patients and their ED providers to review medical
records from the external system … investigation.15,17 For
example, patients seeking emergency care outside of their primary healthcare system … about test results and diagnoses from their ED visit with their PCP,
if the PCP cannot access that system … Exploration of
portal activation by patients in a healthcare system. … A mobile telephone-based
interactive self-care system improves asthma control.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/2-why-improve/cahps-section-2-why-improve-patient-experience.pdf
May 01, 2017 - o Similarly, the Physician Quality Reporting System (PQRS) program
administered by CMS includes a patient … o Starting in 2019, two new physician payment programs—a merit-based
incentive payment system (MIPS) … health
outcomes a year after discharge.10, 11
Measures of patient experience also can reveal important system
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May 01, 2017 - Skip to main content
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ahrqpubs.ahrq.gov/patient-safety/resources/designer-guide/index.html
December 01, 2017 - Lab Projects
MEDNET Resource Guide
Preventing Readmissions
Quality & Safety Review System
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ahrqpubs.ahrq.gov/cahps/news-and-events/events/webinar-041316.html
February 01, 2017 - Skip to main content
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/hand-hygiene-slides.html
March 01, 2017 - Accessing the drainage system to empty the drainage bag or collect a urine sample.
Why? … Then, gloves will contaminate the urinary catheter or urine collection system. … Accessing the drainage system to empty the drainage bag or collect a urine sample.
Why?
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - Explore this hospital’s incident reporting system. … You may have an electronic incident reporting system that will make it easier to count the number of … Ask: What system do you currently use for incident reporting? … First, count the number of falls that occurred during the month from your incident reporting system. … Post-fall huddles are useful techniques for understanding reasons for failures in the system.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - AHRQ Slide Template 2004
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing … , and
Reporting Research on
Delivery System Improvement
Webinar #1: Fuzzy Set Analysis
Presenter: … Harrison, PhD
Sponsored by AHRQ’s Delivery System Initiative
in partnership with the AHRQ PCMH program … Harrison, PhD
Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program … Register for this and other events in our series on advanced methods in delivery system research, here
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - Essentially, distributed cognition describes how information is transformed
and propagated throughout a system … The physical organization of work influences how information flows throughout a system. … itself is a specific category of distributed cognition because it defines the mechanism by which a system … This case revealed numerous system failures that contributed to the initial misdiagnosis and needless … Blame the pa-
tient, blame the doctor or blame the system?
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Was the software/system running properly?
… CULTURE
Was this event placed in the patient safety event reporting system?
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ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - makes a mistake, it's viewed as an opportunity for the entire team to learn and improve the process or system … Hierarchies within teams should be eliminated, as it creates a system in which one person's input is … Slide 24: Just Culture 8,9
Say:
The term "Just Culture" refers to a system of shared accountability … System design
Humans are not perfect and occasionally make mistakes, either through unintentional errors … Slide 25: A Just Culture
Say:
A system of Just Culture recognizes that people make mistakes.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
January 01, 2015 - Chartbook are compiled from detailed data displays
reported in the CAHPS Database Online Reporting System … Plan Survey Database are provided access to a secure, password-protected area of the online
reporting system … The CAHPS Database Online
Reporting System is updated annually with new data submitted by CAHPS Health … CAHPS Database Online Reporting System
The CAHPS Database Online Reporting System is a Web-based platform … The reporting system consists of two
major components: (1) a public site available to anyone with access
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - The report assesses the performance of our healthcare system and identifies areas of
strength and weakness … Healthcare System Landscape
Overview of the U.S. … Healthcare System infrastructure
Overview of Disease Burden in the United States
Overview of U.S.
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - • The 1999 Institute of Medicine report To Err is Human: Building a Safer Health System
focused the … drive down preventable patient harm.”2
• Structured, multidisciplinary review is required to identify system … • Understanding of system processes is necessary to take proactive steps to reduce preventable
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/lauby.pdf
December 19, 2014 - methods of disseminating the
adapted guides to men in community health centers,
the correctional system
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ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/healthsystemsresearch/virtual-roundtable-discussion/climate-resiliency-roundtable-bios.pdf
February 01, 2022 - She engages in research on how climate change is impacting
the healthcare system. … Internationally recognized as an expert in health services research, the
U.S. healthcare system, and