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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
May 01, 2017 - • Identify the key safety elements of a
robust rapid response system
• Identify ways to apply key … SAY:
To start, we will define what makes up a rapid
response system. … A rapid response system is more than a
team that responds to emergencies. … tool is to provide a framework for establishing
a rapid response system. … A rapid response system offers a
formalized way of requesting assistance.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - Enforcement Administration, Diversion Control Division Automated Reports and Consolidated Ordering System … Health Systems https://www.ahrq.gov/chsp/data-resources/compendium.html N N N Health system: organized … system level (based on where the health systems are located). … Y N N N Y N
Health Resources and Services Administration (HRSA) HRSA Uniform Data System (UDS); UDS … , and the Behavioral Risk Factor Surveillance System.
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/832.html
September 01, 2022 - AHRQ Announces New Healthcare System Challenge Competition . … AHRQ Announces New Healthcare System Challenge Competition
AHRQ’s newest challenge competition will … Incorporating unpublished healthcare system data into systematic review findings may be particularly … data to address relevant problems in the applicant’s healthcare system. … The second phase requests an analysis of healthcare system data alongside systematic review findings
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/stroud-0914slides.pdf
January 01, 2014 - Stories from the AHRQ Medical Office Survey on Patient Safety Culture
25
25
Carolinas HealthCare System … Patient Safety Culture Survey
Juanita Stroud
Patient Safety Director
26
26
Carolinas HealthCare System … physicians
27
27
Carolinas HealthCare System Mission & Values
Our Mission
• To create and … operate a comprehensive system to
provide healthcare and related services, including
education and … System
Every Monday Matters
Medical Office Survey Toolkit
Toolkit Material- Example
Sharing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - ) that was based on the Aviation Safety Reporting
System. … System of Indiana. … The success of the PEERs system depends on reporters’ trust. … One major goal of
the system is to increase reporting. … To err is human: Building a
safer health system.
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/patient-safety-progress.html
March 01, 2021 - now the National Academy of Medicine) put forth an aspirational vision of a 21st-century healthcare system … that included a call for making patient safety a "system priority." … as an opportunity to rededicate ourselves to our mission of helping build a 21st-century healthcare system … We already have a blueprint for building safety into the system. … While system redesign requires significant effort, improving safety is possible today.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
January 01, 2014 - 2014
anycranio Indicates whether patient had any comorbidities that involved the craniofacial body system … 2014
anyderm Indicates whether patient had any comorbidities that involved the dermatological body system … anygastro Indicates whether patient had any comorbidities that involved the gastrointestinal body system … Pediatrics 2014
Complex Chronic means ore than one body system is involved, or one or more conditions … Non-Chronic means no body system indicators are present and the condition is not progressive or malignant
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Why a Frontline Management System? 2
2. Components of the Frontline Management System 3
3. … Why a Frontline Management System?
Many improvement projects fail to result in sustained gains. … in the management system became apparent. … Components of the frontline management system include—
· Daily Safety Huddles. … Summary of System Components and Expected Benefits
System Component
Expected Benefit
Daily Safety
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Classification of disease complexity based on progressive and body system flags and
frequency of encounters … 1 claim ≥ 1 claim ≥ 1 claim
Malignancy ≥ 1 claim ≥ 1 claim ≥ 1 claim
Other ≥ 1 claim per
body system … for 2
different body
systems during
the measurement
period*
≥ 2 claims per
body system for 2 … different body
systems during
the measurement
period*
≥ 1 claim per body
system per year
for 2 … not
flagged as
progressive
during the
measurement
period*
≥ 1 claim per
single body
system
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - A rapid response system includes four components:1,2
· A mechanism for activating a rapid response.
· … A clinical team that can rapidly respond to and manage maternity care conditions.
· A system for feedback … A unitwide approach could be part of a hospital’s larger rapid response system, with modifications to … A rapid response system offers a formalized way of requesting assistance. … in establishing an obstetrical rapid response system at your facility.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - SAY:
A “system” is a set of parts interacting to achieve a common goal. … Slide 5
System Factors Impact Safety
SAY:
Each level of the health care delivery system matters. … ASK:
What levels can you identify within your health care delivery system? … Safety is the property of the system. … This means that every system is perfectly designed to achieve its end results.
2.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - Therefore, the Act has the potential to create an event reporting system that provides
feedback for … Statements to focus efforts—will help to improve system functionality and safety. … The near
miss/hazard reports will become a uniquely rich source of system intelligence. … important to improve care, reflecting the local nature of all health
care system performance. … Medical error reporting system still a year
off.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - PowerPoint Presentation
System Redesign for Value in
Safety-Net Hospitals and Systems:
Challenges and … Former CEO and Medical Director
Jefferson Health System/Cooper Green Hospital
Arnold Kaluzny, Ph.D. … Enhancing process improvement effectiveness: system redesign in safety-net systems. … Does our organization
have the direction and
alignment needed for
strategic system
redesign? … Does our organization have the direction and alignment needed for strategic system redesign?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2022-rev.xlsx
January 01, 2022 - 4 0 2 835 43211 203.89 0 1 1 1 1 0 0 1 0 0 0 2 1119212522 1764250985
HSI00000018 Alameda Health System … 1703 88670 70.96 0 0 0 1 0 0 0 1 1 1 1 H3219 17893 1 3435770123 10497428933
HSI00000032 Altru Health System … 1 258 9394 31.58 0 0 0 1 0 0 0 1 1 557134252 1580926834
HSI00000034 Anderson Regional Health System … 28008 23.16 0 0 0 1 1 0 1 0 1 759390603 3503373819
HSI00000042 Appalachian Regional Healthcare System … 1 1 0 1 366 17689 186.54 0 1 0 2 1 1 1 0 0 0 0 3 390907095 2413020589
HSI00000054 Asante Health System
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2022-rev.csv
January 01, 2022 - 4 0 2 835 43211 203.89 0 1 1 1 1 0 0 1 0 0 0 2 1119212522 1764250985
HSI00000018 Alameda Health System … 1703 88670 70.96 0 0 0 1 0 0 0 1 1 1 1 H3219 17893 1 3435770123 10497428933
HSI00000032 Altru Health System … 1 258 9394 31.58 0 0 0 1 0 0 0 1 1 557134252 1580926834
HSI00000034 Anderson Regional Health System … 28008 23.16 0 0 0 1 1 0 1 0 1 759390603 3503373819
HSI00000042 Appalachian Regional Healthcare System … 1 1 0 1 366 17689 186.54 0 1 0 2 1 1 1 0 0 0 0 3 390907095 2413020589
HSI00000054 Asante Health System
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
March 01, 2018 - EHR System
Training
Staff are given enough training to use their
EHR system, the training is customized … EHR System
Support and
Communication
Staff are made aware of problems with their
EHR system, asked … EHR System Training
2. EHR System Support
and Communication
50%
11
Chart 2. … EHR System Training
1. We are given enough training on how to use
our EHR system. 63%
2. … EHR System Support and Communication
1.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - recommended establishment of a nationwide reporting system for collecting standardized information about … Three systems focus exclusively on patient reports (a Kaiser Permanente system and medication reporting … Although consumer reporting has the potential to increase knowledge about system failures amenable to … for patient safety events, using previously determined recommendations for such a system. … Appendix A includes the RTI recommendations for an ideal consumer reporting system.
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ce.effectivehealthcare.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/index.html
January 01, 2024 - Projects to date include:
Learning Health System Embedded Scientist Training and Research (LHS E-StaR … their mutual commitment to support learning health systems by training a new cadre of learning health system … Grantees will create new models of learning health system infrastructure that will use evidence generated … support the development of researchers in academic and applied settings (e.g., the health care delivery system … conducting PCOR and for the integration of evidence into practice and decisionmaking in the health care system
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
January 01, 2024 - Thomas McGinn, M.D., M.P.H., noticed the tremendous amount of wasteful spending in the U.S. healthcare system … How could people go without care when the overall system was awash in spending? … integrate two clinical prediction rules, for strep throat and pneumonia, into Mount Sinai’s new EHR system … Building on this work and next working at Northwell Health, a large Long Island not-for-profit system … researchers who can focus on some of the most important challenges facing our Nation's health care system
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - In the SEIPS model of work system and patient safety, we
Advances in Patient Safety: Vol. 4
462 … measures of work system. … Work
system and patient safety. In: Luczak H, Zink KJ,
editors. … Web Survey Mailer System (WSMS1.1).
In: CQPI Technical Report Series. … Correlation and regression analyses between measures of work system
Figure 1.