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Showing results for "system".

281. 2022 National Healthcare Quality and Disparities Report Introduction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-intro.pdf
     December 01, 2022 - Patient Safety Monitoring System data … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the

282. Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
     July 01, 2023 - Punish Slide 17: Systems and Behaviors Work Together To Improve Outcomes 3 Image: Both system … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Slide 18: Systems and Behaviors Work Together To Improve Outcomes 3 Image: Both system design and … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Just culture: optimally supports a system of safety.

283. Appendix A. Atlas Perspective and Domain Definitions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccapa.html
     July 01, 2018 - System Representative Perspective—A system administrator or someone else acting as a representative … of a health care facility or system completes the survey, or the measure data source is from a health … care delivery system, such as an electronic medical record or claims data. … When an individual health care professional is providing information that reflects the system experience … , rather than their individual experience, that is also classified as a system representative perspective

284. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
     July 01, 2003 - in a community-based, integrated health system. … The ACPOE system is the next module being implemented. … integrated health system. … in an integrated health system with a systemwide CMR. … To err is human: building a safer health system.

285. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - Perceptions of the Reporting System Anxiety over public reporting. … Thus, the perception of the system is one of individual rather than system correction. … Barriers to the Reporting System Reporting as punitive. … be a barrier to the system … Indiana medical error reporting system: Final report for 2006.

286. Statistical Process Control Slides
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
     June 04, 2013 - Statistical Process Control Slides Advanced Methods in Delivery System Research – Planning, Executing … , Analyzing, and Reporting Research on Delivery System Improvement Webinar #2: Statistical Process … , PhD, MPP Discussant: Stephen Alder, PhD Moderator: Cindy Brach, MPP Sponsored by AHRQ’s Delivery System … Facilitators, IT support staff and system changes were all necessary to effect change. … Identifying transitions is a start – impact requires understanding the cause and adapting the system

287. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
     March 30, 2008 - within the integration points of the electronic system. … • Picture archiving and communication system (PACS). … Moreover, we are comparing our CPOE system against a highly developed paper-based system that incorporated … Unexpected mortality after implementation of a commercially sold CPOE system. … Work system analysis: The key to understanding health care systems.

288. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - We designed and implemented an anonymous, near-miss reporting and improvement tracking system in seven … diverse primary care medical practices to demonstrate that such a system could be successfully adopted … The near-miss reporting system was anonymous but allowed staff to include their name if they chose to … To Err is Human: Building a Safer Health System. … "Every error counts": a web-based incident reporting and learning system for general practice.

289. Foundations of Diagnosis Education | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
     March 01, 2022 - diagnosis requires a deep understanding of how people interact with one another and within the health system … Finally, the healthcare system has a defining influence on clinical reasoning and diagnosis. … and that those completing health professions education programs can easily navigate the healthcare system … Improved awareness of such impact would better equip healthcare administrators and system leaders to … effectively mitigate harmful effects of system factors on diagnostic performance and ensure these leaders

290. A Boost for Health Services Research | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
     June 01, 2022 - But what an exciting and opportune time to tackle the many issues facing our healthcare system! … Our healthcare system is only as strong as the people working in it. … To make healthcare as effective, efficient, and equitable as possible, the healthcare system and individual … AHRQ is uniquely positioned to advance HSR to tell the stories that will lead to system improvement and … This will likely create demands on our healthcare system that we don’t yet understand.

291. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - This shortcoming encouraged the caregiver to bypass the BCMA system. … To err is human: building a safer health system. … Computerized Patient Record System (CPRS) technical manual, GUI version. … Crossing the quality chasm: a new health system for the 21st Century. … A physician- based voluntary system for adverse events and medical errors.

292. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
     March 26, 2008 - Joseph’s/Candler Health System (SJCHS), a 644-bed, tertiary-care, “magnet” system, a multidisciplinary … Joseph’s/Candler Health System SJCHS, a “magnet” system comprising two tertiary-care hospitals with … system. … Syringe pumps were added to the system in 2003. … The system was designed to supplement, but not substitute for, clinician monitoring.

293. ChristianaCare Used AHRQ Resources to Reduce Blood Infections, Expedite Stroke Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202004.html
     July 01, 2020 - Developed jointly by AHRQ and the Department of Defense, TeamSTEPPS is an evidence-based system that … safety top of mind and regularly measure employees' perceptions of patient safety within the health system … The health system conducts the Hospital Survey on Patient Safety Culture and Medical Office Survey on … We can gain a true understanding of what's going on within our health system," said Ann Principe, D.N.P … This can influence future decisions on actions at the unit and system level.

294. Overview of TAKEheart Training Curriculum & Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/takeheart/training/index.html
     February 01, 2023 - Training Module 3: Systems Change: Understanding Your Workflow Processes to Prepare for System Change … direction on designing and implementing an automatic referral system. … Training Module 7: Troubleshooting Your Automatic Referral System This module offers assistance and … advice on common challenges faced with implementing an automatic referral system. … Training Module 10: Options to Expand System Capacity and Patient Centeredness This module explores

295. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
     July 10, 2008 - measurable impact and achieve buy-in from the health professionals who work in a particular micro system … While most of the articles in section two represent clinical process improvements at the micro system … It has often been stated that overall quality and safety improvement requires major system redesign. … Others say that the health care system was never designed in the first place, so the issue is system … volume represent an important group of case studies focused on issues of organizational culture and system

296. Continuity of Coverage: Duration of First Observed Enrollment: Appendix Table 1 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-table1.pdf
     February 11, 2020 - Spinocerebellar diseases 340 Multiple Sclerosis 341 Other demyelinating disease of central nervous system … septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus and similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate and cleft lip 750 Other congenital … anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital anomalies

297. Introducing the Child HCAHPS® Survey Database webcast-Rubin (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-steps-participation.pdf
     May 20, 2022 - complete four easy steps: Register Provide hospital information via the Online Submission System … according to the required data specifications 28 CAHPS Child Hospital Survey Data Submission System … 29 The CAHPS Child Ho spita l Survey Data Submission System Login Welc ome Welcome to the CAHPS … Child Hospital Survey Data Submission System. … The 2022 CAHPS Child Hospital Survey Data Submission System is now closed Participation in the CAHPS

298. Advances in Patient Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - Allan Klock, Richard Cook Post-fielding Surveillance of a Guideline-based Decision Support System (   … Main Development and Implementation of the University of Texas Close Call Reporting System (   PDF , … Muto Identifying Barriers to the Success of a Reporting System (   PDF , 161 KB) Michelle L. … Good Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? … McNerney A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (   PDF ,

299. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
     February 09, 2005 - Sites participating in CDS system evaluations must be managed actively. … Is a CDS system implemented in two different settings still the same CDS system? … model previously implemented in a desktop system named DrugCalc.® 22 The system models a patient’s … care, but also the extent to which the system is used. … • A CDS system implementation may be greatly complicated by a formal system evaluation, especially

300. 7. Conclusions and Recommendations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
     July 01, 2021 - has emerged as a distinct field in its own right, addressing a central component of the health care system … research in order to keep pace with and help guide the complex and rapidly changing U.S. health care system … that has statutory authorizations to generate HSR with a mission to do so across the U.S. healthcare system … The VHA has funded an embedded research initiative within the VHA system. … Without such a data system for contracted projects, HHS lacks ongoing visibility into the breadth and