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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-6-10.pdf
April 17, 2019 - Detail
ICD-9-CM
Code
Amebic brain abscess 006.5
Tuberculosis of meninges and central nervous system … 036.0
HIV 042
Meningitis due to enterovirus 047
Other enterovirus diseases of the central nervous system … 048
Other non-arthropod-borne viral diseases of central nervous system 049
Postvaricella encephalitis … thrombosis of intracranial
venous sinus
437.6
Other congenital anomalies of the
circulatory system … of the aorta 747.1
Other anomalies of the aorta 747.2x
Other specified anomalies of
circulatory system
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.html
August 01, 2018 - Providers reported that the fully-automated electronic system minimized the amount of time that they … The electronic system also supports billing during the screening encounter and the ability to review … Families reported that the electronic system was easy to use and it allowed them to feel more involved … with 12 practices before going system-wide. … Although practices were able to go directly to the fully-automated electronic system without first using
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Slide 7: Individual Mistake or System Failing? … While no system is perfect, we build redundancies into the care delivery system to compensate for minor … Slide 17: System Factors Impact Safety
Say:
Each level of the health care delivery system matters … Because emergencies strain any system. … The focus is on the system, not on the individuals.
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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
September 01, 2020 - #1: Create a Library of Clear and Simple Informed Consent Forms Slide 35/Supportive System #1: Create … a Library of High-Quality Decision Aids and Patient Education Materials Slide 38/Supportive System #2 … ) Slide 44/Supportive System #3: Remove Communication Barriers (Continued) Slide 45/Supportive System … System #4: Improving Workflows (Continued) Slide 48/Supportive System #5: Address Staff Training Needs … Some hospitals have their own interpreter certification system.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_pursuit.pdf
January 01, 2024 - incontinence (UI) treatments in primary care practices in the VA Health
Administration (VHA) healthcare system … Vaughan, MD, MS, Atlanta
VA Health Care System and the
Birmingham/Atlanta GRECC
Geographic region … • Specific focus on Veteran women, a population
increasing (and aging) within the VHA system and … Alayne Markland, DO, MSc
Co-PI
Birmingham VA Health Care System and the
Birmingham/Atlanta GRECC … Camille Vaughan, MD, MS
Co-PI
Atlanta VA Health Care System and the Birmingham/
Atlanta GRECC
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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-Preface.pdf
February 01, 2005 - Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System … Although we have
made improvements in the safety of the health care system since that time, there is … collaborated to publish
Advances in Patient Safety: From Research to Implementation to help the health care
system … reducing medical errors must
continue to be an important priority for the Nation and for our health care system … To
achieve a safe, high quality health care system, we need dedication, leadership, and the
best information
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
February 01, 2005 - Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System … Although we have
made improvements in the safety of the health care system since that time, there is … collaborated to publish
Advances in Patient Safety: From Research to Implementation to help the health care
system … reducing medical errors must
continue to be an important priority for the Nation and for our health care system … To
achieve a safe, high quality health care system, we need dedication, leadership, and the
best information
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
February 01, 2005 - Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System … Although we have
made improvements in the safety of the health care system since that time, there is … collaborated to publish
Advances in Patient Safety: From Research to Implementation to help the health care
system … reducing medical errors must
continue to be an important priority for the Nation and for our health care system … To
achieve a safe, high quality health care system, we need dedication, leadership, and the
best information
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
February 01, 2005 - Institute of Medicine (IOM) published its 1999
landmark report, To Err Is Human: Building a Safer Health System … Although we have
made improvements in the safety of the health care system since that time, there is … collaborated to publish
Advances in Patient Safety: From Research to Implementation to help the health care
system … reducing medical errors must
continue to be an important priority for the Nation and for our health care system … To
achieve a safe, high quality health care system, we need dedication, leadership, and the
best information
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - A voluntary, anonymous, nonpunitive, team-based reporting system was established. … Remedy: Met with laboratory management to revise courier system. … , but that system redesign is needed for a safer environment. … To err is
human: Building a safer health system. … Crossing the quality chasm: A
new health system for the 21st century.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
April 01, 2022 - Designing a safe system is an essential component of achieving a positive safety culture. … A “Just Culture” is a system in which staff members and the system itself are held accountable. … System accountability encompasses leadership by its very nature. … Shared responsibility between staff and the system along with widespread commitment to eliminating the … Organizations can manage both system and human behavior through development of learning systems, which
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/gilmerstudysnapshot/index.html
April 01, 2015 - Español
FAQs
Home
Practice Improvement
Delivery System … Research
Delivery System Research Initiative
Comparative Effectiveness of Health Care Delivery … Redesign Responses to Challenges in Safety-Net System
Variation in the Implementation … Return to Contents
Contact Us
For additional information on AHRQ Delivery System Research, visit … our Web site at http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/index.html
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ce.effectivehealthcare.ahrq.gov/challenges/past/step-up-app/index.html
January 01, 2022 - Challenge
Digital Solutions to Support Care Transitions Challenge
Integrating Healthcare System … AHRQ provided a copy of the Patient-Reported Outcomes Measurement Information System (PROMIS®) physical … and, in collaboration with a contractor selected by AHRQ, implemented a pilot test in a healthcare system … Challenge Winners
Grand Prize
PRISM™
PRISM™, PROMIS Reporting and Insight System from Minnesota … The application is built to provide interoperability with user devices, regardless of operating 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-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - System-Level Safety
No system has infinite adaptive capacity. … In other words, plot how a system stretches in
response to changes in demands. … Equipment and information system design. … Human system integration in
the system development process: A new look. … Building a better delivery system: A new engineering
healthcare partnership.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
April 01, 2022 - In addition to proper insertion, contamination can occur due to breaks in the collection system. … In the next slide, we’ll examine some challenges related to maintaining a closed system. … the closed system, especially in the ICU setting. … Irrigation is always a challenge, but if the seal is broken, it is advisable to change the system. … However, if the seal is broken, it is advisable to change the catheter and the collection 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-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
July 10, 2008 - Also spanning the surveillance landscape are papers on a
national medication error reporting system, … proactive medication studies, a system that embeds
the principles of high-reliability organizations … , another that targets high-risk device-use areas, a
close call-good catch system, and a care enhancement … Attempting to map from one system to another
is not a task for the light-hearted. … vulnerabilities, and
how a mentor program can help staff navigate a reporting system while alleviating
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
March 01, 2023 - in your hospital/health system. … • IT Lead/Staff possess deep understanding of the EMR system. … • Clinical Staff are the ultimate users of the referral system. … (This is crucial for tracking the effectiveness of the AR
system.) … Check that your new AR
build aligns with how providers use the system.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 05, 2016 - This tool provides the
following information:
• An overview and rationale for a monitoring system … to sustain improvements;
• Identification of the key elements of a monitoring system; and
• Guidance … on how to establish each monitoring system element. … There is no single “correct” way to build a system for monitoring sustainability of performance. … Consider both process and outcome measures for
inclusion in your monitoring system.
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/key-driver.html
September 01, 2021 - The Health System Key Driver Diagram (PDF, 110 KB). … Health System Insights
QMETRIC’s partner sickle cell clinics that implemented the TCD measure are not … As outlined in the Health System Key Driver Diagram and Health System Strategic Road Map, a significant … The Health System Key Driver Diagram is available for download (PDF, 110 KB). … The Health System Strategic Road Map is available from the Quality Improvement Strategies section.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Staff rated the new system favorably. … old system. … Multicare Health System. … By implementing a patient reporting system throughout Sanford Health System—a large,
not-for-profit, … Although one-third of respondents indicated the new system improved on the previous system,
two-thirds