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Showing results for "system".

361. Section 7.B, Table 4 ICD-9 Codes Used in this Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7b-table-4.pdf
     June 01, 2018 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other … congenital anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital

362. CHIPRA 155: Section 7.B, ICD-9 Codes Used in this Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-b-icd-9-codes.pdf
     September 12, 2018 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other … congenital anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital

363. CHIPRA 157, Section 7.B, ICD-9 Codes for Chronic Conditions Used in this Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-icd-9-codes.pdf
     August 10, 2018 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other congenital … anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital anomalies

364. Challenges to Real-Time Decision Support in Health Care (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-Fitzgerald_108.pdf
     January 01, 2007 - Abstract This article describes challenges in the design and development of a decision support system … Future testing and development of this system will include a randomized clinical trial and technology … Introduction The development, testing, and validation of a real-time decision support system for use … The decision support system described in this article is part of the Trauma Reception and Resuscitation … Building a flexible protocol information system with ready for use web technology.

365. Envisioning Patient Safety in the Year 2025: Eight Perspectives (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-Henriksen_104.pdf
     July 30, 2008 - The areas of expertise included health care system change, design of the physical environment, health … Health Care System Change Lucian L. Leape. … Changing this system is the ultimate political challenge. … Second, small changes at one point in the system can result in large changes elsewhere. … Safety does not exist in any one component of the health care system.

366. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (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-November_45.pdf
     January 01, 2007 - Future use of this system relies on two major factors. … First, time must be allocated during the daily work rounds for this system to continue. … incident reporting system. … To err is human: Building a safer health system. … A physician-based voluntary reporting system for adverse events and medical errors.

367. Facilities | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
     July 01, 2018 - Medical gas system verifier. Medical gas system parts supplier. … Bring hot water system up to full capacity. … If it is feasible to use the centralized medical gas system, have medical gas system verifier test system … If the centralized medical gas system was used, have the medical gas system verifier conduct system close-down … system) for key leadership staff.

368. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
     December 31, 2021 - that may be preventable by changes at the system or provider level. … Data system home page: https://www.cdc.gov/nchs/nehrs/about.htm. … Data system home page: https://www.cdc.gov/nchs/nvss/linked-birth.htm. … Data system home page: https://bphc.hrsa.gov/datareporting/index.html. … Resource and Patient Management System (RPMS) and National Patient Information Reporting System (NPIRS

369. ACTION 4 Partnership Profiles (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION4-profiles.pdf
     February 08, 2021 - Nemours Children’s Health System Vanderbilt University Medical Center Research Organizations … The Health Care System Research Network, together with long-time learning health system partners (Intermountain … , delivery system science, quality improvement Additional Information: Our network brings together … Delivery system research needs to guide and inform efforts. … Systems Duke University Health System Oregon Health System Parkland Health and Hospital System

370. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
     January 01, 2015 - ► The lead Federal agency charged with improving the safety and quality of America’s healthcare system … Generate measures and data to track and improve performance and evaluate progress of the US health care system … improvement to all settings • Prevent HAIs, reduce antibiotic resistance • Build capacity in the health care system … Determines behaviors that are: Rewarded Supported Expected Accepted Exists at multiple levels: System … Learning System AHRQ’s Surveys on Patient Safety Culture™(SOPS®) Program Agency for Healthcare Research

371. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
     December 01, 2017 - Slide 7: Individual Mistake or System Failing? … “Rather than being the main instigators of an accident, operators tend to be the inheritors of SYSTEM … Contributing factors from all levels of your health care system impact care delivery and, ultimately, … Develop a “system perspective” to see the hidden factors that led to the event. … Each hole represents a system failure; together the holes ultimately allow a patient to suffer.

372. Slide 1 (ppt file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
     July 01, 2013 - Barriers to Health Literacy: Increasingly Complex Health System * System Barriers to Health Literacy … * Increasingly Complex Healthcare System Hospitalists, not your family physician More self-care … * System Approaches: Assess All Patients for Literacy Key Strategies: Initial Patient Assessment … --- social history/support system --- watch for subtle clues that they don’t read … well System Approaches: Assess All Patients for Literacy * Red Flags: Patients with

373. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
     December 01, 2017 - Every system is perfectly designed to achieve its results. … determines performance, and safety is the property of the system. … Use strategies to improve system performance. … An arrow points through the system factors into the funnel. … Slide 10: Safety Is a Property of the System This video illustrates using system lenses in action

374. Cerner-Q-A-Session (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
     December 14, 2022 - Q: How do we reconcile decisions made at the system level with our needs at the hospital level? … There’s always this assumption that what the system wants is also what the hospitals want. … It took us 22 months to roll out this system. … • We have 2 CR programs within our system that are about 10 miles apart; however, the general system … In our system we can use the patient location to hide or show certain orders.

375. CAUTI Prevention Implementation in a Community Hospital
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
     March 01, 2009 - found inside patients’ bodies after operations. 4 Health Care Defects 5 In the U.S. health care system … Second order problem solving Fixing the immediate problem Fixing the system factors that allowed the … Get from the dance floor to the balcony level Individual challenges System challenges 27 Science … Summary 31 Safety is a property of system We need lenses to see the system We need to provide a safe … To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.

376. Chipra-88-Measure-1-Section-2-Attachment-4 (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-4.xlsx
     January 17, 2017 - (Data Search Type) If this data element is coded, indicate the coding system. … (Stored Data Type) If this data element is coded, indicate the coding system. … Coding System (Data Search Type) Leslee Madison: If this data element is coded, indicate the coding … system. … Coding System (Stored Data Type) Eric Mays: If this data element is coded, indicate the coding system

377. HIT Resource List (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
     January 01, 2019 - EHR System Training ................................................................................. … EHR System Training 1. … EHR System Support and Communication 1. … EHR System Training Composite 2. … Issues EHR and Workflow/Work Process Overall EHR System Ratings General Resources

378. Understand-Facilitator-Guide (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of understanding system … design affects system results, List the principles of safe design and identify how they apply to technical … Slide 2 SAY: Examples of the effect of defects and errors in the U.S. health care system are illustrated … Slide 4 SAY: According to the Science of Safety— Every system is perfectly designed to achieve its … Being cognizant of the system design and how it contributes to the results that it delivers will help

379. PowerPoint Presentation: Learn From Defects Through Sensemaking
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - The system remains the same, at risk for harming a patient. … 6 Individual Mistake or System Failing? … While no system is perfect, we build redundancies into the care delivery system to compensate for minor … Because emergencies strain any system. … The focus is on the system, not on the individuals.

380. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (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-West_102.pdf
     March 31, 2008 - .1 They found that errors involving clinical decisions (as opposed to system process errors) were more … ASIPS Patient Safety Reporting System The core of the ASIPS PSRS is a Web-based data collection and … data management system, described in detail elsewhere.11 Briefly, the system accepted both anonymous … system was used intermittently (inadequate system), or the system output was ignored by the staff ( … system overridden or ignored).