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Showing results for "system".

381. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptx
     January 01, 2017 - Objectives After this session, you will be able to— Understand and apply the Science of Safety Identify how system … Science of Safety ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 5 Institutional System … system is perfectly designed to achieve its end results Standardization, independent checks, and learning … Safety ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 10 Safety Is a Property of the System … Safety Is a Property of the System http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit

382. Creating Safety in the Testing Process in Primary Care Offices (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-Elder_18.pdf
     February 19, 2008 - This larger system has a significant impact on patient care. … .25 The testing process can be described as a distributed cognitive system or a work system, where multiple … existed or because they found the existing system ineffective or cumbersome. … Work system design for patient safety: The SEIPS model. … To err is human: Building a safer health system.

383. Table 1. Case Study Sites | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwptab1.html
     August 01, 2015 - 5) Management (11) Staff (14) Site 3 (2) Higher performance Regional multisite health system … (5) Staff (12) Site 6 (3) Higher performance Community hospital, part of large Catholic system … Staff (10) Site 7 (4) Higher performance Inner-city safety net hospital, part of regional system … Executive (3) Management (9) Staff (10) Site 8 (4) Lower performance Part of multistate system … unit; NA = not applicable; NICU = neonatal intensive care unit. a A safety net hospital or health system

384. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
     October 01, 2017 - The training materials and tools in this bundle review the key elements of a rapid response system within … A rapid response system (RRS) includes four components:1,2 A mechanism for activating a clinical team … System is established as part of a hospital’s larger rapid response system, or is established as a separate … Rapid Response Perinatal Safety 18 Unit Next Steps Decide whether to select the rapid response system … Support implementation of unit rapid response system through: Staff training/communication Simulation

385. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - We implemented an electronic, Web-based event reporting system at five University of California medical … Given the endemic nature of latent system errors in our current health care delivery system, it is no … To err is human: building a safer health system. … A system for analyzing medical errors to improve GME curricula and programs. … Barriers to incident reporting in a healthcare system.

386. Measurement-Powered Quality Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/QI_CAHPS-summary.pdf
     September 01, 2017 - Measurement-Powered Quality Improvement Measurement-Powered Quality Improvement In a learning health care system … Promoting Learning Health System Capabilities The AHRQ QI Toolkit demonstrates how AHRQ works with hospitals … mailto:Mamatha.Pancholi@ahrq.hhs.gov Promoting Learning Health System Capabilities CAHPS surveys are … Quality Improvement AHRQ Quality Indicators (QIs) Goals Process Results Promoting Learning Health System … Assessment of Healthcare Providers and Systems (CAHPS®) Goals Process Results Promoting Learning Health System

387. Quality Improvement Assessment (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
     March 03, 2021 - for Improvement/PDSA1 Lean: a continuous improvement process based on the Toyota Production System … Total Quality Management: a management system using strategy, data, and effective communications to … l i t y i m p r o v e m e n t ) t eam that includes a provider champion Using tools* for system … *Tools for system redesign (Tools that you and/or your practice may have used when making changes):

388. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (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-Clarke_8.pdf
     January 25, 2008 - Methods: Analysts from the Pennsylvania Patient Safety Reporting System (PA-PSRS) mapped 420 reports … The Pennsylvania Patient Safety Authority developed the Pennsylvania Patient Safety Reporting System … This option would require a wholesale system overhaul of the current reporting system to make it into … an electronic front-end entry system for a PSET database. … of a large volume near-miss reporting system.

389. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
     April 01, 2018 - Results from each system calculated individually are outlined in Exhibit 13 . … DH identified 2,179 procedures for inclusion in its system-specific cohort. … The first is overfitting to the training dataset and the other is overfitting to the VA system. … For example, instead of a two-tiered system, a multitiered system could be employed. … As before, IP would be the final tier, but the automated system could have multiple tiers.

390. AHRQ SHARE Approach Rochester Regional Success Story (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share_approach_success_story6_rochester-regional.pdf
     June 01, 2016 - Sonam Kiwalker Date of Interview May 25, 2016 Rochester Regional Health System Uses Shared Decisionmaking … to Improve Patient Care 2 Rochester Regional Health System Uses Shared Decisionmaking to Improve … Patient Care June 2016 The Rochester Regional Health System is an example of a health care organization … Primary care practices within the Rochester Regional Health System, such as the Bay Creek Medical Group … As a result, providers across the health system are using shared decisionmaking to improve patient care

391. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
     August 01, 2017 - design in order to add the On-Time modules to their system. … Facility Name System IF the report is generated for a facility versus a single nursing unit, display … Footer Date Source Valid Input and Display Print Date System Display month/date/year the report was … • A resident may have multiple transfers to the ED on the same date, so the system must assign a … The system is the data source for all elements and computes all information that displays.

392. Best Practices for Administering SOPS® Surveys Users (Webcast): Ginsberg Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-ginsberg.pdf
     February 08, 2024 - ► The lead Federal agency charged with improving the safety and quality of America’s healthcare 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

393. Assess and Adapt: Understanding the Science of Safety and Reliability | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
     July 01, 2018 - Slide 15 The Science of Safety Every system is perfectly designed to achieve its end results … Second order problem solving Fixing the immediate problem Fixing the system factors that allowed … Get from the dance floor to the balcony level Individual challenges System challenges Slide 28 … We need lenses to see the system We need to provide a safe space to voice what we see CUSP is … To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.

394. Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201411.html
     August 01, 2014 - Using the survey to monitor its performance, Mercy Health saw steady system-wide improvement in its overall … The intensity of that system-wide effort led to a slight drop in its goal of creating and sustaining … activities at Mercy Health, including the following: Implementing SAFECARE, an event reporting system … Partnering with the Institute for Healthcare Improvement's "Safety Across the System" in an effort to … TeamSTEPPS, developed by AHRQ in collaboration with the Department of Defense, is an evidence-based system

395. Peer Review: Study Section Descriptions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/process/study-section/peerdesc.html
     July 01, 2017 - within organizations and/or systems of care, and the organization and functioning of the health care system … This focus encompasses system-level and market-level questions as well as investigations of the behavior … quantitative, analytical approach to the subject matter, including behavioral modeling of health care system … safety; research focused on healthcare associated infections; and examining effective ways to make system-level … Applications containing behavioral modeling of health care delivery system processes; qualitative examinations

396. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
     April 20, 2008 - It dedicates a separate page to each of 18 entities/interactions within the system. … Crossing the quality chasm: A new health system for the 21st century. … To err is human: Building a safer health system. … Practice-based failure modes and effects analysis for system enhancement. … In: Crossing the quality chasm: A new health system for the 21st century.

397. Team Structure Instructor Guide – PDF (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_ig_teamstructure.pdf
     June 27, 2017 - • Partnering With Residents and Families • Multi-Team System for Resident Care TIME: 50 minutes … Multi-Team System 13 - 18 15 mins 6. Team Structure Video and Discussion 19 - 20 10 mins 7. … This slide shows the model of a multi-team system. … A multi-team system is composed of several different teams. … • Where did the breakdowns occur between the components of this multi-team system?

398. Common Cause Analysis: Focus on Institutional Change (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-Browne_5.pdf
     January 20, 2008 - Left unchanged, a system can only be expected to continue to achieve the same results. … with the cardiorespiratory monitoring system. … System changes to improve patient safety. Br Med J 2000; 320: 771-773. 11. Shappell SA. … The human factors analysis and classification system – HFACS. U.S. … The Veterans Affairs root cause analysis system in action.

399. Prologue: Technology and Medication Safety (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-Prologue_Grady_Vol4.pdf
     July 25, 2008 - IT and its seemingly limitless potential to improve the care provided by the Nation’s health care system … For example, one paper examines the impact of implementing an electronic health record (EHR) system … Concerns about confidentiality and system reliability are addressed by several groups of authors. … For example, one paper discusses the development and implementation of a homegrown CPOE system that … System reliability and safety are the focus of an article that introduces the concept of “safeware”—

400. Advances in Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/index.html
     August 01, 2017 - Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the Medical Liability System … Communication, Apology, and Resolution (CARe) Planning and Implementing the Patient Advocacy Reporting System … in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Improving Communication Commentary: Silence Carole Hemmelgarn Reforming the Medical Liability System … Van Niel Planning and Implementing the Patient Advocacy Reporting System ® in the Sanford Health System