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Showing results for "system".

401. What Exactly Is 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/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - of as a feature of the system. … Patient safety must be an attribute of the health care system. … on other places in the system. … So, when designing a system, improving a system, analyzing an adverse event, researching an issue, or … Work system design for patient safety: The SEIPS model.

402. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
     November 17, 2020 - • Common, Costly • Health equity issue • Health system ill-designed to meet the needs of those at risk … factors such as homelessness 5 AHRQ’s Vision for People Living with MCC A sustainable healthcare system … • Move from a system that treats diseases and focuses on illness to one that treats the people living … • Patient Advocates • Clinicians • Researchers • Health System Leaders • Community Organizations • Professional

403. TeamSTEPPS for Rapid Response Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
     January 01, 2008 - Response Systems TM TEAMSTEPPS 05.2Mod 1 05.2 Page 2Page 2 RRS Overview What is the Rapid Response System … The Rapid Response System (RRS) is the overarching structure that coordinates all teams involved in … System activation? Patient handoffs? Patient treatment? Evaluation of the response team? … in care Achievement of patient stabilization TEAMSTEPPS 05.2Mod 1 05.2 Page 43Page 43 RRS System … Evaluation: Sensemaking System Evaluation: Sensemaking Tools Let’s look back at our example Exercise

404. TeamSTEPPS: Rapid Response Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
     January 01, 2008 - will provide insight into the core concepts of teamwork as they are applied to the rapid response system … , if the group has already implemented an RRS, it may be useful to include more discussion on the system … Rapid Response System Collaborative. RRS Collaborative Resource Materials. … This person spans the boundaries of two or more teams within a system. … • System activation? • Patient handoffs? • Patient treatment?

405. Using-Health-It-To-Support-Qi (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
     March 01, 2015 - Foresight’s transition from a paper-based health records system to an electronic system occurred in … For a few years, the practice had a hybrid electronic–paper system. … An Academic Health System: University of Missouri Health System (UMHS), Columbia, Missouri The UMHS … The EHR makes it easy to message other providers in the system. … or hospital system.

406. Children's EHR Format: Frequently Asked Questions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/ehrformatfaq.pdf
     September 01, 2014 - SHALL (denoting required system behavior) 2. SHOULD (for recommended system behavior) 3. … MAY (for permitted, desirable system behavior). 4. … What types of system gaps does the Format cover?

407. Chipra-141-Section-2-Tech-Specs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-2-tech-specs.pdf
     December 01, 2012 - To assign involved body system(s) and progressive status, Seattle Children's Research Institute … conditions defined by diagnostic codes outlined in the Chronic Illness and Disability Payment System … References: Chronic Illness and Disability Payment System (CDPS), University of California, San … The final result is a dataset where identifications of body system, progressivity, and malignancy … Future revisions to the ICD-9 classification system may result in the need for revisions to this

408. Sustainability Module | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
     October 01, 2020 - Build a measurement system – Who, what, when, how to measure. … Establish robust followup and transparent feedback system. … processes: Are the parts or steps in the system performing as planned? … What happened to the system as we improved the outcome and process measures? … – A process for collecting, reporting, and inputting data into system database.

409. V. Challenges Identified and Lessons Learned | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/lessons5.html
     May 01, 2016 - The reporting system must communicate to patients in a language they understand. … Furthermore, if the reporting system is to be used to inform health delivery organizations, it must also … A reporting system that is not intended for use in the context of research—such as a quality improvement … Creating Awareness Among Patients and Caregivers (Outreach) A reporting system is effective only if … However, a system that allows patients to report in real time would need to focus on the information

410. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - It doesn’t protect future patients or strengthen the system. … Slide 6 Individual Mistake or System Failure? … SAY: Is a defect an individual mistake or a system failing? … We wind up building workarounds to overcome poor system problems. … SAY: Many small defects often contribute to big system flaws.

411. Understanding SOPS® Surveys: A Primer for New Users - Ginsberg (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-ginsberg.pdf
     September 01, 2022 - ► The lead Federal agency charged with improving the safety and quality of America’s health care 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

412. Workflow (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
     February 01, 2005 - North Carolina Area Health Education Centers North Carolina Area Health Education Centers “Every system … Rate (5) We're Working On It (6) Source of Patient Complaint (7) Answering Phones Appointment System … Education Centers How to start: • Multi-disciplinary team • Include someone from every aspect of the system … (front end, back end, lab, etc) • Encourage open dialogue • Record your system workflow as it truly … • What are some ways that you’ve used it that are secondary to designing a new system?

413. Understand the Science of Safety for Perinatal Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
     May 01, 2017 - Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of understanding system … will— • Describe the historical and contemporary context of the Science of Safety, • Explain how system … design affects system results, • List the principles of safe design and identify how they apply to … Slide 2 SAY: Examples of the effect of defects and errors in the U.S. health care system are illustrated … Being cognizant of the system design and how it contributes to the results that it delivers will help

414. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - Today we will discuss how to use system lenses to uncover hazards and defects with the use of PSSA. … It shows the continuum of system factors that can influence health care delivery and the occurrence of … Slide 10: Safety Is a Property of the System Say: This video illustrates using system lenses. … A system approach teaches us to consider both the organization of and interaction between individuals … You and your team will find a system that works best for you. Slide 24: What’s Next?

415. Improving Communication and Teamwork in the Surgical Environment
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
     May 01, 2017 - Safety Program for Ambulatory Surgery 25 Assess readiness for sustainability Build a measurement system … Who, what, when, how to measure Establish robust followup and transparent feedback system Establishing … processes: Are the parts or steps in the system performing as planned? … What happened to the system as we improved the outcome and process measures? … including4— An appointed facilitator A process for collecting, reporting, and inputting data into system

416. Preface | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/preface.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 … efforts to deliver high-quality, evidence-based care, patients continue to be harmed by the health care system … To address the need to improve patient safety and the medical liability system, the AHRQ Patient Safety

417. Just Culture Webcast Intro (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
     November 09, 2016 - ask for help 2 Today’s Speakers 3 Celeste Mayer, PhD University of North Carolina Health Care System … Exists at multiple levels: System Organization Department Unit Beliefs, values & norms Shared by … unacceptable behavior” (Reason, 1997) Just Culture is an Accountable Culture (Outcome Engenuity) System … issues Human behavior Levels of accountability • System • Management • Staff • Providers Hospital

418. A. Acronyms and Abbreviations | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldataapa.html
     May 01, 2018 - Improving Data Collection across the Health Care System 6. Implementation A. … Assistant Secretary for Planning and Evaluation, HHS BRFSS Behavioral Risk Factor Surveillance System … Organization for Standardization LEP Limited English Proficiency MEDS Medi-Cal Eligibility Data System … Research Council NSDUH National Survey on Drug Use and Health NVSS National Vital Statistics System … Formerly known as the Utilization Review Accreditation Commission WCRS Wisconsin Cancer Reporting System

419. Presentation: Science of Improving Patient Safety and Identifying Defects
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - The discussion will include the importance of understanding system design, the principles of safe design … Today we will discuss how to use system lenses to uncover hazards and defects with the use of PSSA. … determines performance, and safety is the property of the system Use strategies to improve system performance … It shows the continuum of system factors that can influence health care delivery and the occurrence of … You and your team will find a system that works best for you. 23 What’s Next?

420. Module 1: Script and Slides (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
     May 01, 2017 - A Model for Sustainability in ASCs SAY: This slide lays out in greater detail the elements of the system … At the center of the system is standard work for all levels of the organization relating to safety. … team uncovered a number of insights and practical tips on what it means to introduce this management system … practices of daily huddles and visual management which is typical as this is the foundation for the system … You can find more information about the system in a set of “component kits” which offer you practical