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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-tables1-5.pdf
October 17, 2019 - focal) (partial)
epilepsy and epileptic syndromes with
complex partial seizures
Epilepsy (limbic system … 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 … 360.5x
Penetration of eyeball with magnetic foreign body 871.5
Mechanical complication of nervous 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/vol3/Rask.pdf
January 01, 2004 - PHA includes a voluntary and confidential
event reporting system, organizational self-assessment programs … Event reporting system
Providing a voluntary event reporting system was one of the main priorities … event reporting system. … of errors to the PHA event reporting
system. … To err
is human: building a safer health system.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - Examining anticipated financial outcome data can help hospital and health system leadership make more … ROI shows how much financial gain a hospital or health system can obtain from each dollar it invests … Return on investment for a computerized physician order entry system. … They did not include costs for the pharmacy system, medication administration system, or clinical data … It took more than 5 years for the system to have a net benefit.
Table 2.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
July 01, 2018 - ► 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
healthcare system … improvement to all settings
• Prevent HAIs, reduce antibiotic resistance
• Build capacity in the health care system
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - Slide 11
SAY:
The term “Just Culture” refers to a safety-supportive system of shared accountability … Human error is a product of both system design and behavioral choices. … Human error can be managed through changes in processes, procedures, training, system design, or work … System design;
3. Behavioral choices;
4. Learning systems; and
5. Accountability and justice. … Transparency is also vital in addressing system factors that may contribute to harm.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/slteamstructure.pptx
February 02, 2006 - and their families as part of the care team
Describe the components and composition of a multi-team system … instructions of the clinical team
8
TEAMSTEPPS 05.2
Mod 2 2.0 Page ‹#›
Team
Structure
9
Multi-Team System … Ancillary and support services
Where did the breakdowns occur between the components of this multi-team system … Which team or teams within your multi-team system are experiencing the teamwork issue?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-b.docx
April 24, 2015 - inserting a sterile hollow pliable tube into the urethra to facilitate urine drainage into a closed bag system … Maintenance
1.7 Standard Precautions: Use gloves when manipulating the catheter site and drainage system … and practice hand hygiene before and after.
1.8 A sterile, continuously closed drainage system should … Indications for change may include mechanical dysfunction or blockage of the urinary catheter system, … and contamination of the closed system.
1.15 Indwelling catheters should not be changed at arbitrary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-6b.pdf
December 01, 2013 - are from the Michigan Department of Community Health, Community
Health Automated Medicaid Processing System … Michigan (Detroit), Hurley Medical Center (Flint), and the University
of Michigan Hospital and Health System
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - i
Executive Summary
As the U.S. health care system seeks to reconfigure primary care to meet … to extend
team-based care
Colocation/integration of
dental and primary care
Fairview
Health System … Edina,
Minnesota
Integrated health
system
Typical
urban
Medication therapy
management … care team
Home visits
Community partnerships
supporting wellness
Scribing
Henry Ford
Health System … Detroit,
Michigan
Integrated health
system, hospital
affiliated
Urban, high
social need
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-may2016.pptx
January 01, 2016 - Susan Coffey Zern, MD, CHSE
Director, Virtual Education and Simulation Training
Christiana Care Health System … Michael Vest, DO, FACP, FCCP
Pulmonary and Critical Care Medicine
Christiana Care Health System
Loretta … Consiglio-Ward, MSN, RN
Quality/Safety Education Specialist
Christiana Care Health System
Carol … Kerrigan Moore, MS, FNP-BC
Quality/Safety Education Specialist
Christiana Care Health System … Steps Continued
Debriefing to inform continuous improvement at an individual level, team level, and system
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
March 01, 2017 - SLIDE 16
SAY:
The term “Just Culture” refers to a system of shared accountability in which health … · Human error is a product of both system design and behavioral choices. … Transparency is also important in addressing system factors that may contribute to harm. … Together, staff and leadership must work towards building safety and quality into the system. … PLAY VIDEO:
Video 2.4: Building Safety and Quality into the System
ASK:
Why do you do this work?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/1_Dale_Shaller_Intro_slides_1-11.pdf
January 15, 2014 - Webcast
4
Part I: Overview of CAHPS Database
Key Components and Products
Demo of Online Reporting System … Karls, MBA, Director of Customer Performance Metrics
and Improvement, University of Michigan Health System … on a voluntary
basis
• Access to comparative results by survey version
through Online Reporting System
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed.pptx
September 01, 2014 - System support: What can the system do to promote PFE? … System support (policies, protocols, check lists, teamwork): What can the system do to promote PFE?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - You need diverse perspectives to assess and troubleshoot your care delivery system. … Investigate your care delivery system. … Investigate your care delivery system. Patient safety or patient harm is a product of that system. … You ne
ed diverse perspectives to assess and troubleshoot your care delivery
system. … You need diverse perspectives to assess and troubleshoot your care delivery
system.
-
ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
June 01, 2017 - 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
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_slides_team.pdf
June 12, 2017 - Team
Structure
Mod 2 LTC 2.0 Page 2
• Describe the components and composition of a
multi-team system … Mod 2 LTC 2.0 Page 9
Team
Structure
Multi-Team System (MTS) for Resident Care
Team
Structure … and support services
• Where did the breakdowns occur between the
components of this multi-team system … Which team or teams within your multi-team system
are experiencing the teamwork issue?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
January 01, 2011 - AAP Pediatric Research in Office Settings
o MGMA
o Allina Hospitals and Clinics
o Baylor Health Care System—HealthTexas … Provider
Network
o Cleveland Clinic
o Michigan State University Health Team
o Other health system … Office
Characteristics
• 69% had only one office location
• Ownership
59% - a hospital or health care system … Administered to all providers and staff
• 71% used paper surveys; 29% used Web
surveys
o One health system
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
May 19, 2016 - Proactively address patient/family needs
Quality improvement Provider training Drive value through system … In the CANDOR process, event analysis incorporates Just Culture and system and human factors causes of … CANDOR System Activation
Module 1
10
Begins within 30 minutes after an event has been identified … After the CANDOR System Activation occurs, the 3rd and 4th components should occur simultaneously. … More information on the CANDOR System Activation processes will be discussed in Module 4 of the toolkit
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
November 01, 2017 - Cooperative (OPHIC) that can serve as a resource to the
emerging Oklahoma Primary Healthcare Extension System … Suburban
29.9% Solo
52.5% 2-5
11.8% 6-10
5.9% 11 or more
36.1% Clinician owned*
25.2% Health system-owned … 29.9% Solo
52.5% 2-5
11.8% 6-10
5.9% 11 or more
Ownership+
36.1% Clinician owned*
25.2% Health system-owned … system’s central quality improvement
department and avoid getting between the practice and
its health system … • Disseminating and Implementing Research into
Practice: Oklahoma Primary Healthcare Extension
System
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - Examining anticipated financial outcome data can help hospital and
health system leadership make more … ROI shows how much financial gain a hospital or health system can obtain from each dollar it
invests … They
did not include costs for the pharmacy system, medication administration system, or clinical data … Return on investment for a computerized physician order entry system. … It took more than
5 years for the system to have a net benefit.
Table 2.