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Showing results for "system".

2541. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
      monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
      January 01, 2016 - Coffey-Zern, Michael Vest, Loretta Consiglio-Ward, and Carol Kerrigan Moore, Christiana Care Health System … #› Conclusions TeamSTEPPS can improve clinical performance and patient safety in a multi-facility system

2542. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
      June 30, 2017 - Explore this hospital’s incident reporting system. … You may have an electronic incident reporting system that will make it easier to count the number of … ASK: What system do you currently use for incident reporting? … First, count the number of falls that occurred during the month from your incident reporting system. … Post-fall huddles are useful techniques for understanding reasons for failures in the system.

2543. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
      May 01, 2017 - standard National Institute for Child Health and Human Development (NICHD) nomenclature and three-tiered system … NICHD also proposed a three-tiered system for EFM interpretation. … Use of the standard three-tiered system for interpreting and communicating FHR tracings provides a … and bedside reference aids that define and describe the 2008 NICHD nomenclature and three-tiered system

2544. TeamSTEPPS® Diagnosis Improvement: Module 4 Leadership - Facilitator’s Notes (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
      January 05, 2022 - preferences; act in their best interests and advocate for them; help them navigate the healthcare system … This support includes maintaining a reward system that reinforces good performance, an information system … that provides access to the data needed for the work, a system that offers relevant team training, … • Retrain and redesign = Is it system flaws or human flaws?

2545. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
      monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
      July 01, 2023 - standard National Institute for Child Health and Human Development (NICHD) nomenclature and three-tiered system … NICHD also proposed a three-tiered system for EFM interpretation. … Use of the standard three-tiered system for interpreting and communicating FHR tracings provides a common … cards and bedside reference aids that define and describe the 2008 NICHD nomenclature and three-tiered system

2546. Mod01-Grand-Rounds-Slides (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
      April 01, 2016 - report is received, the organization that has implemented the CANDOR process will activate the CANDOR system … Slide 18 Say: Once the CANDOR system is activated, two processes are occurring at the same time: … In this approach, the goal is to: Ask what is responsible, not who is responsible, and focus on system … Slide 24 Say: Human factors engineering is about redesigning the system within which humans work, … It explains that after an adverse event, regardless of whether it is due to human or system error, all

2547. Seeking the Right Balance: Addressing Behaviors That Undermine a Culture of Safety (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
      January 01, 2015 - Crossing the Quality Chasm: A New Health System for the 21st Century. … following event was reported to you (an authority figure) through your electronic event reporting system … would someone report the event to a responsible party or through an established event reporting system … Health Care-Associated Infections: A Meta-analysis of Costs and Financial Impact on the US Health Care System

2548. Selected Best Practices and Suggestions for Improvement (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
      May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant

2549. EvidenceNow Key Drivers and Change Strategies (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
      February 01, 2019 - more QI resources to draw on and likely will need to align themselves with interests of the larger system … Creative use of other data sources such as a patient web portal, a laboratory system, a billing system … , or a practice’s paper-based system, may provide the best solution. … Using data that are already available in another system is often more efficient than investing time … systems may require the addition of new fields and paper-based systems will need a coherent coding system

2550. Information to Help Hospitals Get Started (doc file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
      January 01, 2012 - bed capacity and reduce overcrowding, with engaged patients and families serving as an early warning system … Partnering with patients and families to design a patient-and-family-centered health care system. 2008 … Partnering with patients and families to design a patient- and family-centered health care system: a

2551. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
      November 02, 2017 - complaints to front-line staff—but these staff do not necessarily have the skills or the resources to fix “system … • A clear system of resource people, clear authority lines, and backup systems for dealing with … in the operating room, flu season packs the appointment schedule, implementing a new call center system … specific person in the service process, which reflects a training problem, while others are the result of system … Commit to identifying failure points in the system • Using complaint data, identify failure points

2552. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/healthited-issuebrief.pdf
      February 01, 2021 - home” portal may allow patients and their ED providers to review medical records from the external system … investigation.15,17 For example, patients seeking emergency care outside of their primary healthcare system … about test results and diagnoses from their ED visit with their PCP, if the PCP cannot access that system … Exploration of portal activation by patients in a healthcare system. … A mobile telephone-based interactive self-care system improves asthma control.

2553. The CAHPS Ambulatory Care Improvement Guide: Why Improve Patient Experience? (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/2-why-improve/cahps-section-2-why-improve-patient-experience.pdf
      May 01, 2017 - o Similarly, the Physician Quality Reporting System (PQRS) program administered by CMS includes a patient … o Starting in 2019, two new physician payment programs—a merit-based incentive payment system (MIPS) … health outcomes a year after discharge.10, 11 Measures of patient experience also can reveal important system

2554. The How-To’s of Hand Hygiene | Agency for Healthcare Research and Quality
      monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/hand-hygiene-slides.html
      March 01, 2017 - Accessing the drainage system to empty the drainage bag or collect a urine sample. Why? … Then, gloves will contaminate the urinary catheter or urine collection system. … Accessing the drainage system to empty the drainage bag or collect a urine sample. Why?

2555. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
      monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
      September 01, 2017 - Explore this hospital’s incident reporting system. … You may have an electronic incident reporting system that will make it easier to count the number of … Ask: What system do you currently use for incident reporting? … First, count the number of falls that occurred during the month from your incident reporting system. … Post-fall huddles are useful techniques for understanding reasons for failures in the system.

2556. AHRQ Slide Template 2004 (ppt file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
      May 14, 2013 - AHRQ Slide Template 2004 Advanced Methods in Delivery System Research – Planning, Executing, Analyzing … , and Reporting Research on Delivery System Improvement Webinar #1: Fuzzy Set Analysis Presenter: … Harrison, PhD Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program … Harrison, PhD Sponsored by AHRQ’s Delivery System Initiative in partnership with the AHRQ PCMH program … Register for this and other events in our series on advanced methods in delivery system research, here

2557. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
      August 01, 2022 - Essentially, distributed cognition describes how information is transformed and propagated throughout a system … The physical organization of work influences how information flows throughout a system. … itself is a specific category of distributed cognition because it defines the mechanism by which a system … This case revealed numerous system failures that contributed to the initial misdiagnosis and needless … Blame the pa- tient, blame the doctor or blame the system?

2558. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
      monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
      January 01, 2013 - About Patient Safety and LEP The Institute of Medicine Report To Err Is Human: Building a Safer Health System … To err is human: building safer health system. Washington: National Academies Press; 2000. … Crossing the quality chasm: a new health system for the 21st century.

2559. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
      monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
      March 01, 2017 - makes a mistake, it's viewed as an opportunity for the entire team to learn and improve the process or system … Hierarchies within teams should be eliminated, as it creates a system in which one person's input is … Slide 24: Just Culture 8,9 Say: The term "Just Culture" refers to a system of shared accountability … System design Humans are not perfect and occasionally make mistakes, either through unintentional errors … Slide 25: A Just Culture Say: A system of Just Culture recognizes that people make mistakes.

2560. 2015 CAHPS Health Plan Survey Database Chartbook (pdf file)
      monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2015_hp-chartbook.pdf
      January 01, 2015 - Chartbook are compiled from detailed data displays reported in the CAHPS Database Online Reporting System … Plan Survey Database are provided access to a secure, password-protected area of the online reporting system … The CAHPS Database Online Reporting System is updated annually with new data submitted by CAHPS Health … CAHPS Database Online Reporting System The CAHPS Database Online Reporting System is a Web-based platform … The reporting system consists of two major components: (1) a public site available to anyone with access