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monahrq.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - highlights agency investments in diagnostic safety and efforts to reduce fragmentation in our healthcare system … financial and regulatory incentives, has contributed to the lackluster performance of our healthcare system … prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system
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monahrq.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - While individual,
professional, contextual, patient, and health system factors make diagnostic error … Finally, the healthcare system has a defining influence on clinical reasoning and diagnosis. … Improved awareness
of such impact would better equip healthcare administrators and system leaders to … System-related interventions to reduce diagnostic errors: a narrative review. … The next GME accreditation system—rationale
and benefits.
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monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - (L&D) units and decrease maternal and neonatal adverse events resulting from poor communication and system … gained from AHRQ's Comprehensive Unit-based Safety Program (CUSP) and the TeamSTEPPS ® teamwork system
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monahrq.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2024 - Healthcare system use of digital healthcare data (clinical, contextual, and patient-generated), knowledge … Research to identify how healthcare system approaches to implementation of evidence vary and which are … Priorities include:
Patient, practice, community, and health system level interventions, including
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Developing Healthcare Safety & Violence Prevention Programs Within Hospitals
https://www.aha.org/system … Toolkit for Mitigating Violence in the Workplace
https://www.aonl.org/system/files/media/file/2019/04 … https://www.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
https://www.aonl.org/system/files … /media/file/2019/04/Mitigating-Violence-in-the-Workplace-Toolkit.pdf
https://www.aonl.org/system/files … A safety and health management system is a proactive collaborative process to find and
fix workplace
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monahrq.ahrq.gov/news/blog/ahrqviews/ahrq-at-2023-academyhealth.html
June 01, 2023 - .: Averting the Impending Storm: Health System Transformation and Aging Well . … to your itinerary:
June 24, 12:30 pm, Research & Action on Climate Change and the US Healthcare System
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monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - 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 difficult … delayed 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
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - goals of this manual are to:
• Raise awareness of error-prone processes in the medication delivery system … • Maximize the appropriate application of system strategies to reduce organizational risk.
3. … Assessing Barcode Verification System Readiness in Community Pharmacies
https://www.ismp.org/sites/default … Education and Training Catalog
AHRQ Pharmacy Health Literacy Center
Assessing Barcode Verification System … Assessing Barcode Verification System Readiness in Community Pharmacies
2.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - Framework for Effective Board Governance of Health System Quality
http://www.ihi.org/resources/Pages/ … IHIWhitePapers/Framework-Effective-Board-Governance-
Health-System-Quality.aspx (requires free account … They also provide practical tools for trustees
and the health system leaders who support them to govern … powerful solution to improving patient safety within an organization.
• An evidence-based teamwork system … a training curriculum to successfully integrate
teamwork principles into all areas of a healthcare system
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monahrq.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
February 01, 2024 - Skip to main content
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monahrq.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - The complexity of the health system, however, confuses even those with adequate health literacy, and
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monahrq.ahrq.gov/health-literacy/improve/precautions/tool5.html
February 01, 2024 - Results Letter
Follow Up with Patients: Tool 6
Be Easy To Reach: Tool 7
Sample Automated Telephone System … Health Education Material Effectively: Tool 12
Welcome Patients: Tool 13
Navigating the Health Care System … Toolkit describes principles of plain language, teach-back, coaching, and system changes necessary to
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - hospitals
► Focus on how the use of health IT
affects patient safety, including:
− EHR system … training
− EHR support and communication
− EHR workflow/work processes
− Overall EHR system rating
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monahrq.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - .; VA Boston Healthcare System and Boston University School of Public Health; Victoria Parker, Ed.M.; … Medical Center, Denver Health Medical Center, Montefiore Medical Center, VA Connecticut Healthcare System … (West Haven Campus) and VA North Texas Healthcare System (Dallas Campus).
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monahrq.ahrq.gov/teamstepps/lep/handouts/lepreadisurvey.html
December 01, 2012 - [__] Yes
[__] No
Does your institution have a system for staff to access an interpreter for LEP … [__] Yes
[__] No
If needed, would key leaders in your institution consider making system changes
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monahrq.ahrq.gov/data/infographics/physicians-hospitals.html
August 01, 2018 - Health Systems, 2016 (PDF, 778 KB)
Source: Comparative Health System Performance (CHSP) Initiative
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
November 01, 2018 - This information is crucial
for health care policymakers at all levels in the health care
system as … In addition, AHRQ’s HCUP online query system offers
users the ability to generate county- and region-level … maps,
community-level information can inform local health
policy and improvements in the health care system
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monahrq.ahrq.gov/news/newsletters/e-newsletter/813.html
May 01, 2022 - nearly 200,000 patient records abstracted and analyzed using the Medicare Patient Safety Monitoring System … in-person and telehealth visits before and during the COVID-19 pandemic at a large integrated health system … Collaborative design and implementation of a clinical decision support system for automated fall-risk
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monahrq.ahrq.gov/cahps/about-cahps/index.html
April 01, 2024 - Patient experience encompasses the range of interactions that patients have with the healthcare system … support healthcare professionals in assessing and improving patients’ experiences with the healthcare system
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monahrq.ahrq.gov/evidencenow/projects/heart-health/index.html
March 01, 2024 - Nation's primary care practices have been challenged in recent decades by fragmentation of the healthcare system … EvidenceNOW stands as a proven model and progress toward revitalizing the Nation's primary care system