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Showing results for "system".

1101. Chapter 6. Measure Maps and Profiles (continued, 13) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6l.html
      June 01, 2014 - Table   Measurement Perspective: Patient/Family Health Care Professional(s) System … Link to Outcomes or Health System Characteristics: None described in the sources identified. … Table   Measurement Perspective: Patient/Family Health Care Professional(s) System … as, “‘troubles" or "bothers" that patients experience during their encounters with the health care system … Primary care attributes, health care system hassles, and chronic illness.

1102. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      www.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.

1103. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
      www.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.

1104. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
      December 01, 2017 - Barriers to Health Literacy: Increasingly Complex Health System    35 Years Ago Today … Barriers to Health Literacy Increasingly Complex Healthcare System Hospitalists, not your family … Slide 22 System Approaches: Assess All Patients for Literacy Key Strategies: Initial Patient … Social history/support system Watch for subtle clues that they don’t read well Slide 23 … System Approaches: Assess All Patients for Literacy Red Flags: Patients with literacy issues may:

1105. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety
      www.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

1106. Presentation: Program Overview
      www.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

1107. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
      December 01, 2017 - Every system is perfectly designed to achieve its results. … determines performance, and safety is the property of the system. … Use strategies to improve system performance. … An arrow points through the system factors into the funnel. … Slide 10: Safety Is a Property of the System This video illustrates using system lenses in action

1108. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
      www.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.

1109. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.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.

1110. What Exactly Is Patient Safety? (pdf file)
      www.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.

1111. Using-Health-It-To-Support-Qi (pdf file)
      www.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.

1112. Spreading Lean: Taking Efficiency Interventions in Health Services Delivery to Scale - Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
      March 01, 2017 - PAMF is a large, not-for- profit, ambulatory care system with clinics very similar to those found in … Contextual frameworks for research on the implementation of complex system interventions. … Slides available at http://www.ahrq.gov/professionals/systems/system/delivery-system- initiative/index.html … Scaling Lean in primary care: impacts on system performance. … /delivery-system-initiative/index.html http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative

1113. Chipra-141-Section-2-Tech-Specs (pdf file)
      www.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

1114. A. Acronyms and Abbreviations | Agency for Healthcare Research and Quality
      www.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 … for Standardization LEP Limited English Proficiency MEDS Medi-Cal Eligibility Data System … 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

1115. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - It doesn’t protect future patients or strengthen the system. … And you should find that staff recognize these system improvements. … Slide 7: Individual Mistake or System Failure? … Say: Is a defect an individual mistake or a system failing? … Say: Many small defects often contribute to big system flaws.

1116. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.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.

1117. HIT Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
      January 01, 2019 - EHR System Training ................................................................................. … EHR System Training 1. … EHR System Support and Communication 1. … EHR System Training Composite 2. … Issues EHR and Workflow/Work Process Overall EHR System Ratings General Resources

1118. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.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?

1119. Understand the Science of Safety for Perinatal Safety (pdf file)
      www.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

1120. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
      December 01, 2017 - Slide 7: Individual Mistake or System Failing? … “Rather than being the main instigators of an accident, operators tend to be the inheritors of SYSTEM … Contributing factors from all levels of your health care system impact care delivery and, ultimately, … Develop a “system perspective” to see the hidden factors that led to the event. … Each hole represents a system failure; together the holes ultimately allow a patient to suffer.