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  1. www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
    February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) … Speakers discussed how implementation of a new event reporting system in UNC's outpatient Radiation Oncology … Building on this initial success, UNCMC embarked on a journey to improve the event reporting system and … Oncology University of North Carolina—Chapel Hill Implementation of an Event Reporting and Learning System … https://www.youtube-nocookie.com/embed/CJeMuRmkZoE Implementation of an Event Reporting and Learning System
  2. www.ahrq.gov/news/blog/ahrqviews/ahrq-pcori-collaborate.html
    February 01, 2023 - Patient-Centered Outcomes Research Institute Collaborate to Train a New Generation of Learning Health System … scientists through the creation of Learning Health System Embedded Scientist Training and Research ( … Establishing competencies for learning health system scientists has been central to the success of the … Enhance diversity within the learning health system research workforce. … Conduct research projects that prioritize improving health system operations, healthcare quality, and
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. … Since no comparable national medical error incident reporting system was in place, a new system needed … To improve the paper- based system, the PSR decided to develop an electronic system. … This system is a useful tool in decreasing adverse safety events within the health care system. … To err is human: building a safer health system.
  4. www.ahrq.gov/chsp/about-chsp/centers/nber.html
    July 01, 2019 - Comparative Health System Performance Initiative: National Bureau of Economic Research Center of Excellence … Aims The aims of the NBER Center of Excellence are to: Characterize the current delivery system … and track changes in delivery system structure across space and over time. … Under this initiative, five research projects are underway to examine delivery system performance in … Project 1 focuses on how economic outcomes are affected by delivery system organization and ownership
  5. www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 01, 2018 - Medicine) to develop comprehensive reports on topics that are critical to making the American health care system … continuation of the landmark Institute of Medicine reports To Err is Human: Building a Safer Health System … (2000) and Crossing the Quality Chasm: A New Health System for the 21st Century (2001). … Key Capabilities of an Electronic Health Record System this 2003 report sets out 8 core care delivery … Crossing the Quality Chasm: A New Health System for the 21st Century , a 2001 report, makes an urgent
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
    January 01, 2004 - “Near-miss” Reporting System Development and Implications for Human Subjects Protection 181 “Near-miss … ” Reporting System Development and Implications for Human Subjects Protection Harvey J. … , the importance of the system, and how to use it. … While the authors have proposed a near-miss reporting system to promote system awareness, other strategies … System changes to improve patient safety. BMJ 2000;320(7237):771–3. 12.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/gilmerstudysnapshot/gilmerstudysnapshot.pdf
    April 01, 2015 - Implementation of California’s Full-Service Partnerships for Persons With Serious Mental Illness AHRQ DELIVERY SYSTEM … Contact Us For additional information on AHRQ Delivery System Research, visit our Web site at http: … //www.ahrq.gov/professionals/systems/ system/delivery-system-initiative/index.html or contact Michael
  8. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/mccannon/mccannon.ppt
    February 17, 2011 - Slide 1 The Spread Problem The Challenge and Promise of Delivery System Research: A Meeting of AHRQ … What is the nature of your social system? How will you spread your better practice (method)? … Crossing the Quality Chasm: A New Health System for the 21st Century.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
    January 01, 2004 - reporting system had the same data prompts. … .2 A major impediment to achieving a health system version of the Aviation Safety Reporting System … Reporting system characteristics, barriers, results, and potential future Reporting system characteristics … Legal status of reporting system information. … To err is human: building a safer health system.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - To date, the system has received over 26,000 reports. … To err is human: Building a safer health system. … Crossing the quality chasm: A new health system for the 21st century. … System complies with all HIPAA mandates as followed by the University of Texas system. … System has internal monitors set to page support personnel should there be a system failure.
  11. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-implementation-guide.pdf
    June 02, 2025 - Module 2 Implementation Guide: System Change: Laying the Foundation and Leadership Implementation … Guide - Module 2 System Change: Laying the Foundation and Leadership Module Purpose Following … process from time of referral/discharge to appointment and identify patient, program, and system … Implement a system to monitor CR after participation in TAKEheart cohort is completed, if monitoring … o Consider resource needs and priorities  Additional features might need to be added to the EHR system
  12. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide171.html
    October 01, 2014 - Implement a tobacco-user identification system in every clinic Treating Tobacco Use and Dependence … Action Strategies for implementation Implement an office-wide system that ensures that for EVERY … Office system change: Expand the Vital Signs to include tobacco use or implement an alternative universal … identification system. … Frequency of utilization: Every visit for every patient regardless of the reason for the visit. a System
  13. www.ahrq.gov/news/blog/ahrqviews/long-covid.html
    March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders Long COVID is a Case Study of Our Fractured Healthcare System … And they are emblematic of a healthcare system that is fractured. … is a lousy way to run a healthcare system. … Our system isn’t broken beyond repair. But it’s hurting, and it’s fractured. … It can help repair the fractures and point us toward a system built around whole health.
  14. www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
    March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern … In this article, we discuss how the regional system works, and how it will be sustained. … We also highlight the unique challenges associated with implementing a regional system. … compatible with the shared system. … • Providing the link between the digital dictation system and PACS.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
    March 15, 2008 - Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern … In this article, we discuss how the regional system works, and how it will be sustained. … We also highlight the unique challenges associated with implementing a regional system. … compatible with the shared system. … • Providing the link between the digital dictation system and PACS.
  16. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appb.pdf
    January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. … Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix B Comparative Health System … Health Systems) health_sys_name Character Health system name (same variable as in the Compendium … Health Systems) health_sys_state Character Health system State (same variable as in the Compendium … Comparative Health System Performance Initiative: Compendium of U.S.
  17. www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummello.html
    October 01, 2014 - Institution: University of Pittsburgh Grant Title: MammoTutor: An Internet-Based Computer Tutoring System … Project Description: The aim of this research is to develop a computer-based cognitive tutoring system … number of mammogram cases needed to show a minimum improvement in performance after training with the system … Work has begun on the development of some of the modules for the tutoring system.
  18. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
    August 02, 2017 - Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care CREATING … A LEARNING HEALTH CARE SYSTEM: THE ROLE OF PRACTICE FACILITATORS IN PRIMARY CARE Webinar Summary … 2 AHRQ | EvidenceNOW AHRQ EvidenceNOW Public Webinar “Creating a Learning Health Care System … Webinar Summary CREATING A LEARNING HEALTH CARE SYSTEM … Practice Facilitators and Learning Health Care Systems At its core, a learning health care system is
  19. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appa.pdf
    January 01, 2019 - Comparative Health System Performance Initiative: Compendium of U.S. … Health Systems, 2016, Technical Documentation-Appendix A Comparative Health System Performance Initiative … QuintilesIMS maintains two integrated databases relevant to the study of health system performance under … publications, and other sources for health system information. … Comparative Health System Performance Initiative: Compendium of U.S.
  20. www.ahrq.gov/patients-consumers/patient-involvement/navigating-the-health-care-system.html
    September 01, 2015 - Navigating the Health Care System After having led AHRQ for a decade, Dr. … From 2007 to 2012, she authored a monthly column for consumers on Navigating the Health Care System,

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