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Showing results for "system".

161. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
     August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case … Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System … Issue Brief 20 Learning from AHRQs’ Diagnostic Safety Culture Survey at a Tertiary Care Health System … The health system uses an anonymous incident reporting system, enabling employees to report potential … adverse events, near-misses, or areas of risk across the entire health system.

162. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
     August 01, 2024 - AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being … The Problem: The U.S. population is rapidly aging, and the health system is ill-prepared to meet the … Goal 1: Support health system transformation by funding research to develop, implement, evaluate, and … This reengineered system emphasizes prevention and management of chronic conditions, including multiple … • AHRQ’s Quality and Safety Review System, a patient safety surveillance system, which relies on clinical

163. Chapter 1. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
     August 01, 2022 - since the 1950s, but the Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health System … with patient safety events that may be useful and/or actionable in a patient safety event reporting system … kind of organization (e.g., public-private partnership, public, private) should a consumer reporting system … How should a consumer reporting system for patient safety events be financed? … How can a reporting system maximize the willingness and ability of consumers to report on patient safety

164. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
     January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care A System to Describe and Reduce Medical … Initially created in the Family Medicine Center, this system is now used in all of the department’s … Development of the Duke CFM Quality Improvement System Initial quality improvement (QI) efforts in … reporting system by the late 1980s. … Once volume increases, a classification system becomes more helpful.

165. Strategies To Promote Psychological Safety and Organizational Safety Culture Related to Diagnosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-4.html
     September 01, 2023 - Diagnostic quality requires the active engagement of individuals and a responsive healthcare system … Professionals may develop their own system to surveil for error, although consistent and reliable feedback … can be engineered into a system and supported by system design. 22 Feedback mechanisms help physicians … , they will benefit from a more exhaustive view of broader system factors that impact safety. … Leadership committed to a culture of safety should invest resources to solve system problems that threaten

166. Publications From the Comparative Health System Performance Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/publications/index.html
     September 01, 2023 - Health System Integration With Physician Specialties Varies Across Markets and System Types. … What Are the Determinants of Health System Performance? … Care Integration Within and Outside Health System Boundaries. … Health System Characteristics, 2016. CHSP Data Brief #2. … https://www.nber.org/system/files/working_papers/w28305/w28305.pdf .

167. Appendix B: Example Components of the Conceptual Model | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapb.html
     February 01, 2014 - Identifying Key Areas for Delivery System Research Appendix B: Example Components of the Conceptual … Model Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System … Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References … Topics Appendix B: Example Components of the Conceptual Model Appendix C: "Long List" of Delivery System … Research Areas Appendix D: Four Suggested Key Areas Examples of Delivery System Structures

168. Changing the System To Improve Antibiotic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
     June 01, 2021 - Changing the System To Improve Antibiotic Safety After viewing or presenting this presentation … Changing the System To Improve Antibiotic Safety – Slides (PPTX, 4.3 MB) Changing the System To Improve

169. Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
     October 01, 2014 - attitudes and beliefs about patient safety, medical errors, and event reporting in Military Health System … Chief Medical Officer, TRICARE Management Activity says, "This survey helped the DoD's Military Health System … discussion regarding the identification of safety issues specific to each unique environment in our system … (Team Strategies and Tools to Enhance Performance and Patient Safety) is an evidence-based teamwork system … Secondly, the Patient Safety Reporting System will provide standardized event and near-miss capturing

170. ChristianaCare Used AHRQ Resources to Reduce Blood Infections, Expedite Stroke Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202004.html
     July 01, 2020 - ChristianaCare is a teaching health system with facilities in Delaware, Maryland, New Jersey, and Pennsylvania … Developed jointly by AHRQ and the Department of Defense, TeamSTEPPS is an evidence-based system that … The health system conducts the Hospital Survey on Patient Safety Culture and Medical Office Survey on … We can gain a true understanding of what's going on within our health system," said Ann Principe, D.N.P … This can influence future decisions on actions at the unit and system level.

171. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201518.html
     July 01, 2015 - York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system … York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system … incorporating the program into HHC’s clinical practice guidelines as well as its electronic health records system … TeamSTEPPS situation monitoring prompts are incorporated into the hospital’s electronic health records system … "The training just blossomed across our entire health system," Ms. Kong said.

172. Module 7: Troubleshooting Your Automatic Referral System | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/module-7/index.html
     December 01, 2022 - Module 7: Troubleshooting Your Automatic Referral System   YouTube embedded video: https: … //www.youtube-nocookie.com/embed/dyN2Lj8LSOU Video: Troubleshooting Your Automatic Referral System … (1:00:27) Slides:  Troubleshooting Your Automatic Referral System (PDF, 1.3 MB) Implementation Guide … :  Troubleshooting Your Automatic Referral System Implementation Guide (PDF, 351 KB) This module builds … Using Cardiac Rehabilitation Referral Performance Measures in a Quality Improvement System .

173. Webinar Lean Redesigns-Slides
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
     March 01, 2017 - Medicaid - 5% Self-pay or Other Multispecialty, not-for-profit ambulatory care delivery system … Contextual Frameworks for Research on the Implementation of Complex System Interventions. … Expenses Clinical Quality Patient Satisfaction Physician and Staff Satisfaction Impact of Lean on System … Observed values after Lean redesigns were implemented in all clinics across the system 19 Phased … Scaling Lean in Primary Care: Impacts on System Performance.

174. Implementing Automatic Referral | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
     April 01, 2023 - This focus area will walk you through the necessary steps for implementing an automatic referral system … factors to consider when designing, testing, implementing, and troubleshooting an automatic referral system … within your hospital’s electronic health record system Take the necessary steps to prepare and support … training modules: Training Module 5: Building and Implementing a Successful Automatic Referral System … Training Module 7: Troubleshooting Your Automatic Referral System Related Webinars From the TAKEheart

175. Module 10: Options To Expand System Capacity and Patient Centeredness | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/module-10/index.html
     December 01, 2022 - Module 10: Options To Expand System Capacity and Patient Centeredness   YouTube embedded … /www.youtube-nocookie.com/embed/ETFDOn1kPJA Video: Using Hybrid Cardiac Rehabilitation to Expand System … Capacity and Patient-Centeredness (59:42) Slides: Using Hybrid Cardiac Rehabilitation To Expand System … Patient-Centeredness (PDF, 1.9 MB) Implementation Guide:  Using Hybrid Cardiac Rehabilitation To Expand System

176. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0802.html
     October 01, 2014 - The American Society of Health-System Pharmacists (ASHP) launched the mentoring program, called "Patient … "The first cohort included the Veterans Affairs San Diego Healthcare System, which created a pilot emergency … pharmacist program with the potential for replication throughout the VA system." … to multi-hospital systems, where they can promote their program to other hospitals within the same system … Geographic Location: National Implementer: American Society of Health-System

177. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
     August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … C H E A L T H C A R E U N C H E A L T H C A R E Patient Safety Event Reporting System … Developed recommendations for quality & safety system policies 41 U N C H E A L T H C A … R E U N C H E A L T H C A R E Quality & Safety Reporting System Information Flow Reporter … Improvement Project Redesigning the Patient Safety Reporting System Safety Culture Recommendations

178. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities … 395 Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care … Active controls are features of the system that are in place to Modeling Medication System Failures … Identify process and control system failure modes. … The result of this research is a “living risk management system” that can and should be used by system

179. University of Texas Health at San Antonio, University Health System Used AHRQ Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201905.html
     September 01, 2019 - University of Texas Health at San Antonio, University Health System Used AHRQ Tools Search All Impact … She conducted the project at University Health System, the primary affiliated teaching hospital.    … Sowan explained that the previous standard consent process at University Health System was problematic … Sowan in collaboration with University Health System clinicians and leaders, the decision aid was created … Texas Implementer: University of Texas Health at San Antonio, University Health System

180. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
     June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled … Joseph’s/Candler Health System was the first U.S. hospital system to implement such technology. … Joseph’s/Candler Health System (SJCHS), a 644-bed, tertiary care, “magnet” system, is the first hospital … Joseph’s/Candler Health System St. … Implementation of an IV medication safety system.