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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-05.26.2021.pdf
January 01, 2021 - o EHR System Support and Communication (3 items). … o Overall EHR System Rating (1 item). … Your Hospital’s Electronic Health Record (EHR) System
1. … 1 2 3 4 5 9
Section E: Overall EHR System Rating
1. … How satisfied or dissatisfied are you with your hospital’s EHR system?
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief1-snapshot-of-us-health-systems-2016.pdf
January 01, 2016 - Health Systems, 2016
Comparative
Health System
Performance
Initiative
Note: The hospital figures … Developed as part of the Comparative Health System Performance
(CHSP) Initiative, the Compendium is … hospital discharges
are from system
hospitals
++
++
Percentage of U.S. physicians in health systems … with the system but may include some
duplicate physicians closely affiliated with more than one
system … The
Compendium is intended to be a resource for researchers, policymakers, health system leaders, and
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
April 01, 2025 - PowerPoint Presentation
Learning From Defects: Applying the “Swiss Cheese Model” of System Failures … Review the “Swiss cheese model” of system failure. … Apply a patient example to discover system failures. … Failure Consequences
A study by Tucker found that nurses encounter almost one system failure every hour … The Swiss cheese model depicts system failure.
Multiple factors contribute to patient outcomes.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/variation-in-health-system-characteristics-across-states-2016v2.pdf
September 01, 2017 - Data Highlight, No. 3 September 2017
Variation in Health System
Characteristics Across
States, 2016 … Comparative
Health System
Performance
Initiative
Note: Figures represent all non-Federal general … Developed as part of the Comparative Health System Performance
(CHSP) Initiative, the Compendium is … Quartile 2 (87.0% to 93.1%
Quartile 3 (93.2% to 95.3%)
Quartile 4 (95.4% to 99.6%)
3
HEALTH SYSTEM … The
Compendium is intended to be a resource for researchers, policymakers, health system leaders, and
-
www.ahrq.gov/sites/default/files/wysiwyg/variation-in-health-system-characteristics-across-states-2016v2.pdf
September 01, 2017 - Data Highlight, No. 3 September 2017
Variation in Health System
Characteristics Across
States, 2016 … Comparative
Health System
Performance
Initiative
Note: Figures represent all non-Federal general … Developed as part of the Comparative Health System Performance
(CHSP) Initiative, the Compendium is … Quartile 2 (87.0% to 93.1%
Quartile 3 (93.2% to 95.3%)
Quartile 4 (95.4% to 99.6%)
3
HEALTH SYSTEM … The
Compendium is intended to be a resource for researchers, policymakers, health system leaders, and
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - A rapid response system includes four components: 1-2
A mechanism for activating a rapid response … A system for feedback to improve future rapid responses. … A rapid response system offers a formalized way of requesting assistance. … guidance in establishing an obstetrical rapid response system at your facility. … ACTION: Determine items and measures to monitor the rapid response system.
-
www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Less than 25% of patients
are not monitored with this surveillance system. … Example of FTR event mitigation system interventions and capability levels. … A learning system was
recognized as important for sustaining highly reliable complex rescue care system … Engineers and clinicians see the
same system from very different perspectives. … Craig Kuziemsky: Decision-making in healthcare as a complex adaptive system.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-hospital-linkage-techdoc.pdf
January 01, 2023 - discharges per system. … linked to one health system include those in which both data sources agree on the system assignment, … of its system. … reflects the parent system … Definition of a Health System
The Compendium definition of a health system follows:
A health system
-
www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Agent insulin infusion system. … Potential barriers to use of
the Smart Agent system or ideas for further refinement of the system were … Due to technical issues with the eye tracking system (e.g., problems with system calibration or
general … Technical Performance of Smart Agent-Nurse System. A. … To Err Is Human: Building a Safer Health System.
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
August 01, 2022 - evolves through three stages:
A theoretical system capturing a vision of what an ideal system would … An ultimate ideal system that is built on the theoretical ideal system, but contains achievable operational … A technologically workable ideal system (TWIS). … The system will allow anonymous reporting, but the system should be designed to discourage anonymous … The TEP described two system models with respect to level of operations.
-
www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - There
are three key events that prescribe state changes for the patient/system. … renders system goals unattainable. … System dynamics approach to modeling risk in complex
healthcare settings. … System Dynamics Society and Wiley-Blackwell, 2008. ISBN 978-1-935056-
01-0. … System Dynamics Society and Wiley-Blackwell, 2009. ISBN
978-1-935056-02-7.
-
www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
April 01, 2019 - Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies
to help health system … No health system becomes an LHS overnight. … Nor is the term “learning health system” widely
used yet, even in systems doing this work. … Becoming an LHS is also increasingly an imperative in an era of health system transformation. … The current system is the result of a 2013
merger between Baylor Health Care System and Scott & White
-
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - of system pilot testing at different levels and in multiple localities. … system implementation. … The Pennsylvania system was used an example of a State-based system. … How should a consumer reporting system for patient safety events be financed? … The system will allow anonymous reporting, but the system should be designed to discourage anonymous
-
www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - The system
recorded all transactions, thereby facilitating the assessment of the system. … The UIHC utilized the expertise of Cisco
System Inc.' … compared with
the old system (2/7 to 4/21 in 2003 and 2004). … than with the manual system. … The staff members were using the barcode system for the first time.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc-appb.pdf
October 01, 2018 - Health Systems, 2016, Hospital Linkage File, Technical Documentation-Appendix B
Comparative Health System … ID (assigned by
the CHSP Initiative) of the system linked to the hospital
(same variable as in the … 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 … Health Systems)
Comparative Health System Performance Initiative: Compendium of U.S.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - The healthcare system isn’t perfect by any means. … What does it mean to look at each defect through a system lens? … Thus, it is crucial to address other system factors, because defects in the system increase the likelihood … Slide 22
Contributing System Factors
SAY:
Using Marta’s case example, what are some of the system … These are just some of the system factors at play.
-
www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - practice to describe the system, answer questions, and place posters that
described the system and … Staff indicated that the paper system was more efficient than
the web-based system. … as the electronic system allowed. … SIGNIFICANCE
Reporting System:
The ASIPS PSRS demonstrated that a voluntary error reporting system … Primary Care Patient Safety Reporting System
Web-based coding system
Reporting forms: event
-
www.ahrq.gov/sites/default/files/2024-01/wachs2-report.pdf
January 01, 2024 - the accuracy and efficiency of
the user intent recognition system. … Several
experiments were conducted to validate the system.
A. … The rate at which proficiency is acquired with experience of the system. … Also, the context-based system was shown to be significantly more natural than the assistant-based
system … A Continuous-speech Interface to a Decision Support
System: II.
-
www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - the accuracy and efficiency of
the user intent recognition system. … Several
experiments were conducted to validate the system.
A. … The rate at which proficiency is acquired with experience of the system. … Also, the context-based system was shown to be significantly more natural than the assistant-based
system … A Continuous-speech Interface to a Decision Support
System: II.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - and micro-system
level needs. … and micro-system levels.17
Macro-System Model
The macro-system model is a high level view (Figure … 2) of the health care system. … within the macro-system model. … areas for system improvement.