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Total Results: 6,167 records

Showing results for "system".

281. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
     June 02, 2025 - measurable impact and achieve buy-in from the health professionals who work in a particular micro system … While most of the articles in section two represent clinical process improvements at the micro system … It has often been stated that overall quality and safety improvement requires major system redesign. … Others say that the health care system was never designed in the first place, so the issue is system … volume represent an important group of case studies focused on issues of organizational culture and system

282. Gap Analysis for MRSA and SSI Prevention (Surgical Services) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
     April 01, 2025 - Is there a system in place to monitor compliance with the preoperative testing? … Is there a system in place to monitor compliance? [IF NO, SKIP TO QUESTION 12. … Is there a system in place to monitor compliance? [IF NO, SKIP TO QUESTION 18. … Is there a system in place to monitor compliance? [IF NO, SKIP TO QUESTION 21. … Is there a system in place to monitor compliance? [IF NO, SKIP TO THE END.

283. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - A rapid response system includes four components:1,2 · A mechanism for activating a rapid response. · … A clinical team that can rapidly respond to and manage maternity care conditions. · A system for feedback … A unitwide approach could be part of a hospital’s larger rapid response system, with modifications to … A rapid response system offers a formalized way of requesting assistance. … in establishing an obstetrical rapid response system at your facility.

284. A Visual Computer Interface Concept for Making Error Reporting Useful at the Point of 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-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.

285. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
     January 01, 2024 - Given the significant limitations inherent in this safety-net system, the THQIT Planning Grant group … Bruce Jr. 4) to use the information from this system to transition CVD care to a longitudinal platform … • The total population dependent upon the safety-net system for health coverage was nearly 39% of the … This further emphasizes the need to re-engineer the system of care for CVD in the HCSD, because: • … The system was robust enough to interface with existing HIT systems within a multi-center delivery system

286. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - learner will be able to: Define the key elements of a timely and comprehensive event reporting system … Key elements of an effective event reporting system include the following: Supporting a rapid … All of these elements support the foundation for a resilient reporting system. … Ask: Which of these elements are part of your current event reporting system? … Providers: Event reporting system, morbidity and mortality forums, HSOPS surveys.

287. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
     January 01, 2024 - ; • Study organizational change within a rural healthcare system and develop an effective intervention … Scope: Northeast Health implemented a Meditech HIT system and experienced both technical and cultural … • Northeast Health would study organizational change within a rural healthcare system and develop … for a rural health system … operates, Northeast Health as a system, and Schein’s three distinct cultures.

288. Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-it2.pdf
     July 01, 2025 - with a shared quality improvement and IT infrastructure, including a system-wide EHR (EPIC). … This project is being conducted within a networked system and has the support of specialty and primary … Estimate the prevalence and incidence of UI in a diverse, large, integrated health system. 2. … • Integrated IT and quality improvement structures across the healthcare system. … to better integrate care across the system from screening to treatment

289. Chapter 6. Discussion and Policy Implications | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter6.html
     August 01, 2022 - How will the efficiency, costs, and benefits of a system be demonstrated? … What sorts of outcomes are needed from a system (or a pilot test of a system) to demonstrate that it … Training will be needed for system personnel, particularly regarding making submitted data uniform. … Decisions regarding system functions/activities that occur at the "system hub" versus those that occur … features do not need to be present or fully specified at initial system implementation.

290. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
     January 01, 2025 - Clearly, the legal system is designed to find and deal with only fault, though a desired system of open … useless as a tool for repairing a flawed system. … blame is the bedrock element of the exercise, even when the only blame belongs to the system. … A national reporting system similar to the NASA ASRS system would be vastly more complex and widespread … One breach, and the system collapses from widespread lack of confidence. 2.

291. Compendium of U.S. Health Systems, 2021, Hospital Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hospital-linkage-techdoc-rev.pdf
     January 01, 2021 - discharges per system. … vi Hospitals linked to one health system include those in which both data sources agree on the system … not assign a system for the hospital, it is listed as being in the system. … of its system. … Definition of a Health System The Compendium definition of a health system follows: A health system

292. 2023 National Healthcare Quality and Disparities Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023nhqdr-introduction-rev.pdf
     December 07, 2023 - Crossing the Quality Chasm: A New Health System for the 21st Century. … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the

293. Monitoring Progress for Sustainable Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
     June 02, 2025 - This tool provides the following information: • An overview and rationale for a monitoring system … to sustain improvements; • Identification of the key elements of a monitoring system; and • Guidance … on how to establish each monitoring system element. … There is no single “correct” way to build a system for monitoring sustainability of performance. … Consider both process and outcome measures for inclusion in your monitoring system.

294. Monitoring Progress for Sustainable Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
     June 02, 2025 - This tool provides the following information: • An overview and rationale for a monitoring system … to sustain improvements; • Identification of the key elements of a monitoring system; and • Guidance … on how to establish each monitoring system element. … There is no single “correct” way to build a system for monitoring sustainability of performance. … Consider both process and outcome measures for inclusion in your monitoring system.

295. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
     March 30, 2008 - within the integration points of the electronic system. … • Picture archiving and communication system (PACS). … Moreover, we are comparing our CPOE system against a highly developed paper-based system that incorporated … Unexpected mortality after implementation of a commercially sold CPOE system. … Work system analysis: The key to understanding health care systems.

296. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - Also spanning the surveillance landscape are papers on a national medication error reporting system, … proactive medication studies, a system that embeds the principles of high-reliability organizations … , another that targets high-risk device-use areas, a close call-good catch system, and a care enhancement … Attempting to map from one system to another is not a task for the light-hearted. … vulnerabilities, and how a mentor program can help staff navigate a reporting system while alleviating

297. Weighted Summary Statistics: PUF Commercial Inpatient File (Version 2) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
     September 26, 2023 - and subcutaneous tissue 157,726 1.65 5,369,008 56.30 M00-M99: Diseases of the musculoskeletal system … 1,134,682 11.90 4,788,290 50.21 J00-J99: Diseases of the respiratory system 652,323 6.84 5,440,613 … 1,142,563 11.98 5,130,032 53.79 J00-J99: Diseases of the respiratory system 464,416 4.87 5,594,448 … and subcutaneous tissue 86,489 0.91 6,386,095 66.96 M00-M99: Diseases of the musculoskeletal system … and subcutaneous tissue 73,768 0.77 6,765,219 70.94 M00-M99: Diseases of the musculoskeletal system

298. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
     January 01, 2024 - Settings: Legacy Health System is the largest not-for-profit healthcare system based in Oregon. … It utilizes a different EMR than the other hospitals in the system. … This has reduced their ability to utilize the new system effectively. … At Legacy Health System, the process of implementing a medication reconciliation system exposed other … system processes that were not performing well.

299. Data Briefs | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/data-resources/highlights.html
     April 01, 2022 - Health System Characteristics, 2016 (PDF, 1.1 MB) Data Brief 3:  Variation in Health System Characteristics … Across States, 2016 (PDF, 2.4 MB) Data Brief 4:  Health System Participation in Accountable Care … Health Systems, 2016  (PDF, 326 KB) Data Brief 6:  Health System Participation in Medicare Bundled

300. Integration of Medication Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
     June 01, 2018 - Hospitals with electronic exchange of patient medication history with hospitals outside their system. … of hospitals with electronic exchange of patient’s medication history with hospitals outside their system … of hospitals with electronic exchange of patient’s medication history with hospitals outside their system … hospitals in the Midwest were most likely to have electronic exchange with hospitals outside their system … of hospitals that electronically exchanged patient medication history with hospitals outside their system