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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - ) that was based on the Aviation Safety Reporting
System. … System of Indiana. … The success of the PEERs system depends on reporters’ trust. … One major goal of
the system is to increase reporting. … To err is human: Building a
safer health system.
-
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
August 01, 2022 - About half of the identified individual, team, and system failures associated with these events were … No significant implementation barriers were identified, and some sites continued to use the system. … Multicare Health System
This grant resulted in the development of criteria for Avoidable Classes of … Staff rated the new system favorably. … old system.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Outpatient-Weighted.pdf
September 26, 2023 - 30.23
K00-K95: Diseases of the digestive system 9,332,868 4.76 68,555,829 35.00
L00-L99: Diseases … 30.23
K00-K95: Diseases of the digestive system 9,332,868 4.76 68,555,829 35.00
L00-L99: Diseases … 61.76
K00-K95: Diseases of the digestive system 7,008,593 3.58 127,986,088 65.34
L00-L99: Diseases … 78.18
K00-K95: Diseases of the digestive system 4,950,072 2.53 158,088,674 80.71
L00-L99: Diseases … 86.75
K00-K95: Diseases of the digestive system 3,177,364 1.62 173,096,565 88.37
L00-L99: Diseases
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
January 01, 2019 - Third Annual CHSP CoE Workshop
ISSUE BRIEF Third Annual Workshop
of the Comparative
Health System … ,
especially of system
performance, a central
focus of the initiative. … p
t
5
NBER studied oncology care delivery system
performance. … Whether system-affiliated hospitals have
better quality outcomes. … Measuring Health System Overall Quality with Item Response Theory Models (R-7),
A.
-
www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - variations in workflow to minimize the tendency for system workarounds. … Simulated Information System
The information system used for simulation in this study was the Veterans … The participants had some experience with system alerts in their current system when
removing a drug … Technological system solutions to clinical communication error. … To Err is Human: Building a Safer Health System.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Why a Frontline Management System? 2
2. Components of the Frontline Management System 3
3. … Why a Frontline Management System?
Many improvement projects fail to result in sustained gains. … in the management system became apparent. … Components of the frontline management system include—
· Daily Safety Huddles. … Summary of System Components and Expected Benefits
System Component
Expected Benefit
Daily Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
January 01, 2014 - 2014
anycranio Indicates whether patient had any comorbidities that involved the craniofacial body system … 2014
anyderm Indicates whether patient had any comorbidities that involved the dermatological body system … anygastro Indicates whether patient had any comorbidities that involved the gastrointestinal body system … Pediatrics 2014
Complex Chronic means ore than one body system is involved, or one or more conditions … Non-Chronic means no body system indicators are present and the condition is not progressive or malignant
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2021-rev.csv
January 01, 2021 - 4 0 2 794 42878 203.89 0 1 1 2 1 0 0 1 0 0 0 2 1091909040 1716931065
HSI00000018 Alameda Health System … 1700 94787 70.45 0 0 0 1 0 0 0 1 1 1 1 H3219 14247 1 3418178305 10155376716
HSI00000032 Altru Health System … 1 258 9394 31.58 0 0 0 1 0 0 0 1 1 557134252 1580926834
HSI00000034 Anderson Regional Health System … 28008 23.16 0 0 0 1 1 0 1 0 1 759390603 3503373819
HSI00000042 Appalachian Regional Healthcare System … 1 1 0 1 366 17689 186.54 0 1 0 2 1 1 1 0 0 0 0 3 390907095 2413020589
HSI00000054 Asante Health System
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2021-rev.xlsx
January 01, 2021 - 4 0 2 794 42878 203.89 0 1 1 2 1 0 0 1 0 0 0 2 1091909040 1716931065
HSI00000018 Alameda Health System … 1700 94787 70.45 0 0 0 1 0 0 0 1 1 1 1 H3219 14247 1 3418178305 10155376716
HSI00000032 Altru Health System … 1 258 9394 31.58 0 0 0 1 0 0 0 1 1 557134252 1580926834
HSI00000034 Anderson Regional Health System … 28008 23.16 0 0 0 1 1 0 1 0 1 759390603 3503373819
HSI00000042 Appalachian Regional Healthcare System … 1 1 0 1 366 17689 186.54 0 1 0 2 1 1 1 0 0 0 0 3 390907095 2413020589
HSI00000054 Asante Health System
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - Therefore, the Act has the potential to create an event reporting system that provides
feedback for … Statements to focus efforts—will help to improve system functionality and safety. … The near
miss/hazard reports will become a uniquely rich source of system intelligence. … important to improve care, reflecting the local nature of all health
care system performance. … Medical error reporting system still a year
off.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2022-rev.xlsx
January 01, 2022 - 4 0 2 835 43211 203.89 0 1 1 1 1 0 0 1 0 0 0 2 1119212522 1764250985
HSI00000018 Alameda Health System … 1703 88670 70.96 0 0 0 1 0 0 0 1 1 1 1 H3219 17893 1 3435770123 10497428933
HSI00000032 Altru Health System … 1 258 9394 31.58 0 0 0 1 0 0 0 1 1 557134252 1580926834
HSI00000034 Anderson Regional Health System … 28008 23.16 0 0 0 1 1 0 1 0 1 759390603 3503373819
HSI00000042 Appalachian Regional Healthcare System … 1 1 0 1 366 17689 186.54 0 1 0 2 1 1 1 0 0 0 0 3 390907095 2413020589
HSI00000054 Asante Health System
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2022-rev.csv
January 01, 2022 - 4 0 2 835 43211 203.89 0 1 1 1 1 0 0 1 0 0 0 2 1119212522 1764250985
HSI00000018 Alameda Health System … 1703 88670 70.96 0 0 0 1 0 0 0 1 1 1 1 H3219 17893 1 3435770123 10497428933
HSI00000032 Altru Health System … 1 258 9394 31.58 0 0 0 1 0 0 0 1 1 557134252 1580926834
HSI00000034 Anderson Regional Health System … 28008 23.16 0 0 0 1 1 0 1 0 1 759390603 3503373819
HSI00000042 Appalachian Regional Healthcare System … 1 1 0 1 366 17689 186.54 0 1 0 2 1 1 1 0 0 0 0 3 390907095 2413020589
HSI00000054 Asante Health System
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/stroud-0914slides.pdf
January 01, 2014 - Stories from the AHRQ Medical Office Survey on Patient Safety Culture
25
25
Carolinas HealthCare System … Patient Safety Culture Survey
Juanita Stroud
Patient Safety Director
26
26
Carolinas HealthCare System … physicians
27
27
Carolinas HealthCare System Mission & Values
Our Mission
• To create and … operate a comprehensive system to
provide healthcare and related services, including
education and … System
Every Monday Matters
Medical Office Survey Toolkit
Toolkit Material- Example
Sharing
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
March 01, 2018 - EHR System
Training
Staff are given enough training to use their
EHR system, the training is customized … EHR System
Support and
Communication
Staff are made aware of problems with their
EHR system, asked … EHR System Training
2. EHR System Support
and Communication
50%
11
Chart 2. … EHR System Training
1. We are given enough training on how to use
our EHR system. 63%
2. … EHR System Support and Communication
1.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - PowerPoint Presentation
System Redesign for Value in
Safety-Net Hospitals and Systems:
Challenges and … Former CEO and Medical Director
Jefferson Health System/Cooper Green Hospital
Arnold Kaluzny, Ph.D. … Enhancing process improvement effectiveness: system redesign in safety-net systems. … Does our organization
have the direction and
alignment needed for
strategic system
redesign? … Does our organization have the direction and alignment needed for strategic system redesign?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - SAY:
A “system” is a set of parts interacting to achieve a common goal. … Slide 5
System Factors Impact Safety
SAY:
Each level of the health care delivery system matters. … ASK:
What levels can you identify within your health care delivery system? … Safety is the property of the system. … This means that every system is perfectly designed to achieve its end results.
2.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carayon.pdf
February 01, 2005 - In the SEIPS model of work system and patient safety, we
Advances in Patient Safety: Vol. 4
462 … measures of work system. … Work
system and patient safety. In: Luczak H, Zink KJ,
editors. … Web Survey Mailer System (WSMS1.1).
In: CQPI Technical Report Series. … Correlation and regression analyses between measures of work system
Figure 1.
-
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - focus group and survey data revealed that patients and their family members tended to agree on which system … This project prepared for and implemented Vanderbilt’s Patient Advocacy Reporting System (PARS) in the … Sanford Health System, a large, multistate, not-for-profit health care provider. … Using a variety of methods, the health system was able to ensure it met requirements in these 10 areas … Multicare Health System.
-
www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system … System-Level Factors Affect Safety 9
Slide 8. Safety is a Property of the System
Slide 9. … System-Level Factors Can Predict Performance
Slide 10. … Return to Contents
Slide 7: System-Level Factors Affect Safety 9
Image: Concentric circles … Impact of System-Level Factors
System Factor
Effect
Daily rounds with an intensivist