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Total Results: 6,167 records

Showing results for "system".

341. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
     January 01, 2025 - The areas of expertise included health care system change, design of the physical environment, health … Health Care System Change Lucian L. Leape. … Changing this system is the ultimate political challenge. … Second, small changes at one point in the system can result in large changes elsewhere. … Safety does not exist in any one component of the health care system.

342. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
     July 01, 2003 - in a community-based, integrated health system. … The ACPOE system is the next module being implemented. … integrated health system. … in an integrated health system with a systemwide CMR. … To err is human: building a safer health system.

343. 2022 National Healthcare Quality and Disparities Report Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-intro.pdf
     December 01, 2022 - Patient Safety Monitoring System data … /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

344. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/index.html
     August 01, 2025 - foster a learning health system. … Enhancing communication in radiology using a hybrid computer-human based system . … Observing sources of system resilience using in situ alarm simulations . … will illustrate relationships among work system features. … parties, map the system, and develop a system dynamics simulation model to test solutions in a virtual

345. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - Perceptions of the Reporting System Anxiety over public reporting. … Thus, the perception of the system is one of individual rather than system correction. … Barriers to the Reporting System Reporting as punitive. … be a barrier to the system … Indiana medical error reporting system: Final report for 2006.

346. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
     January 01, 2024 - Gandhi 4.16.07 1 Scope: BWH developed a homegrown barcode/eMAR system to allow full integration … with the existing CPOE system. … The Brigham and Women’s hospital pharmacy converted to the barcoding system in September 2003. … A barcode-assisted dispensing system was implemented in three configurations. … The Medication Administration System-- Nurses Assessment of Satisfaction (MAS-NAS) scale.

347. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
     July 01, 2024 - ■ A computerized, bar-code-based tracking system for blood transfusions was used to prevent patient … integrated with a clinical decision support system in an outpatient EHR improved care quality, test … that uses linked data from the Pharmacy Information System and the Laboratory Information System to … https://digital.ahrq.gov/ahrq-funded-projects/toward-optimal-patient-safety-information-system 7 … An important safety feature of the system was that it did not identify any false positives.

348. AHRQ Training Projects Funded by PCOR Trust Fund | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/index.html
     August 01, 2024 - Learning Health System Embedded Scientist Training and Research (LHS E-StaR) Centers These scientist … their mutual commitment to support learning health systems by training a new cadre of learning health system … Grantees will create new models of learning health system infrastructure that will use evidence generated … support the development of researchers in academic and applied settings (e.g., the health care delivery system … conducting PCOR and for the integration of evidence into practice and decisionmaking in the health care system

349. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - Events submitted to a reporting system often trigger or initiate an RCA. … How do we know that the reporting system actually improved patient safety? … To err is human: Building a safer health system. … Creating the web-based Intensive Care Unit Safety Reporting System (ICUSRS). … Building a better incident reporting system: Perspectives from a multisite project.

350. Integrating Clinical Prediction Rules into EHRs to Improve Care, Reduce Waste | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
     January 01, 2024 - Thomas McGinn, M.D., M.P.H., noticed the tremendous amount of wasteful spending in the U.S. healthcare system … How could people go without care when the overall system was awash in spending? … integrate two clinical prediction rules, for strep throat and pneumonia, into Mount Sinai’s new EHR system … Building on this work and next working at Northwell Health, a large Long Island not-for-profit system … researchers who can focus on some of the most important challenges facing our Nation's health care system

351. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
     July 01, 2018 - Slide 4 Health Care Defects In the U.S. health care system: 7 percent of patients suffer … Slide 6 The Science of Safety Every system is perfectly designed to achieve its end results … Slide 7 System-Level Factors Affect Safety9 Concentric circles show the layered system-level factors … Slide 9 System-Level Factors Can Predict Performance Examples of the Impact of System-Level … To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.

352. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - This shortcoming encouraged the caregiver to bypass the BCMA system. … To err is human: building a safer health system. … Computerized Patient Record System (CPRS) technical manual, GUI version. … Crossing the quality chasm: a new health system for the 21st Century. … A physician- based voluntary system for adverse events and medical errors.

353. Implementing the CMS Patient Safety Structural Measure: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
     May 13, 2025 - “System-wide assessment on safety” refers to a hospital self-assessment of safety practices and capacity … across the PSO community 2025 Activating Patients as Partners in Safety Collaborative Identify system … One or more C-suite leaders oversee a system- wide assessment on safety, and the execution of patient … • Technologies, including a CPOE system and BCMA system, that promote safety and standardization of … 2 Strategic Planning and Organizational Policy PSSM Domain 3 Culture of Safety and Learning Health System

354. Moderating Factors | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5.html
     January 01, 2013 -    Not in a System 349 51%    In a System 88 13%    Missing 244 36% … Finally, health care system was significant whereby units residing in hospitals not associated with a … system had a higher rate than units in hospitals associated with a system. …     0.0059    In a System ref        Not in a System 0.3099 0.0059   …        In a System ref      Not in a System 0.2028 <.0001 Control Status

355. Centers of Excellence and Coordinating Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/about-chsp/centers/index.html
     July 01, 2019 - Coordinating Center Overview AHRQ’s Coordinating Center for Comparative Health System Performance … and collaboration will help align the concepts, data, methods, and measures needed to compare health system … Synthesize and Disseminate Research on Health System Performance To speed the adoption of practices … Systems The Coordinating Center is creating a compendium that will enable users to access health system … For more information, visit the Coordinating Center for Comparative Health System Performance .

356. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: ICD-9 codes of the chronic conditions included (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-icd-9codes.pdf
     June 02, 2025 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other … congenital anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital

357. Section 7.B, Table 4 ICD-9 Codes Used in this Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7b-table-4.pdf
     June 02, 2025 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other … congenital anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital

358. CHIPRA 207: Section 7, ICD Codes Use in the Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-7-icd-codes.pdf
     June 02, 2025 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other … congenital anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital

359. CHIPRA 157, Section 7.B, ICD-9 Codes for Chronic Conditions Used in this Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-icd-9-codes.pdf
     June 02, 2025 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other congenital … anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital anomalies

360. CHIPRA 155: Section 7.B, ICD-9 Codes Used in this Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-b-icd-9-codes.pdf
     June 02, 2025 - septal closure 746 Other congenital anomalies of heart 747 Other congenital anomalies of circulatory system … Anencephalus & similar anomalies 741 Spina bifida 742 Other congenital anomalies of the nervous system … 748 Congenital anomalies of respiratory system 749 Cleft palate & cleft lip 750 Other congenital … anomalies of upper alimentary tract 751 Other congenital anomalies of digestive system 756 Other … congenital anomalies of musculoskeletal system 758 Chromosomal anomalies 759 Other unspecified congenital