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www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
January 01, 2024 - true alarms and false alarms; 2) System Usability Scale (SUS3,4)
scores; 3) Likert scale queries on … Tasks 1.4-1.6: In live ED settings, the networked MeTeOR system demonstrated a 0.14% data packet loss … and experimental system assessments. … Catalyzing system change through healthcare simulation: systems, competency, and outcomes. … An empirical evaluation of the System Usability Scale.
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www.ahrq.gov/takeheart/training/all-modules/index.html
December 01, 2022 - Systems Change: Understanding Your Workflow Processes to Prepare for System Change
This module describes … Building and Implementing a Successful Automatic Referral System
This module provides direction on … designing and implementing an automatic referral system. … faced with implementing an automatic referral system. … Options to Expand System Capacity and Patient Centeredness
This module explores how a hybrid CR model
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - Project Team: Allan Frankel, M.D., Partners HealthCare System
Tejal Gandhi, M.D., Brigham & Women’s … The project invited leaders from Johns Hopkins and Partners HealthCare
System as well as Cedars-Sinai … Scope
Preventing medical errors is a high priority among hospital and health system leaders. … Patient safety leaders at the Health Research and Educational Trust, Partners
HealthCare System, and … Settings
In 2001, the Health Research and Educational Trust (HRET), Partners HealthCare System, and
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Identify the key safety elements of a robust rapid response system. … Slide 4: Rapid Response System
A rapid response system (RRS) includes four components: 1,2
A … A system for feedback, to help mitigate or improve response to similar situations in the future. … System is established as part of a hospital’s larger rapid response system, or is established as a separate … System feedback.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
March 01, 2009 - 1
2
Describe the historical and contemporary context of the Science of Safety
Explain how system … design affects system results
List the principles of safe design and identify how they apply to technical … Factors Affect Safety9
7
7
8
Safety is a Property of the System
8
System-Level Factors … Can Predict Performance
Examples of Impact of System-Level Factors
System Factor Effect
Daily rounds … To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.
6.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
June 01, 2014 - System Representative(s) Perspective . … Care coordination is the responsibility of any system of care (e.g., "accountable care organization [ … Health care entities are discrete units of the health care system that play distinct roles in delivery … After receiving the blood test results via the electronic medical record system, Dr. … Making care coordination a critical component of the pediatric healthcare system: A multidisciplinary
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-4.xlsx
June 02, 2025 - (Data Search Type)
If this data element is coded, indicate the coding system. … (Stored Data Type)
If this data element is coded, indicate the coding system. … Coding System
(Data Search Type)
Leslee Madison: If this data element is coded, indicate the coding … system. … Coding System (Stored Data Type)
Eric Mays: If this data element is coded, indicate the coding system
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-7b.pdf
June 02, 2025 - GAPPS study analytic sample (n=
3,442)
Chronic Condition Indicators n (%) AE rate P-Value
0 body system … 1,935 (56.2%) 0.07 Reference
1 body system 1,067 (31.0%) 0.12 <0.001
2 body systems 315 (9.2%) 0.25 … analytic sample (n= 3,442)
Chronic Condition Indicators
(CCI)
RRa (95% CIb) P-Value
0 body system
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2023.xlsx
January 01, 2023 - 0 2 1 2 866 42465 199.52 0 1 1 1 1 0 0 0 0 0 0 2 1118781534 1792160717
HSI00000018 Alameda Health System … 1 1 3 1 2 1759 94617 71.16 0 0 0 1 0 0 0 1 1 0 0 1 3673942762 11651935753
HSI00000032 Altru Health System … 1 1 198 10160 28.75 0 0 0 1 0 0 0 1 606228574 1857469817
HSI00000034 Anderson Regional Health System … 0 0 0 0 1 366 18051 204.51 0 1 0 2 1 1 1 0 0 0 0 3 406363315 2895295038
HSI00000054 Asante Health System … 699 25875 15.68 0 0 0 1 0 0 1 1 1 0 1 1 1116510138 4125231673
HSI00000059 Atlantic General Health System
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2023.csv
January 01, 2023 - 0 2 1 2 866 42465 199.52 0 1 1 1 1 0 0 0 0 0 0 2 1118781534 1792160717
HSI00000018 Alameda Health System … 1 1 3 1 2 1759 94617 71.16 0 0 0 1 0 0 0 1 1 0 0 1 3673942762 11651935753
HSI00000032 Altru Health System … 1 1 198 10160 28.75 0 0 0 1 0 0 0 1 606228574 1857469817
HSI00000034 Anderson Regional Health System … 0 0 0 0 1 366 18051 204.51 0 1 0 2 1 1 1 0 0 0 0 3 406363315 2895295038
HSI00000054 Asante Health System … 699 25875 15.68 0 0 0 1 0 0 1 1 1 0 1 1 1116510138 4125231673
HSI00000059 Atlantic General Health System
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gustafson.html
February 01, 2024 - received a grant from the National Center for Health Services Research and Development to develop a system … The system consisted of a computer-based interactive interview and a computerized decision-making model … develop what became one of his crowning achievements: the Comprehensive Health Enhancement Support System … , or CHESS, a computer-based system to help people in crisis with up-to-date information, behavior change … Gustafson received a 6-year AHRQ grant in 2011 to develop an easy-to-use, laptop-based system to support
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - Sites participating in CDS system
evaluations must be managed actively. … Is a CDS system implemented in two different
settings still the same CDS system? … model previously implemented in a desktop system named DrugCalc.® 22 The
system models a patient’s … care, but also the extent to which the system is used. … • A CDS system implementation may be greatly complicated by a
formal system evaluation, especially
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - Statistical Process Control Slides
Advanced Methods in Delivery System Research –
Planning, Executing … , Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #2: Statistical Process … , PhD, MPP
Discussant: Stephen Alder, PhD
Moderator: Cindy Brach, MPP
Sponsored by AHRQ’s Delivery System … Facilitators, IT support staff and system changes were all necessary to effect change. … Identifying transitions is a start – impact requires understanding the cause and adapting the system
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apa.html
January 01, 2024 - diagnostic safety/error + cognitive burden
diagnostic safety/error + culture, workflow, and work system … norms
diagnostic safety/error + culture barriers identified by staff
diagnostic safety/error + work system … diagnostic safety/error + work system process breakdowns
diagnostic safety/error + disparities … diagnostic safety/error + interventions patient and family
diagnostic safety/error + interventions system
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Explain how system design affects system results. … Slide 5: The Science of Safety
Every system is perfectly designed to achieve its end results. … Slide 6: System-Level Factors Affect Safety 6
Image: Concentric circles show the layered impact of … Slide 7: System-Level Factors Can Predict Performance
Examples of Impact of System-Level Factors … To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab28.html
December 01, 2017 - evidence-based practices through delivery systems; recommendations and methods for advancing delivery system … Cardiovascular disease
Return to Chapter 5
Related Content
Advanced Methods in Delivery System … and research briefs on advanced approaches to planning, executing, analyzing, and reporting delivery system … Meeting Summary
Delivery System Research Initiative
Presentations and publications by recipients … of ARRA Delivery System Grants.
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Probabilistic risk
assessment can reveal important issues in the clinical system. … and
neither the physician nor the computer system recognizes the interaction, or the physician is … Any problems that they
encountered were ascribed to the insurer or the system. … Conflicting Info from Healthcare System (probability reduced by 25%)
o. … Clean Up System
a. CPOE Offers Wrong Frequency (probability reduced to 0%)
b.
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www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Kossuth Regional Health Center
• Deb Davis, BA, Director, Support Services, Palo Alto County Health System … The
proposed EHR system will be supported by Application Service Provider and Remote Host
Organization … To complete a successful system-wide, patient-centered planning process led by
physicians, nurses, and … that was compatible with MMC-NI’s system in order to improve continuity of care for
patients across … with a common patient identifier system and
shared clinical data repository.
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr4.html
February 01, 2014 - Identifying Key Areas for Delivery System Research
References
Previous Page Next Page … Table of Contents
Identifying Key Areas for Delivery System Research
Executive Summary
Identifying … B: Example Components of the Conceptual Model
Appendix C: "Long List" of Delivery System Research … Methods and metrics issues in delivery system research. … Available at: http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/alexander/
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide80.html
October 01, 2014 - Meta-analysis (1996): Impact of having a tobacco use status identification system in place on rates of … clinician intervention with their patients who smoke (n = 9 studies)
Screening system
Number … No screening system in place to identify smoking status (reference group)
9
1.0
38.5
Screening … system in place to identify smoking status
9
3.1 (2.2-4.2)
65.6 (58.3-72.6)
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