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  1. 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.
  2. 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
  3. 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
  4. 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.
  5. 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.
  6. 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
  7. 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
  8. Table 7B.1 (pdf file)

    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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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.
  16. 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.  
  17. 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.
  18. 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.
  19. 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/
  20. 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) Previous

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