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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?
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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.
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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/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
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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.
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www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixc_datasources.html
June 01, 2018 - National Tuberculosis Surveillance System (NTSS). … National Vital Statistics System—Mortality (NVSS-M). … National Vital Statistics System—Natality (NVSS-N). … Health Resources and Services Administration
Uniform Data System (UDS). … National Institutes of Health
United States Renal Data System (USRDS).
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/wachs2-report.pdf
September 30, 2013 - the accuracy and efficiency of
the user intent recognition system. … Several
experiments were conducted to validate the system.
A. … The rate at which proficiency is acquired with experience of the system. … Also, the context-based system was shown to be significantly more natural than the assistant-based
system … A Continuous-speech Interface to a Decision Support
System: II.
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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.
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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
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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
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
May 01, 2017 - Punish
Slide 17: Systems and Behaviors Work Together To Improve Outcomes 3
Image: Both system … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Slide 18: Systems and Behaviors Work Together To Improve Outcomes 3
Image: Both system design and … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Just culture: optimally supports a system of safety.
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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/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-ehr.pdf
August 23, 2018 - ask about your practice’s use of an electronic health record (EHR) or electronic medical record (EMR) system … Prac_EHR Does your practice use an EHR system or EMR system? … Year ____
prac_EHRname What is the name of your current EHR/EMR system? (check only one box. … NAMCS 2014)
prac_EHRversion
Collaboratively
determined core item
What version of your EHR/EMR system … FOA Required Is your current EHR/EMR system certified to meet Meaningful Use as defined by Health and
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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-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.
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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.
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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.
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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
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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
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www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/summary.html
May 01, 2016 - 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.
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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.