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Showing results for "system".

381. 81. Treatment Recommendations: Counseling (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide81.html
     October 01, 2014 - Meta-analysis (1996): Impact of having a tobacco use status identification system in place on abstinence … rates among patients who smoke (n = 3 studies) Screening system Number of arms Estimated … No screening system in place to identify smoking status (reference group) 3 1.0 3.1 Screening … system in place to identify smoking status 3 2.0 (0.8-4.8) 6.4 (1.3-11.6) Previous Slide

382. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
     January 01, 2024 - Employees of the participating sites could access information from this system. … The medication reporting system was changed from a paper to a web-based system. … "The Impact of Using a Web-based Reporting System on Medication Error Reporting." … in Medication Use Collected Through an Automated System of Medication Error Reporting. … "Evaluating the System of Medication Error in an In-Patient Setting."

383. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - A voluntary, anonymous, nonpunitive, team-based reporting system was established. … Remedy: Met with laboratory management to revise courier system. … , but that system redesign is needed for a safer environment. … To err is human: Building a safer health system. … Crossing the quality chasm: A new health system for the 21st century.

384. Appendix D: Four Suggested Key Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapd.html
     February 01, 2014 - Identifying Key Areas for Delivery System Research Appendix D: Four Suggested Key Areas Previous … Page   Table of Contents Identifying Key Areas for Delivery System Research Executive Summary … Identifying Key Areas for Delivery System Research Conclusion References Appendix A: Priority … Topics Appendix B: Example Components of the Conceptual Model Appendix C: "Long List" of Delivery System … Delivery system demographics, for example: Percentage of physicians in groups of various

385. 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
     July 01, 2021 - care system Improving health care systems and outcomes. … Primary care improvement and transformation in the IHS system. … the VHA health care delivery system. … VHA system leaders. VHA health care providers. Quality measurement. … Primary care transformation across the VHA system.  

386. Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf
     November 01, 2015 - Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program AHRQ DELIVERY SYSTEM … Between 2008 and 2014, practices that voluntarily participated in Medicare’s Physician Quality Reporting System … Contact Us For additional information on AHRQ Delivery System Research, visit our Web site at http: … //www.ahrq.gov/professionals/systems/system/delivery-system-initiative/index.html or contact Michael … /delivery-system-initiative/index.html mailto:Michael.Harrison@ahrq.hhs.gov

387. Minding the Gaps: Creating Resilience in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
     April 27, 2008 - System-Level Safety No system has infinite adaptive capacity. … In other words, plot how a system stretches in response to changes in demands. … Equipment and information system design. … Human system integration in the system development process: A new look. … Building a better delivery system: A new engineering healthcare partnership.

388. Cerner-Q-A-Session (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
     June 02, 2025 - Q: How do we reconcile decisions made at the system level with our needs at the hospital level? … There’s always this assumption that what the system wants is also what the hospitals want. … It took us 22 months to roll out this system. … • We have 2 CR programs within our system that are about 10 miles apart; however, the general system … In our system we can use the patient location to hide or show certain orders.

389. Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
     January 01, 2025 - called the Automated Late-Arriving Results Monitoring System (ALARMS). … Monitoring System (ALARMS). … However, there was no system to ensure that these results were reviewed. … The latent error is that there is no automatic system to ensure follow-up for late-arriving results. … We call the system the Automated Late-Arriving Results Monitoring System (ALARMS).

390. Improving Primary Care Understanding of Resources and Screening for Urinary Incontinence to Enhance Treatment (PURSUIT) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_pursuit.pdf
     January 01, 2024 - incontinence (UI) treatments in primary care practices in the VA Health Administration (VHA) healthcare system … Vaughan, MD, MS, Atlanta VA Health Care System and the Birmingham/Atlanta GRECC Geographic region … • Specific focus on Veteran women, a population increasing (and aging) within the VHA system and … Alayne Markland, DO, MSc Co-PI Birmingham VA Health Care System and the Birmingham/Atlanta GRECC … Camille Vaughan, MD, MS Co-PI Atlanta VA Health Care System and the Birmingham/ Atlanta GRECC

391. Using a Tiered Approach With CUSP Principles Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
     April 01, 2022 - Designing a safe system is an essential component of achieving a positive safety culture. … A “Just Culture” is a system in which staff members and the system itself are held accountable. … System accountability encompasses leadership by its very nature. … Shared responsibility between staff and the system along with widespread commitment to eliminating the … Organizations can manage both system and human behavior through development of learning systems, which

392. Introducing the Child HCAHPS® Survey Database webcast-Rubin (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-steps-participation.pdf
     May 20, 2022 - complete four easy steps: Register Provide hospital information via the Online Submission System … according to the required data specifications 28 CAHPS Child Hospital Survey Data Submission System … 29 The CAHPS Child Ho spita l Survey Data Submission System Login Welc ome Welcome to the CAHPS … Child Hospital Survey Data Submission System. … The 2022 CAHPS Child Hospital Survey Data Submission System is now closed Participation in the CAHPS

393. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
     October 01, 2024 - Our system is not perfect, and it is increasingly complex. Time and resources are limited. … The Science of Safety 6 The Four Principles of the Science of Safety Safety is a property of the system … ” - James Reason, Human Error10 The CUSP approach is to understand the system behind the defect, not … What are some of the system factors that contributed to Susan’s death? … Consider all factors, or holes in the system, that led to this outcome.

394. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (Webcast) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/20140115_DB/webcast_01_15_14_cg.html
     July 01, 2018 - The Webcast featured: A demonstration of the Online Reporting System , a Web-based platform for … Current examples of how organizations use the CAHPS Database and the Online Reporting System to compare … Director, Research and Evaluation University Health System Consortium Presentation slides … Karls, MBA Director, Consumer Performance Metrics and Improvement University of Michigan Health System … site Read CAHPS Database Overview Brief ( PDF [126.68 KB] )   CAHPS Database Online Reporting System

395. Implementation Guide for Automatic Referral: Building, Implementing, and Troubleshooting and Automatic Referral for Cardiac Rehabilitation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-implementation-guide.pdf
     March 01, 2023 - in your hospital/health system. … • IT Lead/Staff possess deep understanding of the EMR system. … • Clinical Staff are the ultimate users of the referral system. … (This is crucial for tracking the effectiveness of the AR system.) … Check that your new AR build aligns with how providers use the system.

396. Facapplycusp (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     June 02, 2025 - Slide 2 SAY: The term “Just Culture” refers to a safety-supportive system of shared accountability … Slide 4 SAY: A Just Culture environment allows the review of both system design and an employee's … Human error is a product of both system design and behavioral choices. … System design; 3. Behavioral choices; 4. Learning systems; and 5. Accountability and justice. … Transparency is also vital in addressing system factors that may contribute to harm.

397. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - Staff rated the new system favorably. … old system. … Multicare Health System. … By implementing a patient reporting system throughout Sanford Health System—a large, not-for-profit, … Although one-third of respondents indicated the new system improved on the previous system, two-thirds

398. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - Staff rated the new system favorably. … old system. … Multicare Health System. … By implementing a patient reporting system throughout Sanford Health System—a large, not-for-profit, … Although one-third of respondents indicated the new system improved on the previous system, two-thirds

399. Apply Module Slide Presentation Text Descriptions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
     March 01, 2013 - Understand Just Culture (vignette still) Video icon Slide 5 Just Culture 1 A system … Human error is the product of our current system design and behavioral choices. … Slide 8 Systems and Behaviors Work Together To Improve Outcomes 1 System Design Mission, … Learning systems, like mission, values, and expectations, affect system design and in turn, behavioral … Slide 9 Peer to Peer Coaching (vignette still) Video icon Slide 10 Engineering System

400. Final Progress Report: Effects of Physician Social Networks on Surgical Quality, Safety, and Costs (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hollingsworth-report.pdf
     January 01, 2024 - After aggregating across episodes to construct the physician social networks serving each health system … teamwork in a given health system, we calculated two network measures. … In our random intercept models, we included random effects for health system. … Thus, we estimated multilevel models with health system random effects and clustered errors. … We controlled for confounders at the patient, health system, and community levels. V.