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  1. www.ahrq.gov/practiceimprovement/delivery-initiative/alexander.html
    December 01, 2020 - Research Jeff Alexander The University of Michigan The Challenge and Promise of Delivery System … Slide 3 What do We Want to Know about Delivery System Effectiveness? Can it work? … These factors constitute the social system or social context of change. … Incorporating time in delivery system models. Measuring readiness for change. … Organizational/system level developmental trajectories.
  2. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5.html
    May 01, 2018 - Improving Data Collection across the Health Care System 6. Implementation A. … or replacing the current system ( Shields et al., 2007 ). … management system, with clinical data stored in the EHR system. … levels of care, assuming that the data are present and available in the system. … , and language data in the practice management system need to be imported into the EHR system to produce
  3. www.ahrq.gov/patient-safety/reports/hotline/appa.html
    May 01, 2016 - Recommendations for Key Features of an Ideal Consumer Reporting System 1. … The system should collect information and conduct aggregate causal analyses. … The system should allow reporting at any point in time. … The system should: Publish information such as how much the system is used. … The system should provide meaningful and timely feedback to reporters.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
    February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research … What Is Delivery System Research? … Suggested Key Areas for Delivery System Research The paper suggests four key areas for delivery system … What Is Delivery System Research? … Available at: http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/alexander
  5. www.ahrq.gov/chsp/about-chsp/index.html
    May 01, 2021 - (CHSP) Initiative Overview Download this fact sheet  (PDF, 103 KB) AHRQ Comparative Health System … Program Overview and Accomplishments, 2015-2020 (PDF, 826 KB) AHRQ created the Comparative Health System … The Comparative Health System Performance Initiative will address these knowledge gaps and accelerate … Evaluate the role of PCOR in health system performance. … Develop a compendium on health system performance that includes information on system characteristics
  6. www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
    December 01, 2017 - Sign up: Quality Measure Tools Email updates Slide 1 Identifying Key Areas For Delivery System … Research The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts … Criteria for selecting key areas for delivery system research. … Slide 3 Why study the delivery system? … Slide 4 What is delivery system research?
  7. www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
    February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research … What Is Delivery System Research? … Suggested Key Areas for Delivery System Research The paper suggests four key areas for delivery system … What Is Delivery System Research? … Available at: http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/alexander
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
    March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor … This health care system was not perceived as a learning organization. … This allows for specific population and aggregate system level reporting. … Improved near-miss reporting at Christiana Care Health System. … To err is human: Building a safer health system.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems 337 Work System Analysis: The … in a system interact. … • System attribute: System attributes are the perceived characteristics of the system. … ” • System boundary: System boundaries are zones between one system and another. … • System input: A system input is anything necessary to energize the system.
  10. www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
    June 01, 2020 - Organization of Care Care Delivery Process The impact of the changing health care system … on care There needs to be a better understanding of how changes to the health care system, … Organization of Care Quality of Care The impact of the complexity of the health care system on … patient outcome The health care system is complex, and new models and reforms are making it … There needs to be more attention paid to how the complexity of the health care system impacts patient
  11. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-intro.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case … Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System … This health system consists of five high-complexity hospitals, two private (with 746 beds) and three … The health system uses an anonymous incident reporting system, enabling employees to report potential … adverse events, near-misses, or areas of risk across the entire health system.
  12. www.ahrq.gov/policy/privacy.html
    November 01, 2017 - System of Records Notices (SORNs) The Privacy Act of 1974, ( 5 U.S.C. § 552a ) establishes a code of … For each system of records, a specified AHRQ employee, known as a system manager, is responsible for … The AHRQ system manager, along with his or her mailing address, is listed in the Federal Register notice … For each system of records, a specified Agency employee, known as a system manager, is responsible for … For each system of records, a specified Agency employee, known as a system manager, is responsible for
  13. www.ahrq.gov/chsp/data-resources/compendium/technical-documentation.html
    December 01, 2023 - In 2015, the Agency for Healthcare Research and Quality (AHRQ) created the Comparative Health System … working collaboratively with AHRQ and the CoEs to facilitate synthesis of findings on comparative health system … This list consolidates information from several data sources, indicating system ownership and provider … affiliations with systems and highlighting key system attributes.
  14. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/learning-from-defects.html
    April 01, 2025 - Every system, no matter how well designed, will include failures. … CUSP recognizes that, in most cases, patient safety and quality are parts of the system, rather than … failure Apply a patient example to discover system failures Documents: Learning From Defects: Applying … the Swiss Cheese Model of System Failures – Slides (PPTX, 5 MB) Learning From Defects: Applying the … Swiss Cheese Model of System Failures - Facilitator Guide (DOCX, 2 MB) Tools and Resources CUSP Tool
  15. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table1.html
    August 01, 2022 - System should allow reporters to decide how and where information is shared. … Scope and range—Voluntary vs. mandatory System should be voluntary. … System Infrastructure and design System should have multiple reporting modalities (in-person, … System should provide meaningful and timely feedback to reporters. … System should provide feedback to providers and provider organizations.
  16. www.ahrq.gov/chsp/about-chsp/centers-of-excellence/nber.html
    September 01, 2016 - characteristics, as well as the effects of system organization on outcomes. … The goal is to learn which delivery system features influence the diffusion of evidence-based care, to … The aims of the NBER Center of Excellence are to: Characterize the current delivery system and track … changes in delivery system structure across space and over time. … The study will examine system features at the organization and market levels.
  17. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter2.html
    August 01, 2022 - According to the IDEALS concept, a recommended system evolves through three stages: A theoretical … system capturing a vision of what an ideal system would be (even if it is realistically unobtainable … An ultimate ideal system that is built on the theoretical ideal system, but contains achievable operational … A technologically workable ideal system (TWIS). … The result of this process is a recommended system that is specified in terms of currently available
  18. www.ahrq.gov/news/blog/ahrqviews/lhs-scientist-training.html
    January 01, 2024 - the Patient-Centered Outcomes Research Institute (PCORI) are partnering to advance learning health system … In evolving our joint efforts, we have developed the Learning Health System Embedded Scientist Training … A learning health system is one in which internal data and experience are systematically integrated … They will work alongside clinical, health system, and community leaders to produce evidence that can … AHRQ and PCORI first invested in building a corps of learning health system scientists in 2018.
  19. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh2.html
    August 01, 2022 - [D] Text Description: A flowchart shows the structure of the consumer reporting system … The report is prepared and input into the system. … Health care facilities and providers also add information about the event to reporting system records
  20. www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
    September 29, 2016 - AHRQ Comparative Health System Performance Initiative: Annual Workshop AHRQ Comparative Health System … 9292 Next steps for work group on health system characteristics? … Health System: Kaiser Permanente Kaiser Permanente (2) Example Health System: Catholic Health Initiatives … Example health system: Catholic Health Initiatives Example health system: Southern Illinois Health … Care Example health system: Southern Illinois Health Care Some characteristics of health system “market

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