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Showing results for "system".

401. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of understanding system … Explain how system design affects system results. … Health Care Defects Say: Examples of the effect of defects and errors in the U.S. health care system … Being cognizant of the system design and how it contributes to the results that it delivers will help … there are several system factors that simultaneously influence unit culture and patient safety.

402. Final Progress Report: Probabilistic Risk Assessment Chicago Transplant Inquiry Study (PRACTIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/cook-report.pdf
     January 01, 2024 - Methods: The project used probabilistic risk assessment to model the transplantation system. … transplantation system prior to March 2003 was 2.6 x 10-5 per transplanted organ. … The PRA model for a system represents a crystallization of the critical relationships in that system … Methods: The project used probabilistic risk assessment to model the transplantation system. … transplantation system prior to March 2003 was 2.6 x 10-5 per transplanted organ.

403. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
     February 01, 2005 - Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System … Although we have made improvements in the safety of the health care system since that time, there is … collaborated to publish Advances in Patient Safety: From Research to Implementation to help the health care system … reducing medical errors must continue to be an important priority for the Nation and for our health care system … To achieve a safe, high quality health care system, we need dedication, leadership, and the best information

404. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
     February 01, 2005 - Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System … Although we have made improvements in the safety of the health care system since that time, there is … collaborated to publish Advances in Patient Safety: From Research to Implementation to help the health care system … reducing medical errors must continue to be an important priority for the Nation and for our health care system … To achieve a safe, high quality health care system, we need dedication, leadership, and the best information

405. Preface (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
     February 01, 2005 - Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System … Although we have made improvements in the safety of the health care system since that time, there is … collaborated to publish Advances in Patient Safety: From Research to Implementation to help the health care system … reducing medical errors must continue to be an important priority for the Nation and for our health care system … To achieve a safe, high quality health care system, we need dedication, leadership, and the best information

406. Indwelling Urinary Catheter Maintenance Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
     April 01, 2022 - In addition to proper insertion, contamination can occur due to breaks in the collection system. … In the next slide, we’ll examine some challenges related to maintaining a closed system. … the closed system, especially in the ICU setting. … Irrigation is always a challenge, but if the seal is broken, it is advisable to change the system. … However, if the seal is broken, it is advisable to change the catheter and the collection system.

407. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - Scope Background - Systems Factors System factors that affect patient safety in diagnostic imaging … , a Picture Archiving and Communication System (PACS)-based quality assurance (QA) tool, an imaging … peer-review system, and an imaging Computerized Physician Order Entry (CPOE) and scheduling system. … C), which was incorporated into the critical alert notification system. … , an imaging CPOE and scheduling system, and an ANCR system.

408. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient … Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System … Although consumer reporting has the potential to increase knowledge about system failures amenable to … for patient safety events, using previously determined recommendations for such a system. … Appendix A includes the RTI recommendations for an ideal consumer reporting system.

409. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
     January 01, 2024 - , not in a fully integrated system. … Based on initial assessment of the individual components of the system, an integrated system, once … and planned CPOE system fully integrated with a pharmacy information system and electronic medication … Together, this system serves as the electronic medical record for the institution. … line in pharmacy information system.

410. Final Progress Report: Patient Advocacy Summit: Patients at the Center of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/earp-report.pdf
     January 01, 2024 - enormous costs borne by patients, caregivers, providers, and society as whole as a result of these system … Advocates offer counsel, guidance, and support for those trying to negotiate the healthcare system. … The problems in our healthcare system are both pervasive and entrenched; thus, innovative approaches … The first conference was focused on establishing the scope of the problem with the healthcare system … I feel as though the class provides a good start towards improving the healthcare system.

411. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
     January 01, 2000 - However, a condition- or problem- oriented IT system might better integrate into the care of frequent … System installation Installation of the TIPI-IS at each site included seven steps: 1. … for use in a patient safety system. … The disadvantage of the Web-based system was the perception that it was difficult to access the system … while still ensuring the security of the system.

412. Center of Excellence Operations | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence2.html
     April 01, 2025 - For-profit health system. Federally qualified health center. Research institute. … A performance management system that includes priority setting and definition of activities, as well … Any CE seeking to directly influence the quality and safety of care in their system should think through … Providing partial salary support to allow participation of existing health system experts.  … Health system operations support, revenue from training/education beyond local engagements, member revenues

413. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
     March 01, 2004 - A primary goal was the creation of a standardized medication event reporting system, including a central … Although the challenges associated with the implementation of a standardized error reporting system … medication errors reported through the MEDMARX system has increased dramatically (Figure 1). … The USP has incorporated numerous changes to the MEDMARX system since it was launched in 1998. … To err is human: building a safer health system.

414. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
     August 01, 2022 - By implementing a patient reporting system throughout Sanford Health System—a large, not-for-profit, … the Sanford Health System. … Prepared by Jackson Health System under grant number 1R21 HS19506-01. … Although one-third of respondents indicated the new system improved on the previous system, two-thirds … cases processed through the old system.

415. Overview of TAKEheart Training Curriculum & Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/index.html
     February 01, 2023 - Enhancing Care Coordination Explore ways to establish or enhance your hospital's care coordination system … Training Module 3: Systems Change: Understanding Your Workflow Processes to Prepare for System Change … direction on designing and implementing an automatic referral system. … Training Module 7: Troubleshooting Your Automatic Referral System This module offers assistance and … advice on common challenges faced with implementing an automatic referral system.

416. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
     June 15, 2003 - Reporting systems To identify system failures & unsafe conditions that could lead to system failures … The CDC has also invested heavily in improving the NNIS system. … that could lead to system failures … To err is human: building a safer health system. … Large system change and a culture of safety.

417. NAA National Webinar July 2024 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
     August 20, 2024 - If you have already "re-designed" a process/system (to be safer, more efficient, less burdensome) in … Reconciling and renewing medications is hard to do in our computer system and I don’t always have … Culture of wellness Stanford WellMD Model Efficiency of practice: the system we work in impacts our … https://www.ama-assn.org/practice-management/digital/system-level-approach-ehr-inbox-reduction https … All rights reserved.25 Practice Operations and System of Care When a practice runs well, doctors trust

418. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - that may be preventable by changes at the system or provider level. … National HIV Surveillance System (NHSS) Sponsor U.S. … National Tuberculosis Surveillance System (NTSS) Sponsor U.S. … National Vital Statistics System: Natality (NVSS-N) Sponsor U.S. … "Resource and Patient Management System (RPMS) and National Patient Information Reporting System (NPIRS

419. Chapter 6. Measure Maps and Profiles (continued, 2) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
     June 01, 2014 - Mapping Table   Measurement Perspective: Patient/Family Health Care Professional(s) System … Date: Measure released in 2000. 1 Perspective: System Representative(s) Measure Item Mapping: … Paired t-tests were used to evaluate the sensitivity of the ACIC to detect system improvements. … Testing revealed that all six subscale scores were responsive to system improvements made by care teams … Date : Measure released in 2001. 1 Perspective: System Representative(s) Measure Item Mapping:

420. Prevention and Chronic Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/chronic-care/index.html
     July 01, 2019 - health and function over the life span are two essential activities of a well-functioning health care system … Our primary care system currently has significant—and perhaps unprecedented—opportunities to emphasize … Capacity Building Care Coordination Clinical-Community Linkages Health Care/System Redesign Health … resources, and materials to support health care organizations and engage the entire health care delivery system