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  1. www.ahrq.gov/sites/default/files/2025-03/lacson2-report.pdf
    January 01, 2025 - between providers and assess the impact of a critical result communication policy and notification system … In addition, we evaluated the impact of a notification system, Alert Notification of Critical Results … Keywords: critical result, communication system, communication policy, patient safety Purpose The … Thus, the department has invested resources toward an alert notification system to enable sustained … Communication outcomes of critical imaging results in a computerized notification system.
  2. 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
  3. www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5.html
    January 01, 2013 -    Not in a System 349 51%    In a System 88 13%    Missing 244 36% … Finally, health care system was significant whereby units residing in hospitals not associated with a … system had a higher rate than units in hospitals associated with a system. …     0.0059    In a System ref        Not in a System 0.3099 0.0059   …        In a System ref      Not in a System 0.2028 <.0001 Control Status
  4. 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
  5. 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
  6. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-intro.pdf
    December 01, 2022 - Patient Safety Monitoring System data … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the … /crossing-the-quality-chasm-a-new-health-system-for-the https://www.nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the
  7. www.ahrq.gov/news/newsroom/case-studies/cp30806.html
    October 01, 2014 - Patients Search All Impact Case Studies February 2008 An electronic medical record (EMR) system … The computer-based AMPATH Medical Record System (AMRS), implemented in Kenya in 2001, has since been … modified from a system originally programmed in MS-Access as a set of spreadsheets into OpenMRS. … The EMR system helps staff in many ways. … They created the system as a free open-source framework for medical records.
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/appendixc_datasources.pdf
    January 01, 2016 - Survey Database Centers for Disease Control and Prevention  Behavioral Risk Factor Surveillance System … Survey (NIS)  National Program of Cancer Registries (NPCR)  National Tuberculosis Surveillance System … (NTSS)  National Vital Statistics System—Linked Birth and Infant Death Data (NVSS-L)  National … Vital Statistics System—Mortality (NVSS-M)  National Vital Statistics System—Natality (NVSS-N) … Service National Data Warehouse (NDW) National Institutes of Health  United States Renal Data System
  9. www.ahrq.gov/news/blog/ahrqviews/ahrqs-road-ahead.html
    May 01, 2019 - In previous blog posts, I’ve reflected on the significant challenges that health system leaders and decision … drug prices, end the opioid crisis, improve health insurance options, and transform our healthcare system … After spending the past year listening to health system leaders, clinical experts, researchers, patient … We envision a primary care-based system that optimizes individual and population health by preventing … accurate data and useful analytic resources to make informed policy decisions about the healthcare system
  10. 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.
  11. 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.  
  12. www.ahrq.gov/news/newsroom/case-studies/cp31306.html
    March 01, 2013 - of the poorest countries in the world, helped develop an open source electronic medical record (EMR) system … This system provides decision support for clinicians managing HIV care, based on the work of Tierney … The government EMR system supports HIV treatment, and PIH is also working to support primary care and … The system runs on touch screens, and once a patient is registered, a simple bar code prints out that … PIH is also building a point-of-care system that will be integrated into workflows at the hospital.
  13. 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
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - This shortcoming encouraged the caregiver to bypass the BCMA system. … To err is human: building a safer health system. … Computerized Patient Record System (CPRS) technical manual, GUI version. … Crossing the quality chasm: a new health system for the 21st Century. … A physician- based voluntary system for adverse events and medical errors.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
    March 26, 2008 - Joseph’s/Candler Health System (SJCHS), a 644-bed, tertiary-care, “magnet” system, a multidisciplinary … Joseph’s/Candler Health System SJCHS, a “magnet” system comprising two tertiary-care hospitals with … system. … Syringe pumps were added to the system in 2003. … The system was designed to supplement, but not substitute for, clinician monitoring.
  16. www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - Gandhi 4.16.07 1 Scope: BWH developed a homegrown barcode/eMAR system to allow full integration … with the existing CPOE system. … The Brigham and Women’s hospital pharmacy converted to the barcoding system in September 2003. … A barcode-assisted dispensing system was implemented in three configurations. … The Medication Administration System-- Nurses Assessment of Satisfaction (MAS-NAS) scale.
  17. www.ahrq.gov/chsp/about-chsp/centers/index.html
    July 01, 2019 - Coordinating Center Overview AHRQ’s Coordinating Center for Comparative Health System Performance … and collaboration will help align the concepts, data, methods, and measures needed to compare health system … Synthesize and Disseminate Research on Health System Performance To speed the adoption of practices … Systems The Coordinating Center is creating a compendium that will enable users to access health system … For more information, visit the Coordinating Center for Comparative Health System Performance .
  18. 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
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS_Hospital_Survey_2-0-HIT.pdf
    June 30, 2020 - . 1 2 3 4 5 9 7 Your Hospital’s Electronic Health Record (EHR) System 1. … Our EHR system requires that we enter the same information in too many places. ........... … 1 2 3 4 5 9 SECTION K: Overall EHR System Rating 1. … How satisfied or dissatisfied are you with your hospital’s EHR system? … Workflow/Work Process SECTION J: EHR System Support and Communication SECTION K: Overall EHR System
  20. www.ahrq.gov/patient-safety/reports/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

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