-
www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwptab1.html
August 01, 2015 - Management (11)
Staff (14)
Site 3 (2)
Higher performance
Regional multisite health system … Staff (12)
Site 6 (3)
Higher performance
Community hospital, part of large Catholic system … 10)
Site 7 (4)
Higher performance
Inner-city safety net hospital, part of regional system … (3)
Management (9)
Staff (10)
Site 8 (4)
Lower performance
Part of multistate system … a A safety net hospital or health system provides a significant level of care to low-income, uninsured
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - A health
IT-supported system facilitates this feedback and additional two-way communication that may … However, having a consistent and
reliable feedback system will generate learning and may
itself be … System measurement and monitoring How can effects of the feedback process be measured? … How can problems with the feedback system be communicated to the
necessary personnel? … such as health IT experts necessary for system
maintenance and troubleshooting.
-
www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
July 01, 2010 - Funding: $986,302
Designs, develops, implements, and
evaluates an interoperable quality
information system … Adverse Drug Events
in Ambulatory Pediatrics
Estimated Total Funding: $992,699
Uses a computerized system … Dates: 9/30/2007–12/31/2009
Electronic Support for Public Health
- Vaccine Adverse Event Reporting
System … Focus Areas: AQA starter set for
primary care (26 measures)
Type of Health IT: System integration,
quality … Focus Area(s): Patient self-management;
shared decisionmaking
Type of Health IT: System architecture,
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-survey-database.pdf
January 01, 2021 - results to overall HCBS CAHPS DB results
• Inclusion in other reporting products:
o Online reporting system … data submission
27
HCBS CAHPS Data Submission
Process
The HCBS CAHPS Database Online Submission System … Dept.of Health and
Human Services IDD Program 209 7% 17% 76% 1
30
Example Online Reporting System … regarding public
reporting products (e.g. how results are calculated, use of
the Online Reporting System … Submission Process
CAHPS Database Products
Example Private Excel Report
Example Online Reporting System
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Slide 7: Individual Mistake or System Failing? … While no system is perfect, we build redundancies into the care delivery system to compensate for minor … Slide 17: System Factors Impact Safety
Say:
Each level of the health care delivery system matters … Because emergencies strain any system. … The focus is on the system, not on the individuals.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - The prototype included an event reporting system (the Medical
Events Reporting System - Total HealthSystem … MERS-TH is a unique reporting system, since it is also a
comprehensive error management system. … • Computerized charting system. … Trending and investigation reports are
produced through the Midas system. … System changes are made as issues are identified.”
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - National HIV Surveillance System (NHSS)
Sponsor
U.S. … National Tuberculosis Surveillance System (NTSS)
Sponsor
U.S. … Resource and Patient Management System (RPMS) and National Patient Information Reporting
System (NPIRS … System. … surveillance system designed to
replace the Medicare Patient Safety Monitoring System (MPSMS) for measurement
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - help you understand the steps required for designing, testing, implementing, and troubleshooting an AR system … in your hospital/health system. … Guide (RG)
Original Training Modules
#5: Building and Implementing a Successful Automatic Referral System … #7: Troubleshooting Your Automatic Referral System
Other Related Webinars
Cerner Q&A
Epic Q&A
(Please … Is your new AR design aligned with how providers are using the system?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Abstract
This article describes challenges in the design and development of a decision support system … Future testing and
development of this system will include a randomized clinical trial and technology … Introduction
The development, testing, and validation of a real-time decision support system for use … The decision support system
described in this article is part of the Trauma Reception and Resuscitation … Building a flexible protocol
information system with ready for use web
technology.
-
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/harrison-summit2016-breakout.pdf
September 28, 2016 - for thinking about
organizational factors
• Research Examples: Foundations for future
work
Work System … community pharmacies,
and ambulatory surgery centers
• Teamwork
► TeamSTEPPS®: evidence-based teamwork system … evidence-based
medicine
o Initiative will develop a “Compendium” that will enable users to
access health system … Appendix: AHRQ Resources
• Comparative Health System Performance Initiative
http://www.ahrq.gov/professionals … www.ahrq.gov/carecoordination
Organizational Factors Affecting Diagnostic Quality
Overview
Work System
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-ASC-webcast-2023-0509-ginsberg.pdf
January 01, 2023 - ► The lead Federal agency charged with improving the safety and quality of
America’s healthcare system … Generate measures and data to track and
improve performance and evaluate progress of the US health care
system … improvement to all settings
• Prevent HAIs, reduce antibiotic resistance
• Build capacity in the health care system … Determines
behaviors
that are:
Rewarded Supported Expected Accepted
Exists at
multiple
levels:
System
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-fisher.pdf
January 01, 2022 - ► The lead Federal agency charged with improving the safety and quality of
America’s healthcare system … Generate measures and data to track and
improve performance, and evaluate progress of the US health
care system … improvement to all settings
• Prevent HAIs, reduce antibiotic resistance
• Build capacity in the health care system … Determines
behaviors
that are:
Rewarded Supported Expected Accepted
Exists at
multiple
levels:
System
-
www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
June 01, 2022 - But what an exciting and opportune time to tackle the many issues facing our healthcare system! … Our healthcare system is only as strong as the people working in it. … To make healthcare as effective, efficient, and equitable as possible, the healthcare system and individual … AHRQ is uniquely positioned to advance HSR to tell the stories that will lead to system improvement and … This will likely create demands on our healthcare system that we don’t yet understand.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Science of Safety
Health Care Defects
In the U.S. health care system … patient
4
AHRQ Safety Program for Perinatal Care
Science of Safety
4
The Science of Safety
Every system … Factors Affect Safety6
6
AHRQ Safety Program for Perinatal Care
Science of Safety
6
System-Level … Factors Can Predict Performance
Examples of Impact of System-Level Factors
System Factor Effect
Nurse-to-patient … To err is human: building a safer health system. Washington, DC: National Academy Press; 1999.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/CAHPS-Database-Brief_01_2014.pdf
January 01, 2014 - The
CAHPS Database includes an Online
Reporting System displaying
aggregated data to facilitate
comparisons … The CAHPS Online Reporting
System is a Web-based platform for
viewing Health Plan and Clinician … The reporting
system consists of two major
components:
a public site available to anyone
with … Database are
provided access to a secure,
password-protected area of the
CAHPS Online Reporting System … CAHPS Health Plan Survey Component
CAHPS Clinician & Group Survey Component
CAHPS Online Reporting System
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
August 01, 2015 - Sites gradually transitioned to the new system
between 2011 and 2013, so the two different methods … Providers reported that the fully-
automated electronic system minimized the amount of
time that they … The electronic system also supports billing during
the screening encounter and the ability to review … Families reported that the electronic
system was easy to use and it allowed them to feel more
involved … with 12 practices before going system-
wide.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - that may be preventable by changes at the
system or provider level. … Data system home page: https://www.cdc.gov/nchs/nehrs/about.htm. … Data system home page: https://www.cdc.gov/nchs/nvss/linked-birth.htm. … Data system home page: https://bphc.hrsa.gov/datareporting/index.html. … Resource and Patient Management System (RPMS) and National Patient Information Reporting
System (NPIRS
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Future use of this system relies on two major factors. … First, time must be allocated during the
daily work rounds for this system to continue. … incident reporting system. … To err is
human: Building a safer health system. … A
physician-based voluntary reporting system for
adverse events and medical errors.
-
www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - The tool was made freely available to any health system worldwide. … Lessons learned in implementing a chronic opioid therapy management system. … Patient engagement in system redesign teams: a process of social identity . … Patient engagement in system redesign teams: a process of social identity . … Lessons learned in implementing a chronic opioid therapy management system.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - Barriers to Health Literacy: Increasingly Complex Health System
*
System Barriers to Health Literacy … *
Increasingly Complex Healthcare System
Hospitalists, not your family physician
More self-care … *
System Approaches:
Assess All Patients for Literacy
Key Strategies:
Initial Patient Assessment … --- social history/support system
--- watch for subtle clues that they don’t
read … well
System Approaches:
Assess All Patients for Literacy
*
Red Flags: Patients with