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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - Safety module
of the AHRQ Safety Program for Perinatal
Care discusses the importance of
understanding system … will—
• 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 … Slide 2
SAY:
Examples of the effect of defects and errors in
the U.S. health care system are illustrated … Being cognizant
of the system design and how it
contributes to the results that it delivers
will help
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - The discussion will include the importance of understanding system design, the principles of safe design … Today we will discuss how to use system lenses to uncover hazards and defects with the use of PSSA. … determines performance, and safety is the property of the system
Use strategies to improve system performance … It shows the continuum of system factors that can influence health care delivery and the occurrence of … You and your team will find a system that works best for you.
23
What’s Next?
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Slide 7: Individual Mistake or System Failing? … “Rather than being the main instigators of an accident, operators tend to be the inheritors of SYSTEM … Contributing factors from all levels of your health care system impact care delivery and, ultimately, … Develop a “system perspective” to see the hidden factors that led to the event. … Each hole represents a system failure; together the holes ultimately allow a patient to suffer.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 - Table
Measurement Perspective:
Patient/Family
Health Care
Professional(s)
System … The model identifies 6 elements of a delivery system that lead to improved care for the chronically ill … , including: (1) organization of care within the health system, (2) clinical information systems, (3) … decision support, (4) delivery system design, (5) self-management support, and (6) community resources … Date: Measure published in 2004. 1
Perspective: System Representative(s)
Measure Item Mapping:
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
June 01, 2014 - Table
Measurement Perspective:
Patient/Family
Health Care
Professional(s)
System … Construct validity of the measure was also verified. 1
Link to Outcomes or Health System Characteristics … Table
Measurement Perspective:
Patient/Family
Health Care
Professional(s)
System … This instrument was developed by The Center for Studying Health System Change (HSC). … Health System Change (HSC) Web Site. Available at: http://www.hschange.org/CONTENT/1091/ .
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www.ahrq.gov/practiceimprovement/delivery-initiative/holtropstudysnapshot/index.html
December 01, 2016 - Methods and Outcomes of Care Management Programs
Within Physician Organizations vs. Plan-Based Programs
Contents
Background
Study Methodology
Principal Findings
Takeaway Points
Research Publications
Additional Resources
Background
Americans are increasingly plagued by chronic di…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Slides
AHRQ Safety Program for Improving Antibiotic Use
The “Sometimes Antibiotics”
Diagnoses: Pharyngitis
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Pharyngitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
…