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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-2-tech-specs.pdf
December 01, 2012 - To assign involved body system(s) and progressive status, Seattle Children's Research Institute … conditions defined by diagnostic codes outlined in the Chronic Illness and Disability
Payment System … References:
Chronic Illness and Disability Payment System (CDPS), University of California, San … The final result is a dataset where identifications of body system, progressivity, and malignancy … Future revisions to the ICD-9 classification system
may result in the need for revisions to this
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - It doesn’t protect future patients or strengthen the system. … Slide 6
Individual Mistake or System Failure? … SAY:
Is a defect an individual mistake or a system failing? … We wind up building workarounds to overcome poor system problems. … SAY:
Many small defects often contribute to big system flaws.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - It doesn’t protect future patients or strengthen the system. … And you should find that staff recognize these system improvements. … Slide 7: Individual Mistake or System Failure? … Say:
Is a defect an individual mistake or a system failing? … Say:
Many small defects often contribute to big system flaws.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - EHR System Training ................................................................................. … EHR System Training
1. … EHR System Support and Communication
1. … EHR System Training
Composite 2. … Issues
EHR and Workflow/Work Process
Overall EHR System Ratings
General Resources
-
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/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/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.