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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - Laboratory (PSLL) Projects
Introduction Patient safety learning laboratories (PSLLs) take a systems … and test systems’ generalizability in alternative settings and conditions. … The hospital is now using the same systems engineering methods to cope with COVID-19. … Use of systems-theoretic process analysis to design safer opioid prescribing processes. … It will use benchmarking and systems monitoring and will evaluate system threats and costs.
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
June 02, 2025 - Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective
1
Health IT and … Diagnostic Safety:
A Human Factors and Systems
Engineering Perspective
Pascale Carayon, Ph.D. … Procter & Gamble Bascom Professor in Total Quality,
Department of Industrial and Systems
Engineering … - Improving Diagnosis in Health Care)
3
SEIPS Model of Work System and
Patient Safety
[SEIPS = Systems … Engineering Perspective
Slide Number 2
SEIPS Model of Work System and Patient Safety�[SEIPS = Systems
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www.ahrq.gov/research/publications/pubcomguide/pcguide2apb.html
May 01, 2023 - people with disabilities, ensuring equivalent access of both the public and employees to content and systems … Include operating systems and authoring systems. … Require software and operating systems to interoperate with assistive technologies, such as screen magnification
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appd.pdf
January 01, 2019 - Health Systems, 2016, Technical Documentation-Appendix D
Comparative Health System Performance Initiative … HEALTH SYSTEMS
89
Appendix D. … Therefore, we are not
capturing all aspects of systems’ participation in these models. … On average, 98 percent of systems’ non-Federal general acute care hospitals had ACO data. … Health Systems, 2016, Technical Documentation
Appendix D.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh5.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Exhibit 5. … Consumer reporting systems inputs and analytic capabilities
Previous Page
Table of Contents … Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. … Both types of submission lead to systems input using common data standards.
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www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
November 01, 2024 - CDS tools and systems help clinical teams by taking over some routine tasks, warning of potential problems … developers, and IT professionals in the ongoing work to improve making health care decisions using CDS systems … Support Challenges and Barriers to Clinical Decision Support Implementation Clinical Decision Support Systems … Primary Care Clinics Through Computerized Order Entry Matthew Samore, VA Salt Lake City Health Care Systems
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www.ahrq.gov/ncepcr/data-resources/index.html
September 01, 2024 - Health Systems The Compendium is the foremost public resource for data on characteristics of healthcare … suite of files improves the dissemination of patient-centered research evidence throughout healthcare systems … Compendium data was used to show that the number of primary care providers in vertically integrated systems … Consumer Assessment of Healthcare Providers and Systems Tools and Surveys The purpose of AHRQ’s Consumer … Assessment of Healthcare Providers and Systems (CAHPS ® ) Program is to boost our scientific understanding
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
135
Lessons Learned … from the Evolution of
Mandatory Adverse Event Reporting Systems
Ellen Flink, C. … Lessons from Mandatory Reporting Systems
139
Table 1. … Lessons from Mandatory Reporting Systems
147
Table 5. … Lessons from Mandatory Reporting Systems
151
19. Tuttle D, Panzer R, Baird T.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appb.pdf
January 01, 2019 - Health Systems, 2016, Technical Documentation-Appendix B
Comparative Health System Performance Initiative … Health Systems, 2016, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality … HEALTH SYSTEMS
35
Appendix B. … HEALTH SYSTEMS
36
Health
system ID HCOS health system name
HCOS health
system address
SK& … Health Systems, 2016, Technical Documentation
Appendix B.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries
305 … Implementing a Systems Engineering
Intervention for Improving Safety
in Outpatient Surgeries
Pascale … Systems Intervention and Outpatient Surgery
317
Main data collection
In order to evaluate the systems … Systems Intervention and Outpatient Surgery
321
15. Argyris C. … Determining a systems engineering intervention
Figure 2B.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appa.pdf
January 01, 2019 - Health Systems, 2016, Technical Documentation-Appendix A
Comparative Health System Performance Initiative … HEALTH SYSTEMS
33
Appendix A. … SK&A uses both
a bottom-up and top-down approach to identify health systems. … The AHA survey provides several mechanisms for identifying health care delivery systems. … Health Systems, 2016, Technical Documentation
Appendix A.
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www.ahrq.gov/diagnostic-safety/ideas-project/index.html
July 01, 2025 - Implementing Diagnostic Excellence Across Systems (IDEAS)
Take part in a national study to evaluate … AHRQ is leading Implementing Diagnostic Excellence Across Systems (IDEAS), a national study to evaluate
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www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
May 01, 2018 - Redesign: Literature Review
Executive Summary
Our Nation's health service delivery systems … Lean/Toyota Production Systems (TPS) is a process redesign strategy developed in manufacturing that promises … to help health care delivery systems meet these twin challenges. … Purpose
Our Nation's health service delivery systems face growing challenges to enhance quality while … to help health care delivery systems meet these twin challenges.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-fullreport.pdf
November 02, 2017 - Consumer Assessment of Healthcare Providers and Systems Hospital Survey--Child Version
1
Consumer … Assessment of Healthcare Providers and
Systems Hospital Survey – Child Version
Section 1. … Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surveys.
2. … If data are not available in existing data systems or would be better collected from future
data systems … , what is the potential for modifying current data systems or creating new data
systems to enhance the
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
March 01, 2015 - Measure: Child HCAHPS–Hospital Consumer Assessment of Healthcare Providers and Systems
Measure Fact … Program (PQMP)
Measure: Child HCAHPS–Hospital Consumer
Assessment of Healthcare Providers
and Systems … NBK65134/
Document title: Measure: Child HCAHPS–Hospital ConsumerAssessment of Healthcare Providers and Systems
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state4.html
January 01, 2024 - Research is inadequate on cross-cutting systems and processes of care issues related to diagnostic safety … Real-world studies that involved health systems as partners for learning and improvement activities are … been rapid development of resources and tools while implementation work that focuses on strengthening systems … We also found minimal use of learning health systems approaches and embedded research models that could … of resources that have been developed and consider policy and payment reforms to incentivize health systems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives … to Boost Adoption of
Safety Practices and Systems
Gregg S. … Here we report on the impact of the program on systems adoption and meeting
specific quality and safety … , and electronic prescribing.1, 2 To date the adoption of those systems has been delayed
by factors, … Medical
groups’ adoption of electronic health records and
information systems.
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www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
April 01, 2018 - November 2009
Task 2: The VA system relies on CPT codes for administrative coding whereas other systems … Task 3: As the data pulls progressed across the systems it was realized that the data sources varied … In order to aid the implementation of the tool at other systems, it was decided to record, with detailed … Task 2:
The most appropriate use of automated systems, whether alone or in combination with manual … The performance of automated systems may vary, particularly when attempting to detect events that occur
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table1.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 1. … Key features of ideal consumer reporting systems from focus groups
Previous Page Next Page … Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary … Maximizing reporting
Need to implement public awareness campaigns about consumer reporting systems
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/intro.html
August 01, 2022 - Department of Health and Human Services (HHS) to establish an initiative to help States and health care systems … These funds aimed to help States, health systems, and risk management organizations plan for new programs … The planning grants were designed to provide initial funding to States and health systems so they could