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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
September 08, 2015 - Pennsylvania’s health systems
worked independently
Pennsylvania gave the five health
systems freedom … The practices have a
lot of angst about the systems
they are currently using. … Some of the
health systems involved their vendors
when they compared the Format to
their own EHR systems … how to incorporate Format
requirements into their systems. … Practices and health
systems said that they benefited
from the comparison process.
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www.ahrq.gov/news/blog/ahrqviews/ahrq-digital-healthcare.html
February 01, 2024 - Those innovators foresaw how machines and related information systems could make delivering healthcare … The early iterations of these systems were simplistic by today’s standards. … Some paved the way for technology systems and practices that have become industry standards. … In its early years , computerized CDS was confined to large systems that could not communicate among … healthcare systems themselves can be safely used and implemented.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - , concepts, and statistics; medical error
causation; human error; tools to assess safety and risk; systems … Engineering, Health Care Systems, or Health Systems and Health
Advances in Patient Safety: Vol. … Industrial Engineering 652: Sociotechnical Systems
d. … systems components. … • Health Information Systems
• Sociotechnical Systems
• Organization and Job Design
• Introduction
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - support systems.1 Leveraging clinical data from electronic health record systems
(EHR), such technologies … involving multiple clinical software systems and
multiple vendors. … aimed at lowering error rates must plan for anticipated
errors in their own systems. … Clinical software systems such as decision support systems implemented to
reduce medical errors pose … Recommendations for
responsible monitoring and regulation of clinical
software systems.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
September 01, 2023 - Health Systems: Evidence From Four States. … Health Systems, 2018. CHSP Data Brief #8. … Health
Systems, 2016. CHSP Data Brief #1. … Health Systems, 2016. CHSP Data Brief #5. … Health Systems, 2016. CHSP Data Brief #7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - PowerPoint Presentation
System Redesign for Value in
Safety-Net Hospitals and Systems:
Challenges and … Senior Social Scientist, Organizations and Systems
Center for Delivery, Organization, and Markets
Agency … Include but are not limited to publicly owned hospital systems
* Institute of Medicine, Crossing the … National Director for Systems Redesign
Department of Veterans Affairs
Jose L. … Enhancing process improvement effectiveness: system redesign in safety-net systems.
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www.ahrq.gov/practiceimprovement/initiatives.html
September 01, 2019 - We are tackling this problem by partnering with and training over 100 hospitals and health systems to … Learning Health Systems
Becoming a learning health system is a journey characterized by strong leadership … tools to help healthcare delivery organizations of every size move towards becoming learning health systems … Federal and State agencies, professional societies, delivery systems, providers, payers, and others committed
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
August 02, 2017 - Practice Facilitators and Learning Health Care Systems
At its core, a learning health care system is … Knox has seen that leadership staff in
large health care systems communicate well with committees that … Knox shared four main actions PFs can take to help facilitate learning in health systems:
1. … Gathering information from and for systems
• Data extraction/abstraction and simplification
• Survey … Questions/Answers:
How can PFs engage and influence leadership in health systems and clinics?
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www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
January 01, 2024 - Communication Systems
(PACS) to store patient image data. … Not yet expert systems, these computer systems have been designed
only to serve, record, and track data … management systems ARIA and MOSAIQ, treatment management
systems PINNACLE and ECLIPSE, and WUSTL in-house … Not all radiation therapy (RT) treatment planning systems (TPS) are supported. … Though these two major systems cover >90% of all RO departments, newer
and specialized TPS 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/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - by
redesigning systems and processes using human factors principles. … Patient safety is a property that emerges from systems design. … Second, in open, interacting systems, unpredictable events will happen. … Therefore, patient
safety is irreducibly a matter of systems. … Safety systems design in health care is early in its development.
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www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
August 01, 2024 - By re-engineering healthcare delivery systems so that care transformation optimizes health outcomes, … AHRQ is the primary federal agency supporting research on health systems, focusing on the relationships … Patients, families/caregivers, communities, clinicians, practices, health systems, states, and federal … Learning health systems, primary care practice
networks, and practices all play an important role and … Health Systems, which can be leveraged to study health systems and high need populations.
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www.ahrq.gov/policy/electronic/privacy/infosecurity.html
August 01, 2018 - Information Systems Security Awareness . … NIST SP 800-53 Rev. 4, Security and Privacy Controls for Federal Information Systems and Organization … NIST SP 800-53A Rev. 1, Guide for Assessing the Security Controls in Federal Information Systems and … NIST SP 800-34 Rev. 1, Contingency Planning Guide for Federal Information Systems [PDF File, 931 KB] … NIST SP 800-18 Rev. 1, Guide for Developing Security Plans for Federal Information Systems [PDF File
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - engineering offers the opportunity to lessen reliance on individuals and build healthcare delivery systems … Resources Feedback from Consumer Assessment of Healthcare Providers and Systems (CAHPS) . * Feedback … Establish informal and formal reporting systems to identify successes as well as harmful events, errors … Engineering; Founding Director, Wisconsin Institute for Healthcare Systems Engineering University … , Department of Public Health Sciences & Department of Systems and Information Engineering University
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
October 01, 2024 - supporting my efforts to develop career and scientific training programs that accelerated learning health systems … The pivotal evolution of his research shift towards implementation science and learning health systems … Learning Health Systems are health and healthcare systems in which knowledge generation processes are … and health outcomes for patients of all backgrounds, with results disseminated through local health systems … School of Medicine Grantee Since: 2001 Type of Grant: Various Related AHRQ Resources Learning 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/vol1/Advances-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - the nature and prevalence of departures from patient safety, it comes
as no surprise that reporting systems … The present volume provides ample evidence
of this with papers on reporting systems and surveillance … not a problem, that doubts about discoverability and confidentiality do not
exist, that reporting systems … The papers’ authors do not
shy away from the traditional challenges associated with reporting systems … perceptions
and sensemaking that occur among the frontline personnel that are expected to use these systems
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-resources-help-quit.pptx
June 02, 2025 - In the absence of well-designed systems, clinicians may be inconsistent in delivering cessation interventions … clinicians can follow to help smokers quit
Action Steps for Clinicians
Describes actions that health systems … tools include
Health care providers
Provider organizations (e.g., medical associations)
Health care systems … Organizations that work with health care systems
Million Hearts partners
The tools were vetted with … American Academy of Pediatrics Clinical Practice Workgroup
How These Tools Can Be Used
Help health systems
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Punish
Slide 17: Systems and Behaviors Work Together To Improve Outcomes 3
Image: Both system … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Slide 18: Systems and Behaviors Work Together To Improve Outcomes 3
Image: Both system design and … Learning systems, like mission values and expectations, impact system design and in turn, behavioral … Collaborative focus on systems of care.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - The health systems generally use the payments to fund QI projects related to the measures. … first, followed by five smaller health systems. … Two of these smaller systems adopted an EHR only recently. … The smaller health systems are meant to benefit from lessons learned by their predecessors. … Both of the larger health systems have earned incentive payments.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - Learning systems.
Accountability and justice. … To achieve optimal outcomes, organizations must design robust systems that minimize risks. … Slide 21: Systems and Behaviors Work Together To Improve Outcomes
Say:
Learning systems
By establishing … learning systems, organizations can manage both systems and human behavior. … A collaborative focus on systems of care.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
April 01, 2025 - goals.” 7 Intentional alignment promotes CE sustainability by interlinking the goals, strategies, systems … healthcare system to meet mutually desired outcomes. 13,14 Communication Healthcare organizations and systems … To shape their visions, goals, systems, processes, resources, and tasks and to align motivations, CEs … Five actions to align CEs with health systems. … He emphasized that aligning goals, strategies, and systems affirmed the Johns Hopkins Center for Data