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  1. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter7.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 7. … References Previous Page Next Page Table of Contents Designing Consumer Reporting Systems … Work systems design: The IDEALS concept. Homewood, IL: Richard D. Irwin; 1967.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
    April 01, 2015 - In six of the 12 practices, parents completed the Consumer Assessment of Healthcare Providers and Systems … Such payment systems, which focus on quantity rather than quality of health services provided and fail … For additional information about this grant, please visit: http://www.ahrq.gov/professionals/systems … No. 15-0038-12-EF April 2015 http://www.ahrq.gov/professionals/systems/primary-care/tpc/tpcbib.html … Such payment systems, which focus on quantity rather than quality of health services provided and...
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - surgical wound postoperatively and document any findings of wound dehiscence.1,2,7 Best Processes/Systems … Additional Resources Systems/Processes • Agency for Healthcare Research and Quality. … Universal ICU Decolonization: An Enhanced Protocol http://www.ahrq.gov/professionals/systems/hospital … http://www.who.int/surgery/publications/Postoperativecare.pdf http://www.ahrq.gov/professionals/systems … /professionals/systems/hospital/universal_icu_decolonization/index.html http://www.jointcommission.org
  4. www.ahrq.gov/research/findings/nhqrdr/nhqdr23/app-b.html
    December 01, 2023 - The hospital, home health care, and hospice Consumer Assessment of Healthcare Providers and Systems data … HCAHPS = Hospital Consumer Assessment of Healthcare Providers and Systems. … HHCAHPS = Home Health Consumer Assessment of Healthcare Providers and Systems. … HOSPICE_CAHPS = Hospice Consumer Assessment of Healthcare Providers and Systems.
  5. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
    January 01, 2025 - Our aims are intended to ensure that all healthcare systems strengthen their foundations in patient … • Healthcare systems will complete a baseline self-assessment by December 2024. … • Healthcare systems will ensure the voices of patients, families/caregivers, and employees are at … o Healthcare systems will develop a safety plan that empowers the voice of patients and families by … o Implementation of robust safety measurement systems including solicitation of patient and employee
  6. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/epic-implementation-q-a-final-deck.pdf
    June 02, 2025 - More process questions 6 Reports: methods to run reports from Epic 4 Follow up Alert © 2022 Epic Systems … Corporation 5 Order Set © 2022 Epic Systems Corporation 6 Actual Order © 2022 Epic Systems
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
    May 01, 2017 - For rapid response systems to be sustainable, they need ongoing support, resources, and governance. … Similarly, obstetrical rapid response systems are distinct from neonatal rapid response systems. … Slide 5 SAY: Some evidence supports the use of rapid response systems for improving patient safety … Studies and experience with the use of rapid response systems for maternity patients is emerging. … Slide 13 SAY: The third consideration for rapid response systems is to learn from defects.
  8. www.ahrq.gov/cpi/about/otherwebsites/safety-patient-healthcare-workers.html
    November 01, 2022 - Secretary Xavier Becerra convened the chief executive officers of the country's largest healthcare systems … System Action Alliance to Advance Patient Safety (The Action Alliance) by partnering with healthcare systems … Secretary Becerra invites healthcare systems around the Nation and other stakeholders to join The Action
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
    April 27, 2008 - Functionally, though, they are ill-defined, open systems. … Wears); Cognitive Systems Engineering Laboratory, Department of Integrated Systems Engineering, The … Symposium on resilience in human systems. … Joint cognitive systems: Patterns in cognitive systems engineering. … Symposium on resilience in human systems.
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
    October 01, 2024 - Safe systems also utilize independent double-checks for important things. … Safe systems have a mechanism to learn from events when something goes wrong. … The team utilizes the principles of safe systems by standardizing care when possible. … It’s about using the science of safety to create safer systems. … Change efforts require a focus on systems, not individuals.
  11. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
    April 01, 2025 - Safe systems also utilize independent double-checks for important things. … Safe systems have a mechanism to learn from events when something goes wrong. … The team utilizes the principles of safe systems by standardizing care when possible. … It’s about using the science of safety to create safer systems. … Change efforts require a focus on systems, not individuals.
  12. www.ahrq.gov/cpi/about/mission/ahrq-fy2018-conf-spending.html
    February 01, 2019 - One of the Agency's priority stakeholders are health systems.  … To date, the program's evidence reports have not been used as much by health systems. … Therefore, the program convened a panel to get feedback and input to make its reports more useful to health systems
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
    March 18, 2008 - In order to improve both quality of care and patient safety, health care systems are implementing CPOE … • Improving financial systems’ performance with more accurate clinical data. … • Fully implementing clinical systems. 2 These results mirror to some extent the findings of … , clinical decision-support systems, and electronic drug dispensing systems. … Role of computerized physician order entry systems in facilitating medication errors.
  14. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - Are information systems in place to support the effort going forward? … Are change goals integrated with other performance measures and reward systems of participating entities … Are change goals integrated with existing programs, policies/procedures, and information systems of participating … change goals are not aligned and integrated with the strategic goals, performance measures, reward systems … , programs, policies/procedures, and information systems of participating entities, what strategies can
  15. www.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
    March 01, 2019 - All seven of Pennsylvania's participating health systems 1 are reporting from EHRs some or all of selected … While working to report the measures, all of the CHIPRA grantee health systems examined the availability … Work under the CHIPRA grant has brought these issues to light, thereby enabling the health systems to … In addition, all health systems are working to establish bi-directional linkage with the Pennsylvania … Testing a Model EHR Format for Children Five of Pennsylvania's grantee health systems (St.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
    June 02, 2025 - What changes in our procedures and systems are needed to implement the new practice? 3. … provide an intriguing corpus of work that begins to illuminate the problems in implementing these systems … As a result, a number of papers describe experiences with reporting systems. … of Defense system, which receives more than 64,000 reports a year, to another that reports on the systems … While systems are succeeding even in the absence of adequate protection from discovery, there is little
  17. www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
    January 01, 2025 - Systems engineering-based framework of process risks in perioperative medication delivery . … Reconsidering the application of systems thinking in healthcare: the RaDonda Vaught case . … Systems safety in nonoperating room anesthesia locations . … Morbidity, mortality, and systems safety in non-operating room anaesthesia: a narrative review . … Systems engineering-based framework of process risks in perioperative medication delivery .
  18. www.ahrq.gov/funding/process/study-section/resfoci.html
    October 01, 2024 - Healthcare Systems & Value Research (HSVR) Development of Measures/Data/Tools / Strategies for Reducing … Healthcare Costs / Improving Quality of Care within Organization and/or Systems of Cares Implementation … Innovation Research Access and Utilization Cost/Finance/Markets Qualitative & Quantitative Methods Delivery Systems
  19. www.ahrq.gov/
    June 12, 2025 - primary care clinicians implement the best evidence into care Learning Health Systems … organizations improve care Consumer Assessment of Healthcare Providers and Systems … Health Systems Research AHRQ invests in research that generates evidence about how to deliver high-quality … More Practice Improvement AHRQ creates tools and strategies to help health systems and
  20. www.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
    June 01, 2020 - Social Factors Role of health care systems in addressing social determinants of health. a Effect … or employing academic researchers in delivery systems for short-term fellowships or sabbaticals. … Learning health systems are an emerging set of research models in which health care delivery systems … Others have noted the importance that research findings from local learning health systems are shared … Despite the expectation that HIT, in particular, EHR systems, will increase the efficiency and safety

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