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Showing results for "systems".

  1. 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
  2. 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.
  3. 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
  4. 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.
  5. www.ahrq.gov/funding/grantee-profiles/grtprofile-gurses.html
    November 01, 2023 - healthcare processes led her to apply engineering principles—thinking of healthcare settings as complex systems … Gurses studied industrial and systems engineering at Middle East Technical University in Ankara, Turkey … She found that healthcare organizations were intricate systems in which multiple internal and external … “These are complex, nonlinear, and open work systems, so it’s not straightforward to model them,” she … This is the crux of systems engineering.” Principal Investigator: Ayse P.
  6. 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
  7. 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.
  8. 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.
  9. 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.
  10. 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
  11. 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
  12. 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
  13. 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 .
  14. 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
  15. www.ahrq.gov/cahps/news-and-events/events/2016-meeting-summary.html
    August 01, 2019 - the meeting included representatives from a broad spectrum of stakeholder groups, including health systems … Feedback Reporting of Narratives to Clinicians: A review by two health systems and one online rating … Value of public reporting: Impact on improvement:  Some health systems in the U.S. that have posted … Some systems also find that public reporting has contributed to positive changes in organizational culture … What would it take for these kinds of improvements to occur in other health systems?
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology10.html
    April 01, 2025 - recognizes the wisdom of frontline clinicians will benefit from their contribution to excellent care in safe systems … Shifting to a mindset of continuous improvement reframes challenges as opportunities to evolve systems … Recommendations for Practice To address diagnosis-related terminology challenges and opportunities, healthcare systems … programs and educational initiatives that emphasize a shared understanding of the history, complexity, and systems-based
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/findref.html
    March 01, 2017 - Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/MedicaidDataSourcesGenInfo … Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/MedicaidDataSourcesGenInfo
  18. www.ahrq.gov/takeheart/training/all-modules/index.html
    December 01, 2022 - Systems Change: Laying the Foundation, Leadership, and Action Plans This module explains the necessary … Systems Change: Understanding Your Workflow Processes to Prepare for System Change This module describes … Systems Change: Preparing and Understanding Your Data to Foster Systems Change This module provides
  19. www.ahrq.gov/patient-safety/resources/simulation-issue-brief8.html
    July 01, 2024 - Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve Healthcare Delivery Systems … Advance Safety Simulation in Health Care: Setting Realistic Expectations Use of Simulation To Test Systems … and Prepare Staff for a New Hospital Transition Simulation-Based Clinical Systems Testing for Healthcare
  20. www.ahrq.gov/patient-safety/resources/simulation-issue-brief7.html
    July 01, 2024 - Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve Healthcare Delivery Systems … backgrounds and are often individuals who are passionate about healthcare education, research, and systems … have backgrounds in clinical care, and some have backgrounds in educational theory, human factors, systems

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