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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?
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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
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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
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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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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - Facility managers nominated staff
based on each person’s knowledge of medication systems and their … Build control systems maps. … Estimate human error, at-risk behavior, control systems, and
equipment failure rates. … They learned the value of
redundant control systems and capture opportunities from the model. … Systems analysis
of adverse drug events. JAMA 1995;274:35–43.
20.
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www.ahrq.gov/takeheart/training/getting-started/index.html
April 01, 2023 - the TAKEheart Initiative and the Benefits of Improving Cardiac Rehabilitation
Training Module 2: Systems … Change: Laying the Foundation, Leadership, and Action Plans
Training Module 3: Systems Change: Understanding … Your Workflow Processes to Prepare for System Change
Training Module 4: Systems Change: Preparing … and Understanding Your Data to Foster Systems Change
Related Webinars From the TAKEheart Learning … Effective use of data is essential for CR programs and foundational to automatic referral systems and
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - The two centers had markedly different IT systems at the beginning of the project but
have converged … When worlds collide: two medication systems in one
emergency department. … Role of
Computerized Physician Order Entry Systems in Facilitating Medication Errors. … Safety-Critical Computer Systems. Harlow, UK: Pearson Education
Limited; 1996, 453 pages.
28. … A new accident model for engineering safer systems. Safety Science
2004;42(4):237 - 270.
29.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Additionally, the board was provided with an
overview of the systems perspective discussed in To Err … Human-factors analysis using standard methodology for
computer systems was also conducted. … Reporting and preventing
medical mishaps: lessons from nonmedical near miss
reporting systems. … A systems approach to the
reduction of medication error on the hospital ward. … Confidential incident
reporting systems create vital awareness of safety
problems.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - Slide 2: Learning Objectives
Say:
This module will help you develop a systems view of patient safety … These defects are as much a part of our health care systems as are the innovations. … Errors also occur because systems frequently are not designed to catch mistakes before they reach the … When we focus on systems, rather than individuals, we realize that we can redesign care and delivery … What systems may have led to the events?
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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Systems and Behaviors Work Together To Improve Outcomes
Slide 9. Accountability
Slide 10. … Learning systems.
Accountability and justice. … To achieve optimal outcomes, organizations must design robust systems that minimize risks. … Forcing functions, checks, and redundancies are some features of systems intended to minimize the risk … Learning systems
By establishing learning systems, organizations can manage both systems and human
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
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. … • Most studies of rapid response systems
in the literature are from unblinded,
nonrandomized studies … • Studies and experience with the use of
rapid response systems for maternity
patients is emerging … SAY:
Another key safety element related to rapid
response systems is conducting simulations.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen6.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
6. … Conclusions
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking … For example, the ability of health systems to conduct a population-based electronic record review will … Transferability to Other Systems/Settings
Based on our assessment findings and our lessons learned, … closely affiliated with the central entity and those that have and do not have fully functional EMR systems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - Shared Sense of the Systems to Be Improved
Culture of Improvement and a Deeply Engaged Staff
Formal … Response and Disclosure; Event Analysis
Shared Sense of the Systems to Be Improved Gap Analysis … systems are Response and Disclosure and Event Analysis.
… Shared sense of the systems to be improved—The entire CANDOR process fosters a culture of improvement … Build systems for collecting process, outcome, and quality improvement activity data.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/index.html
October 01, 2014 - Intervention as a Covered Health Benefit (continued)
Intervention as a Covered Health Benefit (continued)
Systems … Interventions: Clinician Training and Chart Reminders
Systems Interventions: Clinician Training and … Chart Reminders (continued)
Systems Interventions: Clinician Training and Chart Reminders (continued … )
Systems Interventions: Clinician Training and Chart Reminders (continued)
For Smokers Not Willing
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-8.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.8. … Intervention on Screening Rates
Previous Page Next Page
Table of Contents
Health Care Systems … 0.013
6.27
1.60
0.78
3.28
0.195
10.68
2.41
1.60
3.62
0.000
Practices With EMR Systems … Includes only those practices with EMR systems used for electronic record review.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - Rapid response systems (RRSs) are hospital-based systems to detect and treat deteriorating patients … Rapid Response Systems.
https://psnet.ahrq.gov/primers/primer/4/rapid-response-systems. … Rapid Response Systems.
https://psnet.ahrq.gov/primers/primer/4/rapid-response-systems. … For EWS, aggregate weighted scoring systems appear to be
more effective than single parameter systems … For EWS, aggregate weighted scoring
systems appear to be more effective than
single parameter systems
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/api.html
June 01, 2010 - The Exchange is funded by CMS through grants awarded under the Systems Change Community Living Initiative … http://www.hcbs.org/
CMS Real Choice Systems Change (RCSC)
Reviewed 5/3
CMS has awarded … approximately $240 million in Systems Change Grants for Community Living to 50 States, the District … Twenty-four of the systems are mandatory reporting systems and one is voluntary. … and developing information and decision support systems.
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguideap.html
October 01, 2014 - Overall
Program goals and objectives
Research Center Support
Do you have:
Staff/systems … to prepare budgets for grants/contracts
Staff/systems to prepare invoices for funded projects
Staff … /systems to keep track of funded project expenses and produce monthly expense reports
Staff/systems … to identify and disseminate information about funding opportunities
Staff/systems to provide access … to previous proposals
Staff/systems to review proposals or approve proposals
Information technology