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Showing results for "systems".

341. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     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.

342. Getting Started  | Agency for Healthcare Research and Quality
     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

343. Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs (pdf file)
     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.

344. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
     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.

345. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
     September 01, 2025 - • Healthcare delivery systems may need to build capacity to support PCCP. … Yet, implementation of PCCP models is challenging in health systems. … • Utilize a shared care plan to share information across health systems. … Systems implementing PCCP can leverage implementation science for change strategies. … Age Friendly Health Systems.

346. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     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?

347. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     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.

348. Facilitator Notes | Agency for Healthcare Research and Quality
     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

349. 6. Conclusions | Agency for Healthcare Research and Quality
     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

350. An Overview of the CANDOR Process
     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.

351. Treating Tobacco Use and Dependence: 2008 Update - Overview | Agency for Healthcare Research and Quality
     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

352. Table 4.8. Effect Size of SATIS-PHI/CRC Intervention on Screening Rates | Agency for Healthcare Research and Quality
     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.

353. Chapter-2 - Failure-To-Rescue (pdf file)
     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

354. Appendix I: Online and Journal Resources | Agency for Healthcare Research and Quality
     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.

355. Appendix: Evaluation Items | Agency for Healthcare Research and Quality
     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

356. State at a Glance: Pennsylvania | Agency for Healthcare Research and Quality
     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.

357. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes … Approaches that focus on punishing individuals instead of changing systems provide strong incentives … The rationale for a systems approach to Event Investigation and Analysis is that managing individual … A systems approach includes, as part of the event investigation, an analysis of how the system failed

358. Module 1 Slides: Welcome to the TAKEheartInitiative and the Benefits of Increasing Cardiac (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-slides.pdf
     January 30, 2020 - 19 PARTICIPANTSFO SYSTEMS • Outpatient CR is challenging to coordinate and sustain from an inpatient … FOR HOSPITALS/HEALTH SYSTEMS Making the Case for Cardiac Rehabilitation 20 PARTICIPANTSFOR PATIENTS … & SOCIETY FOR HOSPITALS/HEALTH SYSTEMS Making the Case for Cardiac Rehabilitation 23 PARTICIPANTS … • Two CPT codes for CR: 93798 93797 REIMBURSEENT 1 2 FOR HOSPITALS/HEALTH SYSTEMS: Reimbursement … FOR HOSPITALS/HEALTH SYSTEMS: Data for Quality Improvement, Reporting Making the Case for Cardiac

359. 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1.html
     April 01, 2018 - One of the biggest barriers most health systems face in improving quality and reducing disparities within … This phase brings health systems one step closer to understanding where the disparities (or differential … Health IT limitations (number of fields, comparability of categories among systems). … Despite evidence of disparities at all levels of health and health care systems, hospital executives, … from the Health IT systems that capture clinical information used in quality measurement.

360. Implementing Automated Patient Questionnaires (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/implementing-automated-ptquestionnaires.pdf
     June 02, 2025 - ©2023 Epic Systems Corporation ©2023 Epic Systems Corporation Clinician Display 6 ©2023 Epic … Systems Corporation ©2023 Epic Systems Corporation Successes 7 • Uptake by patients is high