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Showing results for "systems".

361. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
     April 20, 2004 - In: VISTA (Veterans Health Information Systems & Technology Architecture) Health Systems Design & Development … VISTA (Veterans Health Information Systems & Technology Architecture) Health Systems Design & Development … In: VISTA (Veterans Health Information Systems & Technology Architecture) Health Systems Design & Development … In: VISTA (Veterans Health Information Systems & Technology Architecture) Health Systems Design & Development … In: VISTA (Veterans Health Information Systems & Technology Architecture) Health Systems Design & Development

362. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
     January 01, 2025 - Methods: The study’s cognitive systems engineering approach included six methods. … (2005:3) have identified as the most promising tools for healthcare systems engineering. … Cognitive Systems Engineering. In Helander, M. (Ed.). Handbook of Human-Computer Interaction. … Sharpening the Sword: Human Factors Research for High Stakes Human Systems Integration. … International Conference and Workshop on Enterprises as Systems. Northern Illinois University.

363. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
     January 01, 2003 - semistructured interviews among a sample of practicing physicians from 3 integrated health delivery systems … Other subjects used pharmacy support systems. … Respondents also noted the value of pharmacy support systems. … Third, all of the health systems were relatively large integrated delivery systems, which arguably may … Characteristics of three integrated delivery systems (1999 data)* Table 2.

364. Resident and Family Engagement: What is it? What are the benefits? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-brochure.pdf
     March 01, 2017 - Working With Patients and Families as Advisors. 2013. http://www. ahrq.gov/professionals/systems/hospital … tipsforgroupleaders.pdf http://www.ipfcc.org/advance/tipsforgroupleaders.pdf http://www.ahrq.gov/professionals/systems … /hospital/engagingfamilies/strategy1/index.html http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies … /strategy1/index.html http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy1/index.html

365. National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
     September 30, 2015 - • Outdated or underdeveloped claims systems, health information exchanges, and electronic health … In some cases, States were overly optimistic in their plans to link existing data systems, such as … claims systems and immunization registries, and to use newly developed information exchange systems … However, their needs often went beyond what current IT systems could provide. … Collecting data from State-level data systems.

366. Table 28. Logistic regression of characteristics associated with utilization of education and case management visits by adults with diabetes or cardiovascular disease. | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab28.html
     December 01, 2017 - Fiscal year 2010 Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based … practices through delivery systems; recommendations and methods for advancing delivery system research … Presentations, topical papers and briefs on advanced methods, critical areas, and challenges for Delivery Systems

367. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - Slide 1 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?

368. Learn-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - Learning systems; and 5. 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 … Slide 20 SAY: Learning systems By establishing learning systems, organizations can manage both systems … In contrast, a Just Culture environment will support improved outcomes by emphasizing both robust systems

369. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
     January 01, 2024 - To identify preferred priorities for implementation of patient safety reporting systems 3. … The group discussed error reporting systems, the kinds of errors that should be reported, and how the … • To identify preferred priorities for implementation of reporting systems. … A just culture supports open discussion of medical error to improve care delivery systems. … He holds a degree in mechanical systems engineering and a juris doctor. Frederick J.

370. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
     May 20, 2016 - Additional Resources Systems/Processes • Agency for Healthcare Research and Quality. … /hospital/fallpxtoolkit/index.html http://www.ahrq.gov/professionals/systems/long-term-care/resources … /injuries/fallspx/fallspxmanual.pdf http://www.ahrq.gov/professionals/systems/long-term-care/resources … /injuries/fallspx/fallspxmanual.pdf http://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/ … Bloomington, MN: Institute for Clinical Systems Improvement; April 2012. https://www.icsi.org/_asset/

371. Section 6, Tables 2 and 3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
     June 05, 2025 - Malignancy ≥ 1 claim ≥ 1 claim ≥ 1 claim Other ≥ 1 claim per body system for 2 different body systems … during the measurement period* ≥ 2 claims per body system for 2 different body systems during … the measurement period* ≥ 1 claim per body system per year for 2 different body systems during

372. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
     January 01, 2024 - Electronic prescribing (e-prescribing) and pharmacy information systems include DDI alerts as a form … The second approach described in the literature was a systematic assessment of DDIs for CDS systems … seriousness in order to simplify and increase the consistency of these classification systems. … is dynamic and will evolve as systems become more sophisticated. … Development of a context model to prioritize drug safety alerts in CPOE systems.

373. AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
     May 01, 2017 - Care 15 Managing Error and Risk3 16 Learn About CUSP AHRQ Safety Program for Perinatal Care 16 Systems … Work Together To Improve Outcomes3 17 Learn About CUSP AHRQ Safety Program for Perinatal Care 17 Systems … Work Together To Improve Outcomes3 18 Learn About CUSP AHRQ Safety Program for Perinatal Care 18 Systems … Work Together To Improve Outcomes3 19 Learn About CUSP AHRQ Safety Program for Perinatal Care 19 Systems … mental models Expanded knowledge of potential hazards and barriers to safety Collaborative focus on systems

374. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/simulation-issue-brief-references.html
     July 01, 2024 - Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve Healthcare Delivery Systems … Systems-focused simulation to prepare for COVID-19 intraoperative emergencies. … PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations … Comprehensive Healthcare Simulation: Improving Healthcare Systems .

375. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
     June 02, 2025 - articles addressing (1) safety and organizational issues, (2) clinical process improvement, (3) systems … Understanding the nature of systems operating at both the overall macro level and at the micro level … improvements at the micro system level, the articles in section three of this volume examine redesigning systems … realization that quality and safety improvements can be made by thoughtful design and/or redesign of our systems

376. New Data Files Provide Comprehensive View of U.S. Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/925.html
     August 01, 2024 - Health Systems are now available to provide researchers, policymakers and others with a comprehensive … Study Highlights Impact of Telemedicine on Care Between 2019 and 2022, health systems in the top 25 percent … They also found that while expenditures for patient care at these systems increased by $248 per patient … each year, patients at systems that used telehealth the most reported greater adherence to both Metformin … Patient care in complex sociotechnological ecosystems and learning health systems.

377. Making Healthcare Safer III Patient Safety Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
     April 01, 2020 - Practices Diagnostic Errors ( PDF , 2.3 MB) Clinical Decision Support Result Notification Systems … Education and Training Peer Review Failure To Rescue ( PDF , 1.8 MB) Patient Monitoring Systems … Rapid Response Teams Sepsis Recognition ( PDF , 2.1 MB) Screening Tools Patient Monitoring Systems

378. Subcommittee Member: Lucy A. Savitz | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/nac/pcortf-snac/savitz.html
     November 01, 2022 - a member of the Delivery System Science Fellowship Program Committee, co-leads the Learning Health Systems … In addition, she serves as a current board member and immediate past chair for the Health Care Systems … implementation of quality/safety interventions and realistic program evaluations that support learning health systems

379. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
     January 01, 2018 - provider order entry (CPOE) – Barcoding – Electronic prescribing – Handoff tools – Test result management systems … – Referral management systems Use of EHRs in Ambulatory Care 16.9% 21.8% 24.9% 34.8% 39.6% 48.1% … Health Affairs 2013 Optimize the use of HIT • Need to optimize these EHR and device systems – Reduce … • Many strategies exist to make culture change that are relevant to HIT – Reporting systems – Walkrounds

380. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
     August 01, 2022 - Human Services (HHS), who assigned AHRQ to establish an initiative that would help States and health systems … In addition, the initiative attempted to move toward a systems-oriented approach to learning and improvement … to 3 years for up to $3 million each were to be awarded on a competitive basis to States and health systems … up to 1 year for up to $300,000 each were to be awarded on a competitive basis to States and health systems