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  1. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/outpatient-surgery.pdf
    June 02, 2025 - Percentages below show body systems most commonly addressed in inpatient surgery. … Percentages below show body systems most commonly addressed in outpatient surgery.
  2. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
    February 01, 2019 - Embed selected evidence and guidelines into clinical information systems Research shows that relying … Functional clinical information systems can make it easier for teams to adhere to agreed-upon actions … Practices that are part of larger systems may have more QI resources to draw on and likely will need … , such as registries and laboratory systems, to fill the gaps. … Electronic systems may require the addition of new fields and paper-based systems will need a coherent
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - from the health care profession and other fields, including transportation, spacecraft design, and systems … Finally, recommendations are made for the design of all health care systems, including new facilities … Use adaptive systems that will allow function in the future. 8. … Systems analysis of adverse drug events. JAMA 1995;288:501–13. 3. Borden S. U.S. … Improper administration technique harmful to patients; costly to health systems and insurers.
  4. www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
    January 01, 2024 - Inland Hospital, Waterville, Maine Georgianna Kosciusko, Planning Office, Eastern Maine Healthcare Systems … Locally, Eastern Maine Healthcare Systems (EMHS), which is the parent corporation to the Aroostook … Eastern Maine Healthcare Systems employs the critical technical resources for enterprise information … systems. … The EMHS Information Systems Department consists of over 135 highly skilled technical and analytical
  5. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
    July 01, 2021 - provider group) will need to partner with practices and quality improvement (QI) coaches to evaluate systems … Some systems with a high degree of integration and QI capacity have chosen multiple interventions to … However, most care systems will likely be best served by selecting a single approach after evaluating … Between meetings, clinicians conducted observations of office systems. … The improvement team integrated hypotheses, data, and office systems into meaningful process measures
  6. www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - One start to reducing adverse incidents is to use reporting systems. … Improvements in reporting practices are significant because incident reporting systems have been used … Regulations and policies mandate the use of incident reporting systems in healthcare settings. … Software tools to support incident reporting in safety-critical systems. … Software tools to support incident reporting in safety-critical systems.
  7. www.ahrq.gov/ncepcr/tools/confid-report/remarks.html
    March 01, 2016 - Part One: Physician Feedback Report Fundamentals Part Two: Design of Physician Feedback Reporting Systems … Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems … Part Four: A Research Agenda To Advance the Science of Physician Feedback Reporting Systems Concluding
  8. www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
    January 01, 2024 - Such systems have been shown to decrease the incidence of adverse medical events, facilitate communication … of up-to-date clinical data that results from patient information existing in “silo” information systems … It is clear that the information technology systems vary among the partner organizations in our community … o How will patient matching occur among disparate systems without a unique patient identifier? … o Information sharing affects a number of different systems and vendors.
  9. www.ahrq.gov/pcor/strategic-framework/investments.html
    July 01, 2023 - deliberate focus on understanding and addressing factors at multiple levels of influence (policies, systems … Healthcare delivery system infrastructure: How can healthcare delivery organizations structure their systems … By using its core competencies to support progress in these key areas, AHRQ aims to support health systems
  10. www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
    January 01, 2024 - Some systems required that all patients on DOACs be referred to the anticoagulation clinics. … Each of these health systems has a functioning anticoagulation clinic and uses the Epic™ EHR. … The first was the VHA health systems. … The second setting included four distinct health systems that participate in MAQI2. … Timing of Off-Label Dosing of Direct Oral Anticoagulants in Three Large Health Systems.
  11. www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
    January 01, 2025 - To accomplish this, we employed powerful geographic information systems (GIS) to perform head-to-head … and implementation of voluntary agreements between hospitals and emergency medical service systems … Health systems interventions do not have to be voluntary or market-based. … Getting reliable data on all of these aspects of EMS systems is challenging. … Some state health departments maintain data on EMS systems operating in the state.
  12. www.ahrq.gov/sites/default/files/2025-05/blocker-report.pdf
    January 01, 2025 - Scope: Resilience engineering is an emerging paradigm for understanding and improving complex adaptive systems … ) Resilience engineering is an emerging paradigm for understanding and improving complex adaptive systems … focused on blame and shame failed to change patient outcomes; thus, in the early 2000s, an alternative systems … These latter techniques use a systems view that examines what goes wrong; however, they can be a tool … development of practical solutions to adequately measure resilience engineering so that healthcare systems
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
    October 01, 2024 - Describe the characteristics of safe systems and outline the main strategies used to create them. … Safe systems can be designed by applying human factors and other approaches to address technical problems … Systems are designed to obtain the results they get. … Focus on systems, not individuals. … Change efforts often require a focus on systems, not individuals.
  14. www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/how-well-do-you-know-ahrq-quizzes.pdf
    September 01, 2024 - Health systems b. Healthcare professionals c. Chefs d. Policymakers ANSWER: C. … AHRQ is to health systems as CDC is to … a. Patients and consumers b. Public health systems c. … Public health systems AHRQ’s unique authorities focus on improving the delivery of care in hospitals … and health systems in the way CDC focuses on improving public health. 5. … Challenges with electronic health systems
  15. www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
    January 01, 2024 - Health systems expend considerable resources reducing medication errors in the hospital setting. … As evolving payment reform systems mandate that health systems initiate transitional models to better … The findings may differ in other parts of the United States or within other health systems. … Medicare quality improvement: Bad apples or bad systems? … American Society Health Systems Pharmacist Journal, 66, 2027-2031.
  16. www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
    January 01, 2020 - and Provider Database and, at AHRQ itself, of a compendium of U.S. health systems (almost 700 systems … A goal is to foster greater measurement and collection of data by health systems. … AHRQ has been partnering with systems-engineering experts. … How are healthcare systems reestablished? Dr. … Secretary Azar is visiting States and delivery systems.
  17. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
    September 08, 2022 - Discovering the 4Ms: A Framework for Creating Age-Friendly Health Systems. 2018: New York, NY. … need to pay for the equipment, space, and personnel they have built into their systems. … /age-friendly-health- systems-initiative; https://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems … Public Health Systems https://afphs.org/ Every day, 10,000 Americans turn 65. … Hartford Foundation, developed the Framework for Creating Age-Friendly Public Health Systems.
  18. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mestateataglance.pdf
    March 01, 2012 - grants to 10 States under a 5‐year, $100 million effort to improve health care quality and delivery systems … Maine’s goal is to enhance the State’s current quality performance measurement and incentive payment systems … reporting EPSDT/Bright Futures preventive measures from electronic clinical records and linking data systems … within Maine's Department of Health and Human Services to child‐serving practices and health systems … The State is developing infrastructure to receive clinical data from health systems and to pilot e‐measure
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-scholle.pdf
    April 01, 2015 - Level 1 recognition rated resources and challenges associated with implementing and using information systems … Some physicians and staff were initially resistant to learning new processes and systems, especially … EHR and registry systems. … • The transformation process spurred many practices to expand their use of EHR and registry systems … For additional information about this grant, please visit: http://www.ahrq.gov/professionals/systems
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
    June 02, 2025 - quality-improvement/improvement-guide/improvement-guide.html The Consumer Assessment of Healthcare Providers and Systems … A Guide to Achieving High Performance in Multi-Hospital Health Systems Julie Yonek, Stephen Hines, and … product of an effort to identify and disseminate best practices associated with high-performing health systems … best practices that have a demonstrated association with high performance in multi-hospital health systems

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