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Showing results for "systems".

441. Fall TIPS: A Patient-Centered Fall Prevention Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
     February 01, 2021 - James Benneyan, Ph.D., Northeastern University Healthcare Systems Engineering Institute, Boston, Massachusetts … Awatef Ergai, Ph.D., Northeastern University Healthcare Systems Engineering Institute, Boston, Massachusetts … Zachary Katsulis, M.S., Northeastern University Healthcare Systems Engineering Institute, Boston, Massachusetts … efficacy and cost-benefit analysis of the Fall TIPS Toolkit in 12 hospitals across three healthcare systems

442. 20. Final Selected Topics (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide20.html
     October 01, 2014 - Effectiveness of systems interventions, including provider training and the combination of training and … systems interventions.  

443. Final Progress Report: A Pilot Study for Intrgrating Facility Information With Healthcare Information to Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
     January 01, 2024 - This approach involves developing an overall systems perspective that includes the link between medical … Planned events are things such as regular maintenance of mechanical and electrical systems, whereas … Finally, in the evening, all systems were back in service. … These items are part of the larger systems that were examined. … The inheriting sub-classes of the Building/Facility class are Building Element and Systems.

444. Workflow Analysis for Quality Improvement (QI) in Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/workflow-analysis-qi.html
     November 01, 2018 - explains how primary care practices can use workflow analysis for quality improvement in all office systems—such … It provides step-by-step guidance and a systems assessment tool.

445. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
     June 03, 2008 - Workgroups are created to target systems-based problems. … and often there is not enough time to discuss specific interventions to improve patient care across systems … In order to highlight specific systems issues that might have contributed to the adverse event, the … Every conference begins with a reminder of the systems- based approach to identifying problems and the … During the 2-year period, 33 action items were created to address specific systems-based issues; 23

446. Figure 3.1. Elements of the PRISM Model | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenfig3-1.html
     April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Figure 3.1. … Elements of the PRISM Model Previous Page Next Page Table of Contents Health Care Systems

447. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
     February 01, 2017 - We focus on individuals as opposed to systems: Most errors do not belong to individual doctors and … Health care systems are rarely designed to catch mistakes before they happen. … Slide 7: Apply System Lenses Engage staff by asking them to apply systems lenses with the following … What systems may have led to these events? … Slide 16: Where To Find Defects Adverse event reporting systems. Sentinel events.

448. AHRQ Final Progress Report: Developing an Integrated Engineering-Based Model to Reduce Infections in the ICU (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
     January 01, 2024 - Additional Team Members: Danielle Zerr & Shreyas Limaye Organization: Department of Industrial and Systems … Key Words: Systems modeling, simulation, risk analysis, infection transmission. … Create a complex systems model of the ICU. … These results confirm the initial assumption that looking at this problem from a systems perspective … Conference Proceedings at the 19th Annual Society for Health Systems Conference at New Orleans, LA,

449. NAA National Webinar August 2024 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
     January 01, 2024 - • Focus on four safety foundational areas: culture, patient engagement, workforce safety, learning systems … Leadership and Governance Safety Culture Human Factors and Safe Design High Reliability and Systems … Thinking • Systems Thinking • High Reliability • Standardization Competency Domains 10-12 14 Domain … competencies • Provide a resource library on the AHRQ NAA website 17 Creating Learning Health Systems … Systems Thinking and Design / Human Factors Analysis © 2023-2024 University of North Texas Health

450. Improving Patient Safety with the Military Electronic Health Record (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
     January 24, 2004 - MHS information management and technology systems In his testimony before Congress, former Department … They also track medical supplies and equipment to assure that critical logistics systems respond to … In addition, these systems monitor and improve overall health care delivery to patients, detect and … Standards are critical to consistency and the sharing of data between users, facilities, and systems … Military Health Systems (MHS) integrating the Electronic Health Record (EHR) Figure 2.

451. Using Health Information Technology (IT) for Primary Care Quality Improvement (QI) | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/health-it-tools.html
     April 01, 2022 - such as electronic health records, data registries, decision support and health information exchange systems—to … support quality improvement (QI), this AHRQ resource supports Key Driver 3: Optimize health information systems

452. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - and long lasting, anonymous reporting systems are insufficient to the task. … Many offices spontaneously changed selected systems after examining selected error reports. … Nonetheless, these systems make it impossible to operate the old paper-based systems in these offices … Furthermore, safety systems are not programmed into many current ambulatory EMRs. … These systems do not inherently increase primary care office safety.

453. Figure 3.2. Flow of Participating Practices and Patients Through the SATIS-PHI/CRC Intervention Study | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenfig3-2.html
     April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Figure 3.2. … SATIS-PHI/CRC Intervention Study Previous Page Next Page Table of Contents Health Care Systems

454. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - Harewood, MPA Abstract Objective: We aimed to determine the effectiveness of team-based reporting, systems … A systems approach—as advocated by the IOM—is a shift from a traditional blaming culture, which seeks … Health care personnel have limited experience in identifying faulty systems, which are responsible for … The new competency requirements in systems-based care from the Accreditation Council of Graduate Medical … Interventions have included staff education, changes in systems, and equipment modifications.

455. National Advisory Council (NAC) Virtual Meeting Minutes: May 12, 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2022-05-nac/nacmtg051222-minutes.pdf
     January 01, 2022 - AHRQ has been working with healthcare systems throughout the nation, where consolidation has occurred … Melinda Buntin, Ph.D., complimented AHRQ on taking a systems-view through the years. … She stated that bias and disparities, as well as physician burnout, persist in systems. … Examples of good- shared governance in healthcare systems exists. Dr. … AHRQ can pursue follow through, determining how to improve systems.

456. 79. Treatment Recommendations: Counseling (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide79.html
     October 01, 2014 - Evidence has shown that clinic screening systems such as expanding the vital signs to include tobacco-use … status, or the use of other reminder systems such as chart stickers or computer prompts significantly

457. Appendix B. Peer Reviewers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/appb.html
     August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Appendix B. … Reviewers Previous Page Next Page Table of Contents Designing Consumer Reporting Systems

458. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreensum.html
     April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary Previous … Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening … the screening and followup process through improved eligibility identification and screening tracking systems … primary care practices in the Lehigh Valley that affected both their electronic medical record (EMR) systems … closely affiliated with the central entity and those that have and do not have fully functional EMR systems

459. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - Root cause analyses (RCA) that examine systems issues and identify mechanisms for future prevention … Tightly coupled systems are those in which an action is taken that directly affects the outcome. … and reactively analyze systems to achieve better outcomes. … American Society of Health Systems Pharmacists. … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.

460. Using a Tiered Approach With CUSP Principles Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
     April 01, 2022 - Team and ICU Staff module, defects that result in error leading to harm are most often a result of systems … To achieve optimal outcomes, organizations must design strong systems that minimize the risks of us making … When creating these systems, you will want to design it to support desired human behaviors. … Organizations can manage both system and human behavior through development of learning systems, which … Slide 8 With the key concepts of “Just Culture” and systems theory being the backbone, CUSP can be