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61. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet
    psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
    June 28, 2017 - care systems. … Care Systems. … Care Systems. … October 19, 2016 Enabling a learning healthcare system with automated computer protocols … July 18, 2012 Creating a high-reliability health care system: improving performance on

62. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet
    psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
    August 01, 2012 - Using a network organisational architecture to support the development of Learning Healthcare Systems … The National Academy of Sciences has advocated for a Learning Healthcare System in which patients are … Using a network organisational architecture to support the development of Learning Healthcare Systems … delivery network. … November 10, 2021 Emergency department crowding: the canary in the health care system

63. Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. | PSNet
    psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
    February 16, 2022 - Study Patient and public co-creation of healthcare safety and healthcare system resilience … Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID … they undertook to keep themselves and others safe, and their understanding of healthcare system resilience … Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID … March 24, 2021 What COVID-19 teaches us about implicit bias in pediatric health care.

64. Toward the modelling of safety violations in healthcare systems. | PSNet
    psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
    March 29, 2023 - Commentary Toward the modelling of safety violations in healthcare systems. … Toward the modelling of safety violations in healthcare systems. … Toward the modelling of safety violations in healthcare systems. … care system. … November 2, 2016 Developing a measure of value in health care.

65. Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet
    psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health
    December 16, 2020 - Care System, Minnesota. … Louis Health Care System in Missouri. … Care System. … Care System. … Louis Health Care System in Missouri.

66. How the Built Environment Impacts Resilient Healthcare Systems. | PSNet
    psnet.ahrq.gov/issue/how-built-environment-impacts-resilient-healthcare-systems
    January 24, 2024 - Systems. … Citation Text: Resilient Health Care Society. January 18, 2024; 3:00-4:00 PM (eastern). … August 8, 2007 Health-Care–Associated Infections in Hospitals: Continuing Leadership … November 2, 2011 Physical and verbal violence against health care workers. … Delivery and Outcomes.

67. Healthcare Systems Ergonomics and Patient Safety Triennial Conference. | PSNet
    psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
    March 22, 2023 - Meeting/Conference Healthcare Systems Ergonomics and Patient Safety Triennial Conference … March 9, 2022 Advancing Diagnostic Excellence in Maternal Health Care. … August 17, 2022 Engineering a Learning Healthcare System: A Look at the Future: Workshop … July 27, 2011 Crossing the Global Quality Chasm: Improving Health Care Worldwide. … care system: a qualitative study of aggregated root cause analysis data.

68. Tackling implicit bias in health care. | PSNet
    psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
    December 01, 2021 - Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. … This commentary outlines steps that individual clinicians, as well as healthcare systems, can take to … on health care outcomes: a systematic review. … March 13, 2019 Zero harm in health care. … August 7, 2013 Healthcare system-wide implementation of opioid-safety guideline recommendations

69. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet
    psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
    September 19, 2012 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop … May 19, 2021 Improving Diagnosis in Health Care. … April 4, 2018 Burnout Among Health Care Professionals. … April 30, 2014 Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself … March 27, 2005 Corporate Responsibility and Health Care Quality: A Resource for Health

70. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet
    psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
    August 02, 2023 - Louis Health Care System in Missouri. … Care System, Minnesota. … Care System in Arizona. … Care System. … Care System.

71. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet
    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. … Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007. … Int J Qual Health Care . 2020; 32 (3) :204-211 . … Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. … Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007.

72. How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. | PSNet
    psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
    January 01, 2019 - Book/Report How to Stay Safe When Entering the Healthcare System: A Physician Walks … May 6, 2015 Cognitive Systems Engineering in Health Care. … March 2, 2016 Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott … October 5, 2011 Resilient Health Care Series. … care system.

73. Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. | PSNet
    psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
    January 27, 2021 - Book/Report Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself … Managing Moral Problems in Health Care Systems. … February 24, 2016 Engineering a Learning Healthcare System: A Look at the Future: Workshop … Louis Health Care System in Missouri. … Care System in Las Vegas.

74. Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. | PSNet
    psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
    December 17, 2008 - Care System. … Health Care System. … Care System: Recommendations and Promising Practices. … care system: conceptual framework and initial set of actionable indicators. … May 27, 2015 Burnout Among Health Care Professionals.

75. Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. | PSNet
    psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
    June 04, 2014 - Care System. … Care System. … Care System in Arizona. … Louis Health Care System in Missouri. … Care System, Minnesota.

76. Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet
    psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
    May 31, 2023 - Study Incidence of adverse events in an integrated US healthcare system: a retrospective … Incidence of adverse events in an integrated US healthcare system: a retrospective observational study … Incidence of adverse events in an integrated US healthcare system: a retrospective observational study … October 19, 2016 Testing an intervention to improve health care worker well-being during … August 23, 2023 Redesign of health care systems to reduce diagnostic errors: leveraging

77. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet
    psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
    February 20, 2019 - care system. … care system. … care system. … systems. … January 12, 2022 Healthcare system-wide implementation of opioid-safety guideline recommendations

78. IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet
    psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
    September 14, 2016 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … November 18, 2020 Health care management during Covid-19: insights from complexity science … April 15, 2020 Zero harm in health care.

79. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. | PSNet
    psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a … Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs … Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs … November 6, 2013 Enabling a learning healthcare system with automated computer protocols … Care System.

80. Building a Safety Program in a Vast Health Care Network | PSNet
    psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
    March 01, 2019 - Building a Safety Program in a Vast Health Care Network Paul E. … care in the United States has consolidated, large health care systems have proliferated across the country … However, large health care systems also present challenges to the building and maintenance of safety … Beneath the surface of most large health care systems lies a heterogenous set of local entities (often … care system expansion.