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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - Commentary
Sociotechnical work system approach to occupational fatigue. … Sociotechnical work system approach to occupational fatigue. … Sociotechnical work system approach to occupational fatigue. … March 23, 2022
Enabling a learning healthcare system with automated computer protocols … September 7, 2022
A learning health system agenda for organizational approaches to enhancing
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psnet.ahrq.gov/issue/alternative-clinical-negligence-system
December 08, 2021 - Commentary
An alternative to the clinical negligence system. … An alternative to the clinical negligence system. BMJ. 2007;334(7590):400-2. … An alternative to the clinical negligence system. BMJ. 2007;334(7590):400-2. … September 20, 2011
The devil is in the detail: how a closed-loop documentation system … July 22, 2020
Nurses as a source of system-level resilience: Secondary analysis of qualitative
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - Study
A chemotherapy incident reporting and improvement system. … A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80. … A chemotherapy incident reporting and improvement system. … medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Review
Critical incident reporting system in emergency medicine. … Critical incident reporting system in emergency medicine. … Critical incident reporting system in emergency medicine.
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psnet.ahrq.gov/issue/nursing-accreditation-system-and-patient-safety
September 23, 2009 - Study
Nursing accreditation system and patient safety. … Nursing accreditation system and patient safety. … Nursing accreditation system and patient safety.
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - Study
Implementing a patient safety alert system. … Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5. … Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5. … Using a quantitative risk register to promote learning from a patient safety reporting system … June 21, 2015
Applying the Toyota Production System: using a patient safety alert system
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-inpatient-clinical-workflow-literature
February 23, 2009 - on clinical workflow, including the noted impact on efficiency and limitations caused by poor user–system … Download Citation
Related Resources From the Same Author(s)
Same system … Evaluating the medication process in the context of CPOE use: the significance of working around the system … June 13, 2011
Impact of a computerized physician order entry system on nurse-physician … December 31, 2014
System-related factors contributing to diagnostic errors.
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psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - The learning health system model centers on the purposeful , systematic use of internal data and knowledge … Opioid Epidemic & Health IT
May 18, 2016
National Patient Safety Alerting System
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psnet.ahrq.gov/issue/systemic-error-radiology
August 01, 2018 - The authors highlight health information technology as a strategy for improving the system to support … July 6, 2022
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system. … Utility of an online medication-error-reporting system. … Utility of an online medication-error-reporting system.
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psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
October 29, 2017 - PEARLS) framework and how the modifiable debriefing strategies in the framework can help identify system-level … preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system … Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system
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psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
November 23, 2024 - Commentary
Physician resiliency and wellness for transforming a health system. … Citation Text:
Physician resiliency and wellness for transforming a health system. … Citation
Citation Text:
Physician resiliency and wellness for transforming a health system … morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system
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psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
August 12, 2015 - Government Resource
Fentanyl transdermal system (marketed as Duragesic) information … Citation Text:
Fentanyl transdermal system (marketed as Duragesic) information. … URL
Cite
Citation
Citation Text:
Fentanyl transdermal system
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psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - Study
Data consistency in a voluntary medical incident reporting system. … Data consistency in a voluntary medical incident reporting system. … Data consistency in a voluntary medical incident reporting system. … relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System … June 23, 2010
Utility of an online medication-error-reporting system.
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psnet.ahrq.gov/issue/clear-liquids-may-place-patients-risk
May 19, 2021 - Pennsylvania Patient Safety Reporting System. … Linkedin
Copy URL
March 18, 2010
Pennsylvania Patient Safety Reporting System … Pennsylvania Patient Safety Reporting System. … October 6, 2021
The effect of a system-level tiered huddle system on reporting patient … October 12, 2022
Comparison of a voluntary safety reporting system to a global trigger
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - It was a complex system with offices all over Metro Boston. … If a system were to become one big system with an interoperable EHR, that's fabulous. … the local care–providing entities of the system. … Meeting and various communication pathways, including a system safety blog. … across the entire system.
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psnet.ahrq.gov/issue/err-human-building-safer-health-system
July 08, 2016 - Report
Classic
To Err Is Human: Building a Safer Health System … Citation Text:
To Err Is Human: Building a Safer Health System. … January 4, 2009
Crossing the Quality Chasm: A New Health System for the 21st Century. … July 8, 2016
Delivering High-Quality Cancer Care: Charting a New Course for a System … May 1, 2015
Engineering a Learning Healthcare System: A Look at the Future: Workshop
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psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Commentary
Engineering the system of communication for safer surgery. … Engineering the system of communication for safer surgery. … Engineering the system of communication for safer surgery.
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psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same
June 13, 2011 - Study
Same system, different outcomes: comparing the transitions from two paper-based … systems to the same computerized physician order entry system. … physician order entry system. … physician order entry system. … June 13, 2011
Impact of a computerized physician order entry system on nurse-physician
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psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
July 02, 2019 - Commentary
Benefits of a rapid response system at a community hospital. … Benefits of a Rapid Response System at a Community Hospital. … Benefits of a Rapid Response System at a Community Hospital. … January 15, 2009
Implementation of an electronic system for medication reconciliation … July 7, 2021
'Between the flags': implementing a rapid response system at scale.