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Total Results: over 10,000 records

Showing results for "system".

121. A system analysis of a suboptimal surgical experience. | PSNet
     psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
     March 23, 2011 - Study A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … March 23, 2011 Enabling a learning healthcare system with automated computer protocols … morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system

122. Incomplete care—on the trail of flaws in the system. | PSNet
     psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
     February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. … Incomplete care--on the trail of flaws in the system. … Incomplete care--on the trail of flaws in the system. … 17, 2011 Improving allergy documentation: a retrospective electronic health record system-wide … September 1, 2016 Performance of a fail-safe system to follow up abnormal mammograms

123. The role of automation in complex system failures. | PSNet
     psnet.ahrq.gov/issue/role-automation-complex-system-failures
     June 28, 2013 - Commentary The role of automation in complex system failures. … The role of automation in complex system failures. … The role of automation in complex system failures. … June 28, 2013 Mature rapid response system and potentially avoidable cardiopulmonary … June 14, 2019 System-related and cognitive errors in laboratory medicine.

124. Weekend and night outcomes in a statewide trauma system. | PSNet
     psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
     November 16, 2022 - Study Weekend and night outcomes in a statewide trauma system. … Weekend and night outcomes in a statewide trauma system. … Weekend and night outcomes in a statewide trauma system. … cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system

125. Study of a multisite prospective adverse event surveillance system. | PSNet
     psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
     October 16, 2019 - Study Study of a multisite prospective adverse event surveillance system. … Study of a multisite prospective adverse event surveillance system. … Study of a multisite prospective adverse event surveillance system. … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system

126. The Veterans Affairs root cause analysis system in action. | PSNet
     psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
     June 22, 2022 - Study Classic The Veterans Affairs root cause analysis system … The Veterans Affairs Root Cause Analysis System in Action. … The Veterans Affairs Root Cause Analysis System in Action. … System innovation: Veterans Health Administration National Center for Patient Safety.

127. Changing our culture: adopting the military aviation safety system. | PSNet
     psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
     November 21, 2021 - Commentary Changing our culture: adopting the military aviation safety system. … Changing our culture: adopting the military aviation safety system. … Changing our culture: adopting the military aviation safety system. … July 31, 2012 Risk, society and system failure.

128. Problem doctors: is there a system-level solution? | PSNet
     psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
     October 31, 2014 - Commentary Classic Problem doctors: is there a system-level … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. … faculty reflection on adverse patient events: development and initial validation of a case-based learning system

129. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet
     psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
     March 08, 2017 - Diagnostic reasoning is frequently discussed in terms of System 1 ( thinking fast) and System 2 ( thinking … The authors of this review present evidence against the claim that diagnostic error stems solely from System … They conclude that errors originate from both System 1 and System 2 thinking. … Errors typically occur due to lack of access to the appropriate knowledge, and neither system is essential … System 2 reasoning.

130. Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. | PSNet
     psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
     August 30, 2023 - paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system … paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system … February 2, 2022 Enabling a learning healthcare system with automated computer protocols … June 7, 2023 Short- and long-term effects of an electronic medication management system … August 17, 2011 Analysis of overridden alerts in a drug–drug interaction detection system

131. Defining speaking up in the healthcare system: a systematic review. | PSNet
     psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
     September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. … Defining speaking up in the healthcare system: a systematic review. … Defining speaking up in the healthcare system: a systematic review.

132. Evaluation of an inpatient computerized medication reconciliation system. | PSNet
     psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
     February 15, 2011 - Study Evaluation of an inpatient computerized medication reconciliation system. … Evaluation of an inpatient computerized medication reconciliation system. … Evaluation of an inpatient computerized medication reconciliation system. … September 26, 2012 Impact of an automated email notification system for results of tests … August 16, 2017 Using an electronic prescribing system to ensure accurate medication

133. New system for patients to report medical mistakes. | PSNet
     psnet.ahrq.gov/issue/new-system-patients-report-medical-mistakes
     May 16, 2008 - Newspaper/Magazine Article New system for patients to report medical mistakes. … Citation Text: New system for patients to report medical mistakes. Pear R. … Linkedin Copy URL Cite Citation Citation Text: New system … December 4, 2016 Condition concern: an innovative response system for enhancing hospitalized

134. An automated, dynamic radiation oncology prescription checking system. | PSNet
     psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
     October 27, 2010 - Study An automated, dynamic radiation oncology prescription checking system. … An automated, dynamic radiation oncology prescription checking system. … An automated, dynamic radiation oncology prescription checking system.

135. Managing clinical failure: a complex adaptive system perspective. | PSNet
     psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
     August 13, 2014 - Study Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … American Association of Clinical Endocrinologists position statement on patient safety and medical system

136. 'Failing wisely' can promote a safer healthcare system. | PSNet
     psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
     April 30, 2014 - Newspaper/Magazine Article 'Failing wisely' can promote a safer healthcare system … 'Failing wisely' can promote a safer healthcare system. MedPage Today. … 'Failing wisely' can promote a safer healthcare system. MedPage Today. … October 28, 2020 System Governance Towards Improved Patient Safety: Key Functions, Approaches

137. Cultural and associated enablers of, and barriers to, adverse incident reporting. | PSNet
     psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
     March 23, 2011 - Learning from disasters to improve patient safety: applying the generic disaster pathway to health system … June 29, 2011 Implementation of a patient safety incident management system as viewed … June 14, 2011 'Between the flags': implementing a rapid response system at scale. … August 12, 2014 Investigating patient safety culture across a health system: multilevel … February 25, 2015 Managing clinical failure: a complex adaptive system perspective.

138. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. | PSNet
     psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
     August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System … March 25, 2020 Root cause analysis using the prevention and recovery information system

139. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
     psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
     November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities Citation … Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. … Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. … , it became clear that maintaining two different dosing strategies for adults within one healthcare system … Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities.

140. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
     psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
     May 05, 2021 - severity and causes of medication incidents from an Australian community pharmacy incident reporting system … severity and causes of medication incidents from an Australian community pharmacy incident reporting system … severity and causes of medication incidents from an Australian community pharmacy incident reporting system … April 16, 2018 Implementing the clinical occurrence reporting and learning system: a … double-loop learning incident reporting system in long-term care.