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Showing results for "system".

1281. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - Case Objectives Understand the system-based causes of medication errors. … Identify weaknesses or failures in key elements of the medication use system. … underlying system failures that are amenable to correction. … The list of choices that resulted when oxycodone was searched in the CPOE system was confusing. … Elements of the Medication-Use System that is used here, should be employed.

1282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39084/psn-pdf
      March 05, 2010 - The impact of Rapid Response System on delayed emergency team activation patient characteristics and … The impact of Rapid Response System on delayed emergency team activation patient characteristics and … https://psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient- … https://psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and … https://psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and

1283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36105/psn-pdf
      May 27, 2011 - found an increase in mortality among PICU patients in another hospital that implemented the same CPOE system … Prior to implementing the CPOE system in this study, leaders from both hospitals collaborated to identify … standardized order sets and other means of decreasing the time needed to enter orders, preserving a system … of obtaining medications outside the CPOE system in emergencies, and emphasizing the need for face-to-face … contrast to the earlier study, the authors found no change in PICU mortality in 13 months after the CPOE system

1284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43067/psn-pdf
      November 23, 2014 - Characterization of adverse events detected in a large health care delivery system using an enhanced … Characterization of adverse events detected in a large health care delivery system using an enhanced … https://psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system … Improvement's Global Trigger Tool, this retrospective study analyzed adverse events at a large health care system … https://psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced

1285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44506/psn-pdf
      October 21, 2015 - A prospective controlled trial of an electronic hand hygiene reminder system. … A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. … https://psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system Hand … Once the reminder system was turned off, compliance rates returned to the previous baseline. … https://psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system https

1286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42002/psn-pdf
      May 10, 2013 - National efforts to improve health information system safety in Canada, the United States of America … National efforts to improve health information system safety in Canada, the United States of America … https://psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united- … https://psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and … https://psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and

1287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43208/psn-pdf
      July 18, 2014 - System-based interprofessional simulation-based training program increases awareness and use of rapid … System-based interprofessional simulation-based training program increases awareness and use of rapid … https://psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases … https://psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use … https://psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use

1288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33613/psn-pdf
      May 01, 2005 - This system, which served Americans well in the early part of the https://psnet.ahrq.gov/perspective … In the past 2 years, we have seen a movement toward a hospital– and health system–wide focus on and … , a web-based reporting system, and an electronic automated surveillance system for detection of potential … As mentioned, a web-based voluntary reporting system has been implemented, allowing care providers to … To Err is Human: Building a Safer Health System. Institute of Medicine.

1289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38816/psn-pdf
      July 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. … Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. … https://psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught … https://psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire … psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system

1290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43419/psn-pdf
      October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event- … Researchers implemented a Web-based electronic medication error reporting system in concert with a novel … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care

1291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40654/psn-pdf
      January 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. … The computerized rounding report: implementation of a model system to support transitions of care. … https://psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support- transitions-care … https://psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care … https://psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care

1292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39443/psn-pdf
      March 23, 2011 - Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory … Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory … https://psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time … https://psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory … https://psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory

1293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46640/psn-pdf
      August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. … IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. … https://psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system Collaborating … infrastructure of the initiative and highlight how its research integrates the results of their activities into system-level … https://psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system https:/

1294. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46666/psn-pdf
      March 28, 2018 - Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care … Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care … https://psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors … https://psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care … https://psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care

1295. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37809/psn-pdf
      November 21, 2016 - Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: … psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health- care-system … of consumers, health care professionals, and administrative leaders about improving the health care system … psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system … psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system

1296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43365/psn-pdf
      November 19, 2016 - Identifying facilitators and barriers for patient safety in a medicine label design system using patient … Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design System Using Patient … //psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design- system-using … https://psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using … https://psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using

1297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46380/psn-pdf
      September 06, 2017 - What defines a high-performing health system: a systematic review. … What Defines a High-Performing Health Care Delivery System: A Systematic Review. … https://psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review This systematic … review sought to identify a consistently used definition of a high-performing health system. … https://psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review https://psnet.ahrq.gov

1298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44019/psn-pdf
      March 25, 2015 - A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality … A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality … https://psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare- system-redesign-quality … https://psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality … https://psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality

1299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33727/psn-pdf
      March 01, 2012 - Can Research Help Us Improve the Medical Liability System? March 1, 2012 Kachalia A. … Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012. … https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system Perspective … The United States medical malpractice liability system continues to frustrate physicians and patients … System failure versus personal accountability—the case for clean hands.

1300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38797/psn-pdf
      July 22, 2009 - Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system- … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic