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Showing results for "system".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866694/psn-pdf
     September 11, 2024 - Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system- … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and

182. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865308
     January 01, 2024 - Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. … Committee on the Learning Health Care System in America, Institute of Medicine. … However, realizing the vision of a system that improves over time as... … However, realizing the vision of a system that improves over time as... … Committee on the Learning Health Care System in America, Institute of Medicine.

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866252/psn-pdf
     January 01, 2025 - Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative … Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative … https://psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation- system-qualitative … Surgery Patients Observed to uNdergo acute Deterioration (RESPOND) program, a patient-led escalation system … https://psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867684/psn-pdf
     March 05, 2025 - Development of a preliminary patient safety classification system for generative AI. … Development of a preliminary patient safety classification system for generative AI. … https://psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai … This article describes the development of a classification system for two popular uses of AI in health … https://psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866905/psn-pdf
     October 09, 2024 - dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic- expertise Diagnostic reasoning is frequently discussed in terms of System … 1 (thinking fast) and System 2 (thinking slow). … 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

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72811/psn-pdf
     September 01, 2022 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer … Known as the Trauma Reception and Resuscitation System (TR&R®), this program generates prompts based … Device integration: The system connects to the hospital's Cerner computer system, thus making it easier … Electronic patient file: All information entered into the system is integrated via the TR&R® system … System implementation led to the hiring of two critical care nursing project officers.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867440/psn-pdf
     January 08, 2025 - How can specialist investigation agencies inform system- wide learning for patient safety? … How can specialist investigation agencies inform system-wide learning for patient safety? … https://psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning- … Challenges included independence and fit within the wider system, the selection and scope of investigations … https://psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Characteristics of Incident Reporting Systems An effective event reporting system should have four key … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system https:/ … /psnet.ahrq.gov/issue/development-icu-safety-reporting-system https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system … , a nationwide voluntary event reporting system, and the MEDMARX voluntary medication error reporting … system in the U.S. has led to much valuable research.

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867656/psn-pdf
     February 26, 2025 - Working in a healthcare delivery system, we collect a ton of data. … There is a lot of waste in the system. … other health system partners went there to observe what they did. … There was another system that was doing best with 90 days post-op. … During that time, the health system probably has a new problem.

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45561/psn-pdf
     January 01, 2021 - Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). … Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). … https://psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past- … This review summarizes the history of the Medicare Patient Safety Monitoring System and its evolution … into a new system that seeks to enhance the standardization and utilization of the collected data.

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862129/psn-pdf
     February 07, 2024 - Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of … https://psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model- … prevention-medical Human Factor Analysis and Classification System (HFACS) in healthcare is used to … https://psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical … https://psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73065/psn-pdf
     March 24, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … reporting system in long-term care. … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … reporting system in long-term care. … https://psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866934/psn-pdf
     October 09, 2024 - How America’s health care system fails women in pain. October 9, 2024 Neklason A. … How America’s health care system fails women in pain. The Hill. … September 23, 2024; https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain Appropriate … This two-part story discusses system and biological factors that affect pain treatment for women and … https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain https://psnet.ahrq.gov/

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858168/psn-pdf
     December 13, 2023 - A resilience view on health system resilience: a scoping review of empirical studies and reviews. … A resilience view on health system resilience: a scoping review of empirical studies and reviews. … https://psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and … https://psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews … https://psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews

195. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
     July 10, 2024 - Certainly that was a product of our government-run, single-payer system. … But, this has mushroomed into an enormous system, which I think has received 9 million reports. … The actual reporting system will be looked after at Imperial College. … Now what's reported in this big incident reporting system is very open. … Who would analyze them, and how would I get it back into the system?"

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839327/psn-pdf
     December 05, 2024 - The National Healthcare System Action Alliance for Patient and Workforce Safety. … https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety The large … system change required to reduce patient harm requires multi-stakeholder engagement and sustained commitment … https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety https: … //psnet.ahrq.gov/issue/err-human-building-safer-health-system https://psnet.ahrq.gov/issue/do-patient-engagement-interventions-work-all-patients-systematic-review-and-realist-synthesis

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60022/psn-pdf
     March 11, 2020 - Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. … Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. … https://psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric … the Systems Engineer Initiative for Patient Safety approach to analyze care transitions, identify system … Nine dimensions of system barriers and facilities in care transitions were identified: anticipation;

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61039/psn-pdf
     October 21, 2020 - A machine learning-based clinical decision support system to identify prescriptions with a high risk … A machine learning–based clinical decision support system to identify prescriptions with a high risk … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify- prescriptions-high-risk … electronic health record (EHR) and clinical pharmacist review to test the accuracy of a hybrid CDS system … machine- learning based approach was more accurate than existing techniques such as the traditional CDS system

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72752/psn-pdf
     February 17, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? … Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? … https://psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews- … authors identified barriers and facilitators to the escalation of care according to early warning system … https://psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852272/psn-pdf
     January 01, 2024 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety … Investigating racial and ethnic disparities in maternal care at the system level using patient safety … https://psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using … Researchers analyzed two years of incident reports (IR) to ascertain potential system issues contributing … https://psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety