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Showing results for "system".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60837/psn-pdf
     August 26, 2020 - Attending to the emotional well-being of the health care workforce in a New York City health system … Attending to the emotional well-being of the health care workforce in a New York City health system … ://psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health- system-during-covid … This commentary discusses one health system in New York City and its experiences identifying and supporting … In March 2020, the health system established a new Employee, Faculty, and Trainee Crisis Support Task

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60361/psn-pdf
     May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID … https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare- professional-responsiveness … The unprecedented nature of the COVID-19 pandemic requires unique evaluation strategies to examine system … responsiveness of health care delivery systems, health care professionals, and the overall U.S. health care system … critical research focused on topics such as the effects on quality, safety, and value of the health system

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73332/psn-pdf
     May 26, 2021 - An evolving hospital quality star rating system from CMS: aligning the stars. … An evolving hospital quality star rating system from CMS: aligning the stars. … Star Rating system was implemented in 2016 to aid patients in identifying safe, high-quality hospitals … The system has evolved over time to address applicability concerns. … https://psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars https://

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852698/psn-pdf
     August 30, 2023 - diagnostic errors to improve outcomes and patient safety has long been a problem in the US healthcare system … The results of the review and suggested system improvement opportunities are then presented to subject … The updated system found eight patients with an ectopic pregnancy with possible early delays in care … Without this system, these patients likely would not have been identified, because, by their nature, … There must be funding to implement actionable results in the system.

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48151/psn-pdf
     August 07, 2019 - Dental patient safety in the military health system: joining medicine in the journey to high reliability … Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability … https://psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high … - reliability This retrospective study of dental patient safety reports in the military health system … https://psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844059/psn-pdf
     February 08, 2023 - Misdiagnosis in the emergency department: time for a system solution. … Misdiagnosis in the emergency department: time for a system solution. … https://psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution Medical errors should … be examined in the context of system failure to generate lasting opportunities for learning and improvement … suggests a focus on care delivery processes over individuals, definitions, error rate review, and system

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852280/psn-pdf
     August 09, 2023 - Assessment of a wearable fall prevention system at a Veterans Health Administration hospital. … Assessment of a wearable fall prevention system at a veterans health administration hospital. … https://psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration … https://psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital … https://psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854256/psn-pdf
     October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. … Enhancing safety of a system-wide in situ simulation program using no-go considerations. … https://psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go- considerations … In situ simulations offer unique opportunities to improve teamwork and identify system vulnerabilities … https://psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72727/psn-pdf
     February 10, 2021 - System factors affecting intraoperative risk and resilience: applying a novel integrated approach to … System Factors Affecting Intraoperative Risk and Resilience. … https://psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel … https://psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated … https://psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836987/psn-pdf
     April 27, 2022 - Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. … Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. … https://psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation … To evaluate its RR system, one hospital’s pediatric department reviewed all REACT (Rapid Escalation … https://psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837030/psn-pdf
     May 04, 2022 - Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders … Comprehensive evaluation of using computerised provider order- entry system for hospital discharge orders … https://psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system- … hospital-discharge Computerized provider order entry (CPOE) refers to a system in which clinicians … https://psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61072/psn-pdf
     October 28, 2020 - Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. … Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. … https://psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage- system … The authors describe the implementation of a triage system using clinical assessment, rapid targeted … https://psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848038/psn-pdf
     April 26, 2023 - Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation … Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation … https://psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror … students participated in a team-based simulation to identify potential latent errors and then completed a system … https://psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837335/psn-pdf
     June 08, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis … Root cause analysis using the prevention and recovery information system for monitoring and analysis … https://psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system- monitoring-and-analysis … One method of RCA is the Prevention and Recovery Information System for Monitoring and Analysis (PRISMA … https://psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60629/psn-pdf
     June 24, 2020 - Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records … https://psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era- electronic-health-records … Research and error reporting are important strategies to uncover problems in health system performance … important areas of focus to ensure electronic health records (EHR) research and reporting help improve system … https://psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47494/psn-pdf
     January 01, 2020 - Race differences in reported harmful patient safety events in healthcare system high reliability organizations … Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations … https://psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system … This analysis of voluntary safety reports at a health system encompassing 10 hospitals found that a … https://psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73624/psn-pdf
     August 25, 2021 - System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. … System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. … https://psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and- … https://psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency … https://psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838145/psn-pdf
     September 21, 2022 - Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. … https://psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he- didnt-expect-be-one-them … Electronic health record (EHR) system issues degrade the data sharing and communication needed to … This newspaper feature discusses problems with the new Veterans Affairs EHR system from the patient … https://psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74191/psn-pdf
     December 15, 2021 - Race differences in reported "near miss" patient safety events in health care system high reliability … Race differences in reported "near miss" patient safety events in health care system high reliability … https://psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system … https://psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability … https://psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848086/psn-pdf
     April 26, 2023 - Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed … Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed … https://psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system- descriptive-study-missed … https://psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed … https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and