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Showing results for "system".

261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37023/psn-pdf
     September 24, 2010 - Applying the Toyota Production System: using a patient safety alert system to reduce error. … Applying the Toyota Production System: using a patient safety alert system to reduce error. … https://psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce … https://psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error … https://psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35068/psn-pdf
     September 21, 2005 - Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative … https://psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system- patient-safety … describe seven strategies used in implementing a patient safety initiative in a local health care system … https://psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety … https://psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34800/psn-pdf
     December 23, 2008 - A classification system for incidents and accidents in the health-care system. … A classification for incidents and accidents in the health-care system. … https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system To provide … They suggest that this system offers a reliable and validated method to compare and, more important, … https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39477/psn-pdf
     April 28, 2010 - Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. … Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. … This retrospective observational study evaluated the impact of an ADE alert system in seven community … hospitals; two network hospitals that did not implement the system served as controls. … The authors suggest that their findings support the potential benefits of an ADE alert system in the

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47215/psn-pdf
     September 19, 2018 - The application of system dynamics modelling to system safety improvement: present use and future potential … https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present- … use-and-future This literature review examined the application of system dynamics, a simulation method … https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future … https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46962/psn-pdf
     April 25, 2018 - Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite … safety- net health system. … safety-net health system. … This project report outlines how a health system integrated chemotherapy order sets into a multisite … computerized provider order entry system.

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36208/psn-pdf
     January 05, 2017 - Implementing computerized provider order entry with an existing clinical information system. … Implementing computerized provider order entry with an existing clinical information system. … psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-existing-clinical-information- system … In this study, a CPOE system was integrated within an existing clinical information system at an academic … Another study of successful implementation of a different CPOE system also demonstrated the importance

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42890/psn-pdf
     February 06, 2014 - The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. … The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. … https://psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning … https://psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39707/psn-pdf
     January 07, 2015 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac … Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac … https://psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital … demonstrated a 57% reduction in cardiac arrests following implementation of a physician-led rapid response system … add to the existing literature by showing its potential value in the Veterans Affairs health care system

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34982/psn-pdf
     July 14, 2010 - Development of the ICU safety reporting system. … https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system This AHRQ-funded study describes … the development of a Web-based, voluntary, and anonymous reporting system. … Discussion includes details of the design features, a table of the system-based factors contributing … to reported incidents, and several screen shots of the reporting system itself.

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46172/psn-pdf
     June 21, 2017 - Flying lessons for clinicians: developing system 2 practice. … Flying Lessons for Clinicians: Developing System 2 Practice. … https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice Aviation has long … The authors review simulation practices to enhance nursing education strategies that support system … -1-versus-system-2-reasoning https://psnet.ahrq.gov/primer/simulation-training https://psnet.ahrq.gov

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43719/psn-pdf
     November 26, 2014 - Four-year impact of an alert notification system on closed-loop communication of critical test results … Four-year impact of an alert notification system on closed- loop communication of critical test results … https://psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical … This study describes an automated alert notification system for critical imaging results at a large … The introduction of the system led to better closed-loop communication and appropriate documentation

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42804/psn-pdf
     December 11, 2013 - The costs of developing, implementing, and operating a safety learning system in community practice. … The costs of developing, implementing, and operating a safety learning system in community practice. … study estimated a cost of approximately CAD $260,000 over 4 years to develop and run a safety learning system … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34993/psn-pdf
     June 22, 2009 - Five system barriers to achieving ultrasafe health care. … Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. … https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care This commentary builds … on the notion that our health care system requires structured efforts to improve safety and reliability … https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35375/psn-pdf
     January 02, 2017 - Integrating the intensive care unit safety reporting system with existing incident reporting systems … Integrating the intensive care unit safety reporting system with existing incident reporting systems … https://psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident … - reporting-systems The authors describe the implementation of an AHRQ-funded external reporting system … They found that the system improved error reporting and thus may enhance patient safety.

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35147/psn-pdf
     June 22, 2009 - Accuracy of adverse-drug-event reports collected using an automated dispensing system. … Accuracy of adverse-drug-event reports collected using an automated dispensing system. … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing- system … The authors evaluated the effectiveness and accuracy of using an automated dispensing system to report … They found that the automated system was successful in increasing reporting of ADEs.

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35615/psn-pdf
     March 11, 2011 - The development and evaluation of an integrated electronic prescribing and drug management system for … The development and evaluation of an integrated electronic prescribing and drug management system for … psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug- management-system … The authors evaluated an integrated electronic prescription and medication management system by reviewing … They found that the system was most consistently used to improve continuity of care.

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34902/psn-pdf
     February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. … Hospital rules-based system: the next generation of medical informatics for patient safety. … https://psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient- … safety This article describes the hospital rules-based system (HRBS) implemented at the Mayo Clinic … https://psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37479/psn-pdf
     February 22, 2011 - Performance of a web-based clinical diagnosis support system for internists. … Performance of a web-based clinical diagnosis support system for internists. … https://psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists This … study evaluated the diagnostic accuracy of a clinical decision support system called Isabel, using 50 … With key findings entered, the system suggested the correct diagnosis in 96% of cases.

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35473/psn-pdf
     April 06, 2011 - A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … https://psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative- … The investigators observed the effects of a voluntary and anonymous Web-based incident reporting system … They conclude that it helped promote a safety culture and system changes to improve safety.