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Showing results for "system".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36539/psn-pdf
     March 03, 2011 - Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … https://psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital … safety incidents and compared these results to data from the hospital's voluntary incident reporting system … https://psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45350/psn-pdf
     October 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable … https://psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems … Large system failure occurs when such interventions are not disseminated and implemented. … acted on and sustained and recommends that this information be translated for the civilian health system … https://psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34916/psn-pdf
     March 09, 2009 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of … Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of … https://psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical- guidelines-results … improve care is growing, and this randomized trial compared the use of a clinical decision support system … The system contained more than 1000 decision rules capable of providing clinical recommendations, and

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34952/psn-pdf
     November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance … Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance … https://psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse … The summary describes the evaluation of the system, based on studying reports from a convenience sample … An editorial note suggests that this reporting system may represent an important, ongoing resource for

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37670/psn-pdf
     June 29, 2011 - Attitudes toward the large-scale implementation of an incident reporting system. … Attitudes toward the large-scale implementation of an incident reporting system. … https://psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system Nurses … were more likely than physicians to utilize a new incident reporting system and were also more likely … to report a positive impression of the system.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37247/psn-pdf
     December 15, 2011 - Perinatal clinical decision support system: a documentation tool for patient safety. … Perinatal clinical decision support system: a documentation tool for patient safety. … https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety … The authors describe how their institution implemented a decision support system, discuss the barriers … https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36782/psn-pdf
     August 26, 2011 - A review of medical error reporting system design considerations and a proposed cross-level systems … A review of medical error reporting system design considerations and a proposed cross-level systems … https://psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed … medical error reporting systems and propose a model for understanding this research and applying it to system … https://psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41972/psn-pdf
     January 23, 2013 - Impact of a pharmacotherapy alerting system on medication errors. … Impact of a pharmacotherapy alerting system on medication errors. … American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. … https://psnet.ahrq.gov/issue/impact-pharmacotherapy-alerting-system-medication-errors Implementation … of a commercial pharmacy alert system that focused on identifying errors with high-risk medications

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43389/psn-pdf
     July 30, 2014 - Simulation based adverse event reporting system: development and feasibility. … Simulation Based Adverse Event Reporting System: Development and Feasibility. … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility … This study introduced an online adverse event reporting system into simulation training for nursing … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35395/psn-pdf
     September 10, 2009 - Toward a theoretical approach to medical error reporting system research and design. … Toward a theoretical approach to medical error reporting system research and design. … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and- … design The authors integrate multiple theories to construct a reporting system model that manages … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34971/psn-pdf
     May 11, 2005 - Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access … https://psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system … - provides-real-time This article reports on Ohio Valley General Hospital's intravenous safety system … Using bar code scanning to provide important patient information, the system automates checks for intravenous … https://psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37115/psn-pdf
     October 04, 2011 - Evaluation of an anonymous system to report medical errors in pediatric inpatients. … Evaluation of an anonymous system to report medical errors in pediatric inpatients. … https://psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients … https://psnet.ahrq.gov/issue/evaluation-anonymous-system-report-medical-errors-pediatric-inpatients https … ://psnet.ahrq.gov//#nearmiss https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38489/psn-pdf
     November 25, 2009 - Evaluation of the contributions of an electronic web- based reporting system: enabling action. … Evaluation of the contributions of an electronic web-based reporting system: enabling action. … https://psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling- … This analysis of data from a commercial, web-based system at an academic hospital confirms some prior … concerns, but the authors were able to demonstrate that rapid review of reports resulted in specific system

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33655/psn-pdf
     August 01, 2007 - I believe that, if clinical quality and patient safety are to be improved, hospital and health system … At PeaceHealth, a System Board Quality Committee was created, and a respected physician board member … The bonus system for regional executives is very similar. … Recently in our system, some regional board members have expressed concern that the System Board may … boards and expect to have a system in place within a few months.

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40955/psn-pdf
     March 08, 2017 - Kaiser Permanente's performance improvement system, part 4: creating a learning organization. … Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. … https://psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating- learning-organization … This article discusses Kaiser Permanente's efforts to develop a performance improvement system and … https://psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36499/psn-pdf
     January 07, 2011 - Retrospective analysis of medication incidents reported using an on-line reporting system. … Retrospective analysis of medication incidents reported using an on-line reporting system. … ://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting- system … The investigators examined the effectiveness of a Web-based reporting system to monitor types of medication … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39878/psn-pdf
     December 01, 2010 - Automated drug dispensing system reduces medication errors in an intensive care setting. … Automated drug dispensing system reduces medication errors in an intensive care setting. … https://psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care … - setting An automated drug dispensing system reduced medication errors at both the dispensing and … https://psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care-setting

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49622/psn-pdf
     March 01, 2011 - of the system and clinic. … their normal operating zone with the system. … Third, if users are successful in overcoming the system, this may hide the fact that the system is flawed … CSE methods involve determining what the system (not the computer, but the appointment scheduling system … Work system design for patient safety: the SEIPS model.

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38278/psn-pdf
     January 15, 2009 - The impact of introducing medical emergency team system on the documentations of vital signs. … The impact of introducing medical emergency team system on the documentations of vital signs. … https://psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital- … https://psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital-signs … https://psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital-signs

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39580/psn-pdf
     January 03, 2017 - Evolution of a rapid response system from voluntary to mandatory activation. … Evolution of a rapid response system from voluntary to mandatory activation. … https://psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation This commentary … discusses how one hospital mandated calls to the rapid response system (RRS) if patients met certain … A related editorial details the challenges inherent in implementing a complex system change such as