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Showing results for "system".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35462/psn-pdf
     February 18, 2011 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. … Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. … https://psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care … This study demonstrated the impact of a system-wide reengineering initiative on performance in the quality … significant improvements over time for all indicators within the Veterans Affairs (VA) health care system

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42422/psn-pdf
     November 18, 2013 - Resilient actions in the diagnostic process and system performance. … Resilient actions in the diagnostic process and system performance. … https://psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance In this study … , primary care providers frequently relied on extraordinary actions to overcome system barriers in obtaining … provides evidence that downstream measures, such as timeliness of diagnosis, may fail to detect major system

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38835/psn-pdf
     September 02, 2009 - Impact of a computerized physician order entry system on compliance with prescription accuracy requirements … Impact of a computerized physician order entry system on compliance with prescription accuracy requirements … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription … - accuracy This study demonstrated that implementation of a CPOE system improved accuracy and compliance … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36711/psn-pdf
     July 25, 2011 - Designing decision support for insulin ordering in a computerized provider order entry system. … Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. … psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry- system … insulin prescribing errors by including decision support in their computerized provider order entry system … /psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry-system

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38955/psn-pdf
     May 24, 2015 - Anticoagulation patient safety goal compliance at a university health system: methods for achieving … Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving … https://psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system- … methods-achieving This article explains how an academic health care system launched an initiative … https://psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system-methods-achieving

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35091/psn-pdf
     November 04, 2015 - Development of an expert system for classification of medical errors. … Development of an expert system for classification of medical errors. … https://psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors The authors describe … https://psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors https://psnet.ahrq.gov … /issue/err-human-building-safer-health-system https://psnet.ahrq.gov/issue/err-human-building-safer-health-system

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35980/psn-pdf
     January 01, 2019 - The development of the National Reporting and Learning System in England and Wales, 2001-2005. … The development of the National Reporting and Learning System in England and Wales, 2001–2005. … https://psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001 … https://psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001 … -2005 https://psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38606/psn-pdf
     January 02, 2017 - Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary … Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary … https://psnet.ahrq.gov/issue/using-electronic-prescribing-system-ensure-accurate-medication-lists-large … multidisciplinary This study reports on the successful implementation of an electronic medication reconciliation system … https://psnet.ahrq.gov/issue/using-electronic-prescribing-system-ensure-accurate-medication-lists-large-multidisciplinary

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38211/psn-pdf
     May 21, 2009 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events … Effectiveness of a barcode medication administration system in reducing preventable adverse drug events … https://psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing- preventable-adverse-drug … Implementing a bar coding system reduced adverse drug events by approximately 50% in this single- … https://psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38838/psn-pdf
     May 25, 2010 - Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. … Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. … https://psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic- chemotherapy … This study found that a multidisciplinary system with a computerized pharmacotherapy process intercepted … https://psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35924/psn-pdf
     April 14, 2011 - Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi … Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental … https://psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors- … quasi-experimental The researchers tested a diagnostic reminder system using a set of simulated cases … https://psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38385/psn-pdf
     February 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication … Impact of a computerized physician order entry system on nurse-physician collaboration in the medication … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician- collaboration-medication … This study found that implementation of a computerized physician order entry system appeared to impair … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-nurse-physician-collaboration-medication

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42205/psn-pdf
     April 24, 2013 - Reported medication errors after introducing an electronic medication management system. … Reported medication errors after introducing an electronic medication management system. … psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication- management-system … medication errors documented after introduction of a comprehensive electronic medication management system … /psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34977/psn-pdf
     April 21, 2010 - Effectiveness of a computerized system for intravenous heparin administration: using information technology … Effectiveness of a computerized system for intravenous heparin administration: using information technology … https://psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using … - information The investigators analyzed the efficacy of a computerized heparin nomogram system, which … https://psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38889/psn-pdf
     April 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation … Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation … //psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry- system … study examines the factors that led to failed implementation of a computerized provider order entry system … https://psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35583/psn-pdf
     June 17, 2010 - Using a bar-coded medication administration system to prevent medication errors in a community hospital … Using a bar-coded medication administration system to prevent medication errors in a community hospital … American Journal of Health-System Pharmacy. 2005;62(24). doi:10.2146/ajhp050138. … https://psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors … https://psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856641/psn-pdf
     January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology … This website serves as a secure mechanism for submitting incident reports to a centralized system for … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system https://psnet.ahrq.gov/issue … medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39897/psn-pdf
     September 26, 2016 - Nurse interruptions pre- and post-implementation of a point-of-care medication administration system … Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. … psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication- administration-system … Implementation of a bar-code medication administration system allowed nurses to administer medications … psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35196/psn-pdf
     March 01, 2011 - A method for measuring system safety and latent errors associated with pediatric procedural sedation … A method for measuring system safety and latent errors associated with pediatric procedural sedation … https://psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric- … Reviewing videotape of the simulation revealed vulnerabilities in the system even though regulations … https://psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47052/psn-pdf
     July 31, 2018 - The risks to patient safety from health system expansions. … The Risks to Patient Safety From Health System Expansions. … https://psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions Changes in organizational … This commentary explored how system expansion affects safety. … The authors highlight the need for leadership to use system data to plan for and manage the impact of