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psnet.ahrq.gov/node/38095/psn-pdf
October 01, 2008 - Severity of medication administration errors detected by a
bar-code medication administration system … Severity of medication administration errors detected by a bar-code
medication administration system … psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-
administration-system … Most medication errors detected by a barcoding system were not clinically significant, but errors in … psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
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psnet.ahrq.gov/node/39623/psn-pdf
June 23, 2010 - Safety learning system development--incident reporting
component for family practice. … Safety learning system development--incident reporting component
for family practice. … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family- … practice settings, this study noted the role of strong
leadership and a voluntary, legally protected system … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
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psnet.ahrq.gov/node/37210/psn-pdf
December 19, 2011 - Effects of an integrated clinical information system on
medication safety in a multi-hospital setting … Effects of an integrated clinical information system on
medication safety in a multi-hospital setting … https://psnet.ahrq.gov/issue/effects-integrated-clinical-information-system-medication-safety-multi-hospital … -
setting
This study found that integration of clinical information system technology decreased selected … https://psnet.ahrq.gov/issue/effects-integrated-clinical-information-system-medication-safety-multi-hospital-setting
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psnet.ahrq.gov/node/40182/psn-pdf
September 25, 2011 - Using a data-matrix–coded sponge counting system
across a surgical practice: impact after 18 months. … Using a data-matrix-coded sponge counting system across a
surgical practice: impact after 18 months. … https://psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice- … impact-after-18
This study implemented a data-matrix–coded sponge system that eliminated retained … https://psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after
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psnet.ahrq.gov/node/37067/psn-pdf
October 03, 2011 - Using an interactive voice response system to improve
patient safety following hospital discharge. … Using an interactive voice response system to improve patient safety following
hospital discharge. … https://psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following … One quarter of patients reached by the
system indicated new symptoms, half of which required intervention … https://psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
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psnet.ahrq.gov/node/38540/psn-pdf
April 08, 2009 - Drug-related problems in medical wards with a
computerized physician order entry system. … Drug-related problems in medical wards with a computerized
physician order entry system. … https://psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-
system … relatively common at a French hospital despite the presence of a computerized
provider order entry system … https://psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
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psnet.ahrq.gov/node/41336/psn-pdf
May 02, 2012 - Human factors–focused reporting system for improving
care quality and safety in hospital wards. … Human Factors–Focused Reporting System for Improving Care
Quality and Safety in Hospital Wards. … https://psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety … -
hospital-wards
This study reports on the development of an incident reporting system designed according … https://psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
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psnet.ahrq.gov/node/39933/psn-pdf
December 31, 2014 - Assessing the accuracy of drug profiles in an electronic
medical record system of a Washington State … Assessing the accuracy of drug profiles in an electronic medical record system of
a Washington state … https://psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-
washington-state-hospital … other studies, a
finding which the authors attribute to use of an integrated medication reconciliation system … https://psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
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psnet.ahrq.gov/node/40162/psn-pdf
December 29, 2014 - Using an enhanced oral chemotherapy computerized
provider order entry system to reduce prescribing errors … Using an enhanced oral chemotherapy computerized provider order entry system to
reduce prescribing errors … https://psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-
system-reduce-prescribing … This study describes how implementation of a computerized provider order entry system reduced errors … https://psnet.ahrq.gov/issue/using-enhanced-oral-chemotherapy-computerized-provider-order-entry-system-reduce-prescribing
-
psnet.ahrq.gov/node/39680/psn-pdf
July 14, 2010 - Safety of using a computerized rounding and sign-out
system to reduce resident duty hours. … Safety of Using a Computerized Rounding and Sign-Out
System to Reduce Resident Duty Hours. … https://psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident- … duty-hours
Use of a computerized rounding and signout system improved continuity and resident efficiency … https://psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
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psnet.ahrq.gov/node/37996/psn-pdf
August 20, 2008 - "Every error counts": a web-based incident reporting and
learning system for general practice. … "Every error counts": a web-based incident reporting and learning
system for general practice. … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general … article reports on the development and dissemination of a web-based, German language incident
reporting system … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
-
psnet.ahrq.gov/node/44615/psn-pdf
November 04, 2015 - Implementing an obstetric emergency team response
system: overcoming barriers and sustaining response … Implementing an Obstetric Emergency Team Response
System: Overcoming Barriers and Sustaining Response … https://psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-
barriers-and-sustaining … This study describes the introduction of a rapid response system (RRS) on a high-risk obstetric unit … https://psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
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psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - Implementation and evaluation of a prototype consumer
reporting system for patient safety events. … Implementation and evaluation of a prototype consumer
reporting system for patient safety events. … https://psnet.ahrq.gov/issue/implementation-and-evaluation-prototype-consumer-reporting-system-patient … This study team
developed and tested a reporting system for patients and families to bring safety concerns … These results demonstrate the feasibility of implementing an incident reporting system for
patients
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psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - The impact of a closed-loop electronic prescribing and
administration system on prescribing errors, … The impact of a closed-loop electronic prescribing and
administration system on prescribing errors, … https://psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-
prescribing-errors … Utilizing an electronic system that incorporated CPOE, automated dispensing, bar coding, and
an electronic … While the study results are promising, one caveat is that the system was not used for high-risk
drugs
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psnet.ahrq.gov/node/46904/psn-pdf
August 20, 2018 - Effect of a pediatric early warning system on all-cause
mortality in hospitalized pediatric patients … Effect of a Pediatric Early Warning System on All-Cause
Mortality in Hospitalized Pediatric Patients … https://psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric … This study tested a bedside pediatric early warning system, which included an illness
severity score … https://psnet.ahrq.gov/issue/impact-rapid-response-system-implementation-critical-deterioration-events-children
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psnet.ahrq.gov/node/36013/psn-pdf
September 22, 2010 - A new safety event reporting system improves physician
reporting in the surgical intensive care unit … A new safety event reporting system improves physician reporting
in the surgical intensive care unit … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical- … Research and Quality (AHRQ)–supported study demonstrated that
implementation of a card-based reporting system … Investigators provided education prior to
introduction of the new card reporting system as they introduced
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psnet.ahrq.gov/node/35344/psn-pdf
March 11, 2011 - Creating the web-based intensive care unit safety
reporting system. … Creating the Web-based Intensive Care Unit Safety Reporting System. … https://psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
This commentary … discusses the development of an Intensive Care Unit Safety Reporting System
(ICUSRS), an endeavor funded … how reports are generated, collected, and ultimately disseminated back to frontline staff using the system
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psnet.ahrq.gov/node/37147/psn-pdf
October 04, 2011 - Design and implementation of a point-of-care
computerized system for drug therapy in Stockholm
metropolitan … Design and implementation of a point-of-care
computerized system for drug therapy in Stockholm metropolitan … https://psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy- … stockholm-metropolitan
The authors describe a multi-year strategy to implement a decision support system … https://psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
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psnet.ahrq.gov/node/40478/psn-pdf
June 13, 2011 - Evaluating the medication process in the context of CPOE
use: the significance of working around the system … Evaluating the medication process in the context of CPOE
use: the significance of working around the system … //psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-
system … and unintended consequences associated with
implementation of a computerized provider order entry system … https://psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
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psnet.ahrq.gov/node/42741/psn-pdf
March 04, 2015 - Impact of an automated email notification system for
results of tests pending at discharge: a cluster … Impact of an automated email notification system for results of tests
pending at discharge: a cluster-randomized … https://psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge … -
cluster-randomized
An automated secure e-mail system successfully increased inpatient attending physicians … https://psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized