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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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