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Showing results for "system".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38907/psn-pdf
     January 03, 2017 - Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more … Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more … https://psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making … - transfers-safer-and This study describes the application of Toyota Production System principles, … https://psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41519/psn-pdf
     September 01, 2016 - Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically … Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically … https://psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent- … This Australian study found that many clinicians did not use CPOE system features that were intended … likely contributing to alert fatigue and probably diminishing the overall safety performance of the system

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37635/psn-pdf
     February 15, 2011 - The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve … //psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting- system-improve … Patient Safety and Quality Improvement Act calls for creation of a national, voluntary error reporting system … This article discusses the scope and essential components of such a system, as well as what other industries … https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43324/psn-pdf
     July 23, 2014 - Incidence of adverse events in an integrated US healthcare system: a retrospective observational study … Incidence of adverse events in an integrated US healthcare system: a retrospective observational study … https://psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective- … observational-study This analysis of surgical adverse event reports in an integrated health system … https://psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44918/psn-pdf
     April 13, 2016 - National Reporting and Learning System Research and Development. … https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident … reporting has achieved varying levels of success in encouraging transparency and facilitating system … reporting initiatives in the National Health Service and focuses on the importance of considering system … https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development https://

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43261/psn-pdf
     June 18, 2014 - Activation of a medical emergency team using an electronic medical recording–based screening system. … Activation of a medical emergency team using an electronic medical recording-based screening system* … psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based- screening-system … Approximately half of the MET activations were triggered by an electronic medical record–based screening system … psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44759/psn-pdf
     March 02, 2016 - Using the medication error prioritization system to improve patient safety. … Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. … https://psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety The … This commentary discusses how a multi-location health system utilized a medication error reporting initiative … https://psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety https

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39600/psn-pdf
     June 16, 2010 - Developing a patient safety surveillance system to identify adverse events in the intensive care unit … Developing a patient safety surveillance system to identify adverse events in the intensive care unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events- … This study reviewed the literature on different error surveillance systems and highlights what each system—such … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit

369. Dropping the Ball Despite an Integrated EMR | PSNet
     psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
     January 07, 2015 - 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.

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34731/psn-pdf
     July 08, 2016 - Crossing the Quality Chasm: A New Health System for the 21st Century. … https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century Following up on the … , this report outlines a strategy for improving quality through redesign of the entire health care system … This report famously points to six key aims of a high-quality health care system: safety, effectiveness … /issue/err-human-building-safer-health-system

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47090/psn-pdf
     January 01, 2019 - 10,000 good catches: increasing safety event reporting in a pediatric health care system. … , Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System … //psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care- system … describes a quality improvement initiative to increase event reporting across a pediatric health care system … https://psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41740/psn-pdf
     October 10, 2012 - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking … Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking … https://psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting- … protocols-tracking Use of a radiofrequency detection system to identify retained surgical instruments … https://psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38776/psn-pdf
     March 04, 2011 - Medication administration errors in nursing homes using an automated medication dispensing system. … Medication administration errors in nursing homes using an automated medication dispensing system. … psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication- dispensing-system … WebM&M commentary discussed a case of a nurse who bypassed the safeguards of an automated dispensing system … psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40643/psn-pdf
     July 27, 2011 - Does the implementation of an electronic prescribing system create unintended medication errors? … Does the implementation of an electronic prescribing system create unintended medication errors? … https://psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended- medication-errors-study … medication errors at a British hospital that had an established computerized provider order entry system … https://psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42421/psn-pdf
     May 19, 2014 - Do drug interaction alerts between a chemotherapy order- entry system and an electronic medical record … Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record … https://psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and- … https://psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical … https://psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36734/psn-pdf
     March 10, 2011 - Integrating incident reporting into an electronic patient record system. … Integrating incident reporting into an electronic patient record system. … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system This cohort … Acceptance of the system was high, and the vast majority of reported adverse events were confirmed by … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system https://

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44077/psn-pdf
     May 13, 2015 - Modified Early Warning System improves patient safety and clinical outcomes in an academic community … Modified Early Warning System improves patient safety and clinical outcomes in an academic community … https://psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes … - academic The introduction of a modified early warning system at a community academic medical center … https://psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47150/psn-pdf
     November 21, 2018 - Investigating the association of alerts from a national mortality surveillance system with subsequent … Investigating the association of alerts from a national mortality surveillance system with subsequent … https://psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system- … to assess the association between alerts generated by the Imperial College Mortality Surveillance System … (a national hospital mortality surveillance system that generates monthly mortality alerts) and trends

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36684/psn-pdf
     June 13, 2011 - Implementation of an electronic system for medication reconciliation. … Implementation of an electronic system for medication reconciliation. … https://psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation The Joint Commission … has mandated that all hospitals implement a system for medication reconciliation to ensure that patients … This study reports on the implementation of a system in which pharmacists and nurses collaborated to

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43805/psn-pdf
     February 11, 2015 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system … Understanding the nature of medication errors in an ICU with a computerized physician order entry system … psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order- entry-system … This study reviewed prescriptions following implementation of a computerized provider order entry system … /psnet.ahrq.gov/issue/understanding-nature-medication-errors-icu-computerized-physician-order-entry-system