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Showing results for "system".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38676/psn-pdf
     January 03, 2017 - Developing and evaluating a trigger response system. … Developing and Evaluating a Trigger Response System. … https://psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system This article discusses … how one hospital developed, tested, and refined the activation system for its rapid response team. … https://psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system https://psnet.ahrq.gov

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35118/psn-pdf
     September 21, 2005 - Capturing more emergency department errors via an anonymous web-based reporting system. … https://psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based- reporting-system … The authors present a Web-based system that may increase reporting due to its convenience and anonymity … https://psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system … https://psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35247/psn-pdf
     December 17, 2008 - Review of the Australian Incident Monitoring System. December 17, 2008 Spigelman AD, Swan J. … Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657- 61. … https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system The authors surveyed users … of the Australian Incident Monitoring System (AIMS) to determine its value for organizing and learning … https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system https://psnet.ahrq.gov//#safetyculture

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38348/psn-pdf
     December 30, 2014 - Implementing a bar-code medication administration system. December 30, 2014 Weber RJ. … Implementing a Bar-Code Medication Administration System. … https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system This commentary … discusses a single hospital’s experience in implementing a bar-code medication administration system … https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system https://psnet.ahrq.gov

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36535/psn-pdf
     January 10, 2011 - Doctors' thinking about 'the system' as a threat to patient safety. January 10, 2011 Waring J. … Doctors' thinking about 'the system' as a threat to patient safety. … https://psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety The author interviewed … to explore how they explained threats to patient safety and found that the physicians think of the system … https://psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40774/psn-pdf
     September 14, 2011 - A system-wide initiative to prevent retained vaginal sponges. … A system-wide initiative to prevent retained vaginal sponges. … https://psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges This commentary … describes how a 32-hospital system implemented a surgical sponge management program in the labor and … https://psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34906/psn-pdf
     June 27, 2011 - System weaknesses as contributing causes of accidents in health care. … System weaknesses as contributing causes of accidents in health care. … https://psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care The authors …  examine the correlation between system weaknesses and accidents. … https://psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35481/psn-pdf
     December 30, 2012 - System errors in intrapartum electronic fetal monitoring: a case review. … System errors in intrapartum electronic fetal monitoring: a case review. … https://psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review The author …  presents a case analysis to illustrate common system errors in the use of intrapartum electronic fetal … https://psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33640/psn-pdf
     September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … VA's very survival was threatened, and the system was in dire need of bold leadership. … throughout the VA health care system, in 1997. … The EHR system, CPRS, gave providers a powerful tool for change. … Crossing the Quality Chasm: A New Health System for the 21st Century.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33730/psn-pdf
     June 01, 2012 - Certainly that was a product of our government-run, single-payer system. … But, this has mushroomed into an enormous system, which I think has received 9 million reports. … The actual reporting system will be looked after at Imperial College. … Now what's reported in this big incident reporting system is very open. … Who would analyze them, and how would I get it back into the system?"

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36054/psn-pdf
     November 10, 2011 - Our broken health care system and how to fix it: an essay on health law and policy. … https://psnet.ahrq.gov/issue/our-broken-health-care-system-and-how-fix-it-essay-health-law-and-policy … The author discusses problems in the U.S. health care system and laws that govern this system and  … https://psnet.ahrq.gov/issue/our-broken-health-care-system-and-how-fix-it-essay-health-law-and-policy

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38677/psn-pdf
     August 18, 2010 - Impact of a computerized physician order-entry system. … Impact of a computerized physician order-entry system. … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system Implementation of a computerized … provider order entry system improved efficiency but did not yield significant safety improvements or … https://psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system https://psnet.ahrq.gov/

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40898/psn-pdf
     February 06, 2012 - Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system This study … reports on the development of a system for standardizing root cause analysis of sentinel events. … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system https://psnet.ahrq.gov

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43273/psn-pdf
     April 25, 2016 - Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion … Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion … psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid- response-system … psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system … psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34949/psn-pdf
     June 23, 2009 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system … A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system … psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and- sign-out-system … The computerized system securely organized important sign-out information, automatically downloaded … psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40509/psn-pdf
     June 08, 2011 - Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing … Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing … https://psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make … This study investigated whether data from a CPOE system could be used to identify individual physicians … https://psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46010/psn-pdf
     July 12, 2017 - Changing the medical malpractice system to align with what we know about patient safety and quality … Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality … https://psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient- safety-and-quality … This commentary provides three recommendations to change the malpractice system: enhance awareness of … https://psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35618/psn-pdf
     June 24, 2010 - Using a computerized sign-out system to improve physician–nurse communication. … Using a computerized sign-out system to improve physician-nurse communication. … https://psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication … This article describes the implementation, use, and impact of an electronic resident sign-out system … https://psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36703/psn-pdf
     March 28, 2011 - Assessing system failures in operating rooms and intensive care units. … Assessing system failures in operating rooms and intensive care units. … https://psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units The … failures in the intensive care unit (ICU) and operating room to help organizations gain insight into system … https://psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37125/psn-pdf
     October 04, 2011 - Current pulse: can a production system reduce medical errors in health care? … Current pulse: can a production system reduce medical errors in health care? … https://psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care The … authors discuss the effect of Toyota Production System principles on quality and safety in hospital … https://psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care https