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Showing results for "system".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33613/psn-pdf
     May 01, 2005 - This system, which served Americans well in the early part of the https://psnet.ahrq.gov/perspective … In the past 2 years, we have seen a movement toward a hospital– and health system–wide focus on and … , a web-based reporting system, and an electronic automated surveillance system for detection of potential … As mentioned, a web-based voluntary reporting system has been implemented, allowing care providers to … To Err is Human: Building a Safer Health System. Institute of Medicine.

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42679/psn-pdf
     October 23, 2013 - An evidence-based toolkit for the development of effective and sustainable root cause analysis system … An evidence-based toolkit for the development of effective and sustainable root cause analysis system … psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause- analysis-system … psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system … psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41438/psn-pdf
     January 03, 2017 - Implementing SBAR across a large multihospital health system. … Implementing SBAR across a large multihospital health system. … https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system In this study … , implementation of system-wide training and adoption of the structured communication tool SBAR were … https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system https://psnet.ahrq.gov

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36331/psn-pdf
     October 26, 2010 - Using system analysis to build a safety culture: improving the reliability of epidural analgesia. … Using system analysis to build a safety culture: improving the reliability of epidural analgesia. … https://psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural … https://psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia … https://psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36367/psn-pdf
     April 11, 2011 - Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital … Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital … https://psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine- … https://psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors … https://psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38656/psn-pdf
     May 27, 2009 - Pediatric safety incidents from an intensive care reporting system. … https://psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system The Intensive … Care Unit Safety Reporting System (ICUSRS) is a model incident reporting system that has been used … https://psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44139/psn-pdf
     June 10, 2015 - In situ simulated cardiac arrest exercises to detect system vulnerabilities. … In situ simulated cardiac arrest exercises to detect system vulnerabilities. … https://psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities Realistic … notification of participants, identified several latent errors in a hospital's emergency response system … https://psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities https

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37822/psn-pdf
     June 18, 2008 - A morbidity and mortality conference-based classification system for adverse events: surgical outcome … A morbidity and mortality conference-based classification system for adverse events: surgical outcome … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse- … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41516/psn-pdf
     December 29, 2014 - Investigating patient safety culture across a health system: multilevel modelling of differences associated … Investigating patient safety culture across a health system: multilevel modelling of differences associated … https://psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling … https://psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling-differences … https://psnet.ahrq.gov/issue/investigating-patient-safety-culture-across-health-system-multilevel-modelling-differences

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38045/psn-pdf
     December 01, 2008 - Problems and solutions arising during a study in visual semantics of the medical emergency team system … Problems and solutions arising during a study in visual semantics of the medical emergency team system … psnet.ahrq.gov/issue/problems-and-solutions-arising-during-study-visual-semantics-medical- emergency-team-system … psnet.ahrq.gov/issue/problems-and-solutions-arising-during-study-visual-semantics-medical-emergency-team-system … psnet.ahrq.gov/issue/problems-and-solutions-arising-during-study-visual-semantics-medical-emergency-team-system

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37587/psn-pdf
     June 12, 2008 - Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system … Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system … psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior- rating-system … psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system … psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40996/psn-pdf
     December 18, 2014 - Effects of a night-team system on resident sleep and work hours. … Effects of a night-team system on resident sleep and work hours. … https://psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours In response to … pediatrics residency program found that although residents worked fewer hours per day under the night- team system … https://psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours https://psnet.ahrq.gov

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43819/psn-pdf
     July 16, 2015 - Intercepting wrong-patient orders in a computerized provider order entry system. … Intercepting wrong-patient orders in a computerized provider order entry system. … https://psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system … a moderate decrease in wrong-patient prescribing errors within a computerized provider order entry system … https://psnet.ahrq.gov/issue/intercepting-wrong-patient-orders-computerized-provider-order-entry-system

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43750/psn-pdf
     June 21, 2015 - Using a quantitative risk register to promote learning from a patient safety reporting system. … Using a quantitative risk register to promote learning from a patient safety reporting system. … //psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting- system … https://psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system … https://psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39821/psn-pdf
     July 16, 2014 - Performance of a fail-safe system to follow up abnormal mammograms in primary care. … Performance of a fail-safe system to follow up abnormal mammograms in primary care. … https://psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care Tests … This study implemented a paper-based system to follow up abnormal mammograms and monitored provider … https://psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care https

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34930/psn-pdf
     April 06, 2011 - "Going solid": a model of system dynamics and consequences for patient safety. … "Going solid": a model of system dynamics and consequences for patient safety. … https://psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety Health … care systems continue to evolve with greater complexity and attention to system-based improvement efforts … https://psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40163/psn-pdf
     December 21, 2014 - Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early … Integration of a Formalized Handoff System Into the Surgical Curriculum. … https://psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident- perspectives-and-early … https://psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early … https://psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40242/psn-pdf
     February 23, 2011 - An anesthesiology department leads culture change at a hospital system level to improve quality and … An anesthesiology department leads culture change at a hospital system level to improve quality and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level- improve-quality-and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and … https://psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45970/psn-pdf
     March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. … A Learning Health Care System Using Computer-Aided Diagnosis. … https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although advanced … The authors encourage drawing from crowdsourced data to guide improvements at a system level to address … https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis https://psnet.ahrq.gov

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40097/psn-pdf
     January 19, 2011 - Use of an electronic information system to identify adverse events resulting in an emergency department … Use of an electronic information system to identify adverse events resulting in an emergency department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting- emergency-department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department