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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Can Research Help Us Improve the Medical Liability System? … Can Research Help Us Improve the Medical Liability System?. PSNet [internet]. … Can Research Help Us Improve the Medical Liability System?. PSNet [internet]. … RW : Why do you think the system evolved that way? … We've said to the system, this isn't first about malpractice.
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psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
May 08, 2017 - Commentary
A learning health care system using computer-aided diagnosis. … A Learning Health Care System Using Computer-Aided Diagnosis. … The authors encourage drawing from crowdsourced data to guide improvements at a system level to address … A Learning Health Care System Using Computer-Aided Diagnosis. … June 25, 2018
Unintended adverse consequences of a clinical decision support system:
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psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
July 03, 2014 - Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system … Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system … Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system … January 12, 2011
Integrating the intensive care unit safety reporting system with existing … January 2, 2017
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results … Design and implementation of an automated email notification system for results of tests pending at discharge … This study describes the development and implementation of an automated TPAD email notification system … The authors reflect on key elements of improving the system, which include further refinement of the … July 2, 2019
System-related and cognitive errors in laboratory medicine.
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psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - Study
The etiology of diagnostic errors: a controlled trial of System 1 versus System … The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. … The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning.
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psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - Study
Impact of a reengineered electronic error-reporting system on medication event … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Researchers implemented a Web-based electronic medication error reporting system in concert with a novel … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Same Author(s)
Using an enhanced oral chemotherapy computerized provider order entry system
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psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
March 21, 2012 - Study
The costs of developing, implementing, and operating a safety learning system … The costs of developing, implementing, and operating a safety learning system in community practice. … The costs of developing, implementing, and operating a safety learning system in community practice. … for chemotherapy in a multisite safety-net health system. … December 21, 2014
Resilient actions in the diagnostic process and system performance.
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psnet.ahrq.gov/issue/fixing-broken-healthcare-system
August 01, 2018 - Commentary
Fixing a broken healthcare system. … Citation Text:
Fixing a broken healthcare system. Delbanco SF. … Cite
Citation
Citation Text:
Fixing a broken healthcare system
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
October 03, 2017 - Government Resource
Indiana Medical Error Reporting System. … Citation Text:
Indiana Medical Error Reporting System. Indiana State Department of Health. … October 3, 2017
Medical Error Reporting System Could Boost Patient Safety. … May 18, 2018
Indiana Medical Error Reporting System. … August 14, 2013
Patient Safety Reporting System.
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psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
April 22, 2016 - Commentary
Building an ambulatory safety program at an academic health system. … Building an Ambulatory Safety Program at an Academic Health System. … This project report describes an ambulatory safety program at an academic health system that targeted … Decentralizing reporting response responsibilities throughout the system significantly increased feedback … Building an Ambulatory Safety Program at an Academic Health System.
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psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Book/Report
Building a Better Delivery System: A New Engineering/Health Care Partnership … Citation Text:
Building a Better Delivery System: A New Engineering/Health Care Partnership. … Institute of Medicine, National Academy of Engineering, Committee on Engineering and the Health Care System … to identify engineering tools and technologies that foster improvements in the health care delivery system … July 5, 2008
Engineering a Learning Healthcare System: A Look at the Future: Workshop
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Study
Comprehensive evaluation of using computerised provider order-entry system … Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders … Computerized provider order entry (CPOE) refers to a system in which clinicians directly place orders … Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders … June 23, 2021
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
November 26, 2014 - Study
Impact of an electronic alert notification system embedded in radiologists' … Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication … The system allows radiologists to send alerts within their workflow for synchronous communication via … They found that the electronic alert system led to higher levels of documented communication for abnormal … December 5, 2013
Design and implementation of an automated email notification system
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psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial
January 18, 2011 - Classic
Introduction of the medical emergency team (MET) system … Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. … Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. … June 2, 2010
The medical emergency team system and not-for-resuscitation orders: results … June 2, 2010
The impact of Rapid Response System on delayed emergency team activation
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psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
December 01, 2010 - 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. … Drug-related problems in medical wards with a computerized physician order entry system. … August 20, 2018
Enabling a learning healthcare system with automated computer protocols … July 27, 2011
Can an electronic prescribing system detect doctors who are more likely
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psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
July 08, 2016 - Report
Classic
Crossing the Quality Chasm: A New Health System … Citation Text:
Crossing the Quality Chasm: A New Health System for the 21st Century. … , 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 … July 8, 2016
To Err Is Human: Building a Safer Health System.
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psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
February 15, 2023 - Special or Theme Issue
Research from webAIRS incident reporting system. … Citation Text:
Research from webAIRS incident reporting system. … Cite
Citation
Citation Text:
Research from webAIRS incident reporting system … October 5, 2011
WebAIRS Anesthesia Incident Reporting System.
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
March 23, 2022 - Special or Theme Issue
TQIP Mortality Reporting System Case Reports. … Citation Text:
TQIP Mortality Reporting System Case Reports. … ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. … Twitter
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May 10, 2023
ACS TQIP Mortality Reporting System … ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023.
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psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
February 05, 2020 - Multi-use Website
Radiotherapy Incident Reporting and Analysis System. … Citation Text:
Radiotherapy Incident Reporting and Analysis System. … Cite
Citation
Citation Text:
Radiotherapy Incident Reporting and Analysis System … January 17, 2017
Implementation of an online reporting system to identify unprofessional … April 4, 2018
Radiation Oncology Incident Learning System.
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psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system
August 08, 2018 - A model for the departmental quality management infrastructure within an academic health system … A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. … A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. … January 6, 2017
Enabling a learning healthcare system with automated computer protocols … July 1, 2016
Creating a high-reliability health care system: improving performance on