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Showing results for "system".

81. Disuse of system is cited in gaps in soldiers' care. | PSNet
    psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
    September 28, 2005 - Newspaper/Magazine Article Disuse of system is cited in gaps in soldiers' care. … Citation Text: Disuse of system is cited in gaps in soldiers' care. Urbina I; Nixon R. … This article reports on the inconsistent use of the Department of Defense electronic medical records system … Copy URL Cite Citation Citation Text: Disuse of system … 2023 Senators threaten consequences after VA confirms 4 deaths tied to computer system

82. Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet
    psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
    September 09, 2020 - administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system … administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system … discovering significant issues with ordering, administration, and documentation of EN, this health system … EN therapies were added to the electronic medication administration record (MAR) and the barcoding system … Author(s) Improving transfusion safety in the operating room with a barcode scanning system

83. Learning Health Systems for Patient Safety | PSNet
    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - Background A learning health system is a health system (i.e., a group of one or more healthcare organizations … Health technology, quality and safety in a learning health system. … There is a lot of waste in the system. … other health system partners went there to observe what they did. … During that time, the health system probably has a new problem.

84. Research from webAIRS incident reporting system. | PSNet
    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.

85. TQIP Mortality Reporting System Case Reports. | PSNet
    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 Linkedin Copy URL May 10, 2023 ACS TQIP Mortality Reporting System … ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023.

86. Radiotherapy Incident Reporting and Analysis System. | PSNet
    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.

87. Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. | PSNet
    psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
    July 14, 2010 - factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system … factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system … Related Resources From the Same Author(s) Development of the ICU safety reporting system … July 14, 2010 Pediatric safety incidents from an intensive care reporting system. … March 23, 2011 Creating the web-based intensive care unit safety reporting system. 

88. Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. | PSNet
    psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
    August 24, 2016 - Study Does the implementation of an electronic prescribing system create unintended … Does the implementation of an electronic prescribing system create unintended medication errors? … Does the implementation of an electronic prescribing system create unintended medication errors? … July 8, 2020 Can an electronic prescribing system detect doctors who are more likely … June 13, 2011 Can an electronic prescribing system detect doctors who are more likely

89. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. | PSNet
    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

90. The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet
    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.

91. Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet
    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.

92. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet
    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

93. Building an ambulatory safety program at an academic health system. | PSNet
    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.

94. The costs of developing, implementing, and operating a safety learning system in community practice. | PSNet
    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.

95. Building a Better Delivery System: A New Engineering/Health Care Partnership. | PSNet
    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

96. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. | PSNet
    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

97. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. | PSNet
    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

98. Drug-related problems in medical wards with a computerized physician order entry system. | PSNet
    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

99. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet
    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

100. Crossing the Quality Chasm: A New Health System for the 21st Century. | PSNet
     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.