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psnet.ahrq.gov/node/39084/psn-pdf
March 05, 2010 - The impact of Rapid Response System on delayed
emergency team activation patient characteristics and … The impact of Rapid Response System on delayed emergency team
activation patient characteristics and … https://psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient- … https://psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and … https://psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and
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psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases. … Unintended adverse consequences of a clinical decision support system: two cases. … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases … clinical-decision-support-and-malpractice-risk
https://psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - found an
increase in mortality among PICU patients in another hospital that implemented the same CPOE
system … Prior to implementing the CPOE system in this study, leaders from both hospitals collaborated to
identify … standardized order sets and other means of
decreasing the time needed to enter orders, preserving a system … of obtaining medications outside the
CPOE system in emergencies, and emphasizing the need for face-to-face … contrast to the earlier study, the authors found no change in PICU mortality in 13
months after the CPOE system
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psnet.ahrq.gov/node/43067/psn-pdf
November 23, 2014 - Characterization of adverse events detected in a large
health care delivery system using an enhanced … Characterization of adverse events detected in a large health
care delivery system using an enhanced … https://psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system … Improvement's Global Trigger Tool, this retrospective study analyzed
adverse events at a large health care system … https://psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
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psnet.ahrq.gov/node/44506/psn-pdf
October 21, 2015 - A prospective controlled trial of an electronic hand
hygiene reminder system. … A Prospective Controlled Trial of an Electronic Hand
Hygiene Reminder System. … https://psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
Hand … Once the reminder system was turned off, compliance rates returned to the previous baseline. … https://psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
https
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psnet.ahrq.gov/node/38816/psn-pdf
July 29, 2009 - Uncovering system errors using a rapid response team:
cross-coverage caught in the crossfire. … Uncovering System Errors Using a Rapid Response Team:
Cross-Coverage Caught in the Crossfire. … https://psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught … https://psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire … psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
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psnet.ahrq.gov/node/43419/psn-pdf
October 20, 2014 - Impact of a reengineered electronic error-reporting
system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication
event reporting and care process … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event- … Researchers
implemented a Web-based electronic medication error reporting system in concert with a novel … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
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psnet.ahrq.gov/node/38784/psn-pdf
July 13, 2010 - A survey of nurses' beliefs about the medical emergency
team system in a Canadian tertiary hospital. … A survey of nurses' beliefs about the medical emergency team
system in a canadian tertiary hospital. … https://psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-
tertiary-hospital … https://psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-tertiary-hospital … https://psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-tertiary-hospital
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psnet.ahrq.gov/node/45983/psn-pdf
June 27, 2018 - Educating for the 21st-century health care system: an
interdependent framework of basic, clinical, and … Educating for the 21st-Century Health Care System: An
Interdependent Framework of Basic, Clinical, and … https://psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic … https://psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic-clinical-and-systems … https://psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic-clinical-and-systems
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations … Repeat prescribing of medications: A system-centred risk management
model for primary care organisations … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-
primary-care … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care … https://psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
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psnet.ahrq.gov/node/36238/psn-pdf
October 21, 2010 - Claiming behaviour in a no-fault system of medical injury:
a descriptive analysis of claimants and non-claimants … Claiming behaviour in a no-fault system of medical injury: a
descriptive analysis of claimants and non-claimants … https://psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis- … https://psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non … https://psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
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psnet.ahrq.gov/node/38659/psn-pdf
May 27, 2009 - The Henry Ford Production System: reduction of surgical
pathology in-process misidentification defects … The Henry Ford Production System: reduction of surgical pathology
in-process misidentification defects … https://psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-
misidentification-defects … https://psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects … https://psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
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psnet.ahrq.gov/node/40360/psn-pdf
April 22, 2011 - The influence of formulation and medicine delivery
system on medication administration errors in care … The influence of formulation and medicine delivery system on
medication administration errors in care … https://psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration … https://psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care … https://psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care
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psnet.ahrq.gov/node/36992/psn-pdf
September 14, 2011 - Effect of an anonymous reporting system on near-miss
and harmful medical error reporting in a pediatric … Effect of an anonymous reporting system on near-miss and harmful medical error
reporting in a pediatric … https://psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error- … https://psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric … https://psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
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psnet.ahrq.gov/node/41534/psn-pdf
July 25, 2012 - Protecting patients from an unsafe system: the etiology
and recovery of intraoperative deviations in … Protecting patients from an unsafe system: the etiology and recovery
of intraoperative deviations in … https://psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative- … https://psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care … https://psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
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psnet.ahrq.gov/node/40177/psn-pdf
June 08, 2011 - Learning from disasters to improve patient safety:
applying the generic disaster pathway to health system … Learning from disasters to improve patient safety: applying the
generic disaster pathway to health system … psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-
health-system … psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system … psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
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psnet.ahrq.gov/node/43858/psn-pdf
February 18, 2015 - Hospital system barriers to rapid response team
activation: a cognitive work analysis. … CE: Original research: hospital system barriers to rapid response team activation: a cognitive
work … https://psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work- … https://psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis … https://psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
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psnet.ahrq.gov/node/44584/psn-pdf
March 15, 2016 - Barriers to implementing a reporting and learning patient
safety system: pediatric chiropractic perspective … Barriers to Implementing a Reporting and Learning Patient Safety
System: Pediatric Chiropractic Perspective … https://psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric … https://psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic … https://psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - How does that change
the dynamics of the malpractice system? … MM: It makes it a little harder to justify the system that we have. … RW: Does the administrative resolution system say something different than the malpractice system about … How would both of those
be handled in an administrative system? … One could argue that the malpractice system actually doesn't pay out enough.
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psnet.ahrq.gov/node/42002/psn-pdf
May 10, 2013 - National efforts to improve health information system
safety in Canada, the United States of America … National efforts to improve health information system safety
in Canada, the United States of America … https://psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united- … https://psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and … https://psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and