-
psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
November 16, 2022 - Study
Weekend and night outcomes in a statewide trauma system. … Weekend and night outcomes in a statewide trauma system. … Weekend and night outcomes in a statewide trauma system. … cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system
-
psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - Study
Study of a multisite prospective adverse event surveillance system. … Study of a multisite prospective adverse event surveillance system. … Study of a multisite prospective adverse event surveillance system. … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system
-
psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - Study
Classic
The Veterans Affairs root cause analysis system … The Veterans Affairs Root Cause Analysis System in Action. … The Veterans Affairs Root Cause Analysis System in Action. … System innovation: Veterans Health Administration National Center for Patient Safety.
-
digital.ahrq.gov/ahrq-funded-projects/advancing-health-services-through-system-modeling-research
January 01, 2023 - Advancing Health Services through System Modeling Research
Project Description … Electronic Health Record/Electronic Medical Record
Care Setting
Across the Health Care System … interest in applying industrial and systems engineering tools and techniques to the health care delivery system … The objectives of the workshop were to:
Articulate a vision for an ideal health care delivery system … systems engineering to substantially contribute to the realization of an ideal health care delivery system
-
psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system. … Changing our culture: adopting the military aviation safety system. … Changing our culture: adopting the military aviation safety system. … July 31, 2012
Risk, society and system failure.
-
digital.ahrq.gov/ahrq-funded-projects/web-based-renal-transplant-patient-medication-system
January 01, 2023 - Web-based Renal Transplant Patient Medication System
Project Final Report ( PDF , … Web-based Renal Transplant Patient Medication System - Final Report Citation: Friedman A. … Web-based Renal Transplant Patient Medication System - Final Report. … Principal Investigator: Friedman, Amy Project Name: Web-based Renal Transplant Patient Medication System … Principal Investigator: Friedman, Amy Project Name: Web-based Renal Transplant Patient Medication System
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/integrated-care-coordination-information-system-interview-guide
January 01, 2023 - Integrated Care Coordination Information System Interview Guide
This is an interview guide … Survey Document
Integrated Care Coordination Information System Interview Guide
Year … Related Project
Enhancing Complex Care through an Integrated Care Coordination Information System
-
psnet.ahrq.gov/issue/role-automation-complex-system-failures
June 28, 2013 - Commentary
The role of automation in complex system failures. … The role of automation in complex system failures. … The role of automation in complex system failures. … June 28, 2013
Mature rapid response system and potentially avoidable cardiopulmonary … June 14, 2019
System-related and cognitive errors in laboratory medicine.
-
psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - Commentary
Classic
Problem doctors: is there a system-level … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. … Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. … faculty reflection on adverse patient events: development and initial validation of a case-based learning system
-
psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
March 23, 2011 - Study
A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … March 23, 2011
Enabling a learning healthcare system with automated computer protocols … morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendixa.pdf
June 02, 2025 - Recommendations for Key Features of an Ideal Consumer Reporting
System
1. … The system should collect
information and conduct aggregate causal analyses. … The system should allow reporting
at any point in time. … The system should:
• Publish information such as how much the system is used. … The system should provide meaningful and timely feedback
to reporters.
-
psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
February 15, 2011 - Study
Evaluation of an inpatient computerized medication reconciliation system. … Evaluation of an inpatient computerized medication reconciliation system. … Evaluation of an inpatient computerized medication reconciliation system. … September 26, 2012
Impact of an automated email notification system for results of tests … August 16, 2017
Using an electronic prescribing system to ensure accurate medication
-
psnet.ahrq.gov/issue/new-system-patients-report-medical-mistakes
May 16, 2008 - Newspaper/Magazine Article
New system for patients to report medical mistakes. … Citation Text:
New system for patients to report medical mistakes. Pear R. … Linkedin
Copy URL
Cite
Citation
Citation Text:
New system … December 4, 2016
Condition concern: an innovative response system for enhancing hospitalized
-
psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
July 02, 2019 - Commentary
Benefits of a rapid response system at a community hospital. … Benefits of a Rapid Response System at a Community Hospital. … Benefits of a Rapid Response System at a Community Hospital. … January 15, 2009
Implementation of an electronic system for medication reconciliation … July 7, 2021
'Between the flags': implementing a rapid response system at scale.
-
psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
August 13, 2014 - Study
Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … American Association of Clinical Endocrinologists position statement on patient safety and medical system
-
psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
April 30, 2014 - Newspaper/Magazine Article
'Failing wisely' can promote a safer healthcare system … 'Failing wisely' can promote a safer healthcare system. MedPage Today. … 'Failing wisely' can promote a safer healthcare system. MedPage Today. … October 28, 2020
System Governance Towards Improved Patient Safety: Key Functions, Approaches
-
psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
October 27, 2010 - Study
An automated, dynamic radiation oncology prescription checking system. … An automated, dynamic radiation oncology prescription checking system. … An automated, dynamic radiation oncology prescription checking system.
-
psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
February 17, 2011 - Commentary
Incomplete care—on the trail of flaws in the system. … Incomplete care--on the trail of flaws in the system. … Incomplete care--on the trail of flaws in the system. … 17, 2011
Improving allergy documentation: a retrospective electronic health record system-wide … September 1, 2016
Performance of a fail-safe system to follow up abnormal mammograms
-
hcup-us.ahrq.gov/reports/factsandfigures/2007/figures/2007_5_7.jsp
January 01, 2007 - Exhibit 5.7 Growth in Body System Conditions: All Payers
Cumulative Growth in Principal CCS … Body System Discharges by Payer, 1997-2007
Medicaid
Medicare
Private Health Insurance
-
psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities
Citation … Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. … Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. … , it became clear that maintaining two different dosing strategies for adults within one healthcare system … Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities.