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psnet.ahrq.gov/issue/national-costs-medical-liability-system
May 20, 2015 - Study
Classic
National costs of the medical liability system … National costs of the medical liability system. … billion, or 2.4% of total health care spending, attributed to the many highlighted elements of liability system … National costs of the medical liability system. … prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
January 01, 2023 - The Everett Clinic is a community-based, multispecialty health system. … All clinics are now using the e-prescribing system. … to the commercial EPIC system. … and now transitioning to a commercial-based system. … But a new EMR system also means a new e-prescribing system -- EPIC's.
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psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
May 11, 2014 - Commentary
Implementing a bar-code medication administration system. … Implementing a Bar-Code Medication Administration System. … commentary discusses a single hospital’s experience in implementing a bar-code medication administration system … Implementing a Bar-Code Medication Administration System.
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digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/citation/impact-automated-email-notification-system
January 01, 2023 - Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized … Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized … Project Name
An Automatic Notification System for Test Results Finalized after Discharge
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Instead, most accidents result from multiple, smaller errors in environments with serious underlying system … Reason used the terms active errors and latent errors to distinguish individual from system errors … involve frontline personnel and occur at the point of contact between a human and some aspect of a larger system … The blunt end refers to the many layers of the health care system not in direct contact with patients … revising how systems of care work, how protocols are designed, and how individuals interact with the system
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www.ahrq.gov/patient-safety/reports/hotline/appa.html
May 01, 2016 - 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.
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digital.ahrq.gov/sites/default/files/docs/resource/r18hs018644-haas-ivrs-scripts.pdf
June 16, 2021 - Interactive Voice Response System Scripts
These are the telephonic interactive voice response system … PREP Intervention:
Interactive Voice
Response System Scripts
If you would like
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
February 01, 2014 - Identifying Key Areas for Delivery System Research
Identifying Key Areas for Delivery System Research … What Is Delivery System Research? … Suggested Key Areas for Delivery System Research
The paper suggests four key areas for delivery system … What Is Delivery System Research? … Available at:
http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/alexander
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psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
May 13, 2020 - Emerging Classic
The risks to patient safety from health system … The Risks to Patient Safety From Health System Expansions. … This commentary explored how system expansion affects safety. … The authors highlight the need for leadership to use system data to plan for and manage the impact … The Risks to Patient Safety From Health System Expansions.
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psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
July 08, 2020 - Study
Simulation based adverse event reporting system: development and feasibility … Simulation Based Adverse Event Reporting System: Development and Feasibility. … This study introduced an online adverse event reporting system into simulation training for nursing … Simulation Based Adverse Event Reporting System: Development and Feasibility. … December 15, 2014
Health system redesign of cardiac monitoring oversight to optimize
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www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
February 01, 2014 - Identifying Key Areas for Delivery System Research
Identifying Key Areas for Delivery System Research … What Is Delivery System Research? … Suggested Key Areas for Delivery System Research
The paper suggests four key areas for delivery system … What Is Delivery System Research? … Available at:
http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/alexander
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - Christiana Care Health System: Safety Mentor Program
Christiana Care Health System: Safety
Mentor … This health care
system was not perceived as a learning organization. … This allows for specific population and aggregate system
level reporting. … Improved near-miss reporting at Christiana Care Health System. … To err is
human: Building a safer health system.
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psnet.ahrq.gov/issue/risk-society-and-system-failure
November 29, 2023 - Commentary
Risk, society and system failure. … Risk, society and system failure. … Risk, society and system failure.
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psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
April 06, 2016 - Book/Report
National Reporting and Learning System Research and Development. … Citation Text:
National Reporting and Learning System Research and Development. … Incident reporting has achieved varying levels of success in encouraging transparency and facilitating system … reporting initiatives in the National Health Service and focuses on the importance of considering system … Cite
Citation
Citation Text:
National Reporting and Learning System
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digital.ahrq.gov/technology/clinical-information-system
March 01, 2024 - Clinical Information System
Addressing chronic pain through patient- … Regional Demonstration in Health Information Technology: Indiana
Real time alert system … : a disease management system leveraging health information exchange. … Real time alert system: a disease management system leveraging health information exchange.
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psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
September 16, 2020 - Commentary
Quest for the ideal: a redesign of the medication use system. … Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. … describe the interdisciplinary planning and redesign of their hospital's medication administration system … Quest for the ideal: a redesign of the medication use system. … September 16, 2020
Fall prevention with the Smart Socks System reduces hospital fall
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digital.ahrq.gov/technology/medication-management-system
January 01, 2025 - Medication Management System
Evaluating accuracy and reproducibility … study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system … study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system
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psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
March 09, 2022 - Study
Multidisciplinary system for detecting medication errors in antineoplastic … Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. … This study found that a multidisciplinary system with a computerized pharmacotherapy process intercepted … Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. … June 10, 2018
Using an enhanced oral chemotherapy computerized provider order entry system
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - The PSNet Collection
Curated Libraries
Subscribed
Artificial Intelligence: System-Level … 2025
Description
This curated library explores overarching components that inform system-level … Through interviews with health system executives, clinicians, and artificial intelligence (AI) experts
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The … in a system
interact. … • System attribute: System attributes are the perceived characteristics
of the system. … ”
• System boundary: System boundaries are zones between one system
and another. … • System input: A system input is anything necessary to energize the
system.