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Showing results for "systems".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Background Patient safety event reporting systems are ubiquitous in hospitals and are a mainstay of … Characteristics of Incident Reporting Systems An effective event reporting system should have four key … the development of web-based systems and systems that can receive information from electronic medical … Specialized systems have also been developed for specific settings, such as the Intensive Care Unit … Safety Reporting System and systems for reporting surgical and anesthesia-related errors.

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867606/psn-pdf
     February 10, 2025 - AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. … AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. … https://psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and- … Failure To Rescue – Rapid Response Systems reviews rapid response systems’ impacts on patient safety … and clinical outcomes, and ways rapid response systems can be implemented effectively.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866164/psn-pdf
     June 19, 2024 - What is the effectiveness of reporting systems in promoting learning in healthcare? … What is the effectiveness of reporting systems in promoting learning in healthcare? … incident reporting systems are an important tool to identify, and learn from, adverse events and errors … This article highlights the strengths of reporting and learning systems (e.g., the opportunity to learn … https://psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare https

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867696/psn-pdf
     March 05, 2025 - Textbook of Rapid Response Systems: Concept and Implementation. … March 5, 2025 Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). … https://psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation Rapid response … systems are a core strategy to ensure safe care for hospitalized patients should unexpected deterioration … /issue/rapid-response-systems-0 https://psnet.ahrq.gov/primer/failure-rescue https://psnet.ahrq.gov/primer

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48018/psn-pdf
     July 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations … PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations … https://psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems- … https://psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations … https://psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864853/psn-pdf
     March 20, 2024 - Question answering systems for health professionals at the point of care - a systematic review. … Question answering systems for health professionals at the point of care—a systematic review. … https://psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic- … review, including 79 studies, explored areas for improvement with medical question answering (QA) systems … The authors identified several characteristics that could be used to improve future QA systems, such

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60850/psn-pdf
     August 26, 2020 - Beyond the corrective action hierarchy: a systems approach to organizational change. … Beyond the corrective action hierarchy: a systems approach to organizational change. … https://psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change … to which a corrective action addresses ‘systems change’ (‘systems change hierarchy’). … https://psnet.ahrq.gov/primer/systems-approach

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866433/psn-pdf
     August 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta … Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis … https://psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments- systematic-review-and-meta … This systematic review included 22 studies and examined the use of sepsis alert systems in the Emergency … The researchers found that sepsis alert systems were associated with reduced risk of mortality and decreased

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … https://psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic … - review Incident reporting systems offer important opportunities for health systems to learn from … use and learn from incident reporting systems.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842416/psn-pdf
     January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient … A failure in the medication delivery system—how disclosure and systems investigation improve patient … https://psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation … - improve-patient Medical errors that receive widespread media attention frequently spur health systems … ; build resilient medication delivery systems; and, establish methods of investigations.

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848821/psn-pdf
     May 10, 2023 - Towards a unified model of accident causation: refining and validating the systems thinking safety tenets … Towards a unified model of accident causation: refining and validating the systems thinking safety tenets … https://psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems … This article outlines a refined and validated set of systems thinking tenets and discusses how they … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72705/psn-pdf
     February 03, 2021 - Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … A systems approach is a key element in safe patient care.  … This systematic review concluded that a systems approach to healthcare design and delivery can lead … https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866320/psn-pdf
     January 01, 2025 - Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation … Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation … https://psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation … patient safety practices: medication reconciliation, antibiotic stewardship programs, and rapid response systems … issue/antibiotic-stewardship-acute-care-practical-playbook https://psnet.ahrq.gov/primer/rapid-response-systems

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33564/psn-pdf
     March 15, 2025 - CPOE systems were originally developed to improve the safety of medication orders, but modern systems … The widespread implementation of CPOE into electronic health systems (EHR) has benefited clinicians … CPOE systems are generally paired with some form of clinical decision support system (CDSS), which can … Studies of e-prescribing systems—CPOE systems used primarily in outpatient practices that allow direct … As detailed in a 2015 Food and Drug Administration white paper (summarized here), current CPOE systems

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44286/psn-pdf
     July 18, 2024 - Rapid response systems. July 18, 2024 Stevens JP. UpToDate. July 18, 2024. … https://psnet.ahrq.gov/issue/rapid-response-systems-0 Although rapid response programs have been advocated … This review provides an overview of rapid response systems, including key components and goals of the … https://psnet.ahrq.gov/issue/rapid-response-systems-0 https://psnet.ahrq.gov/primer/rapid-response-systems … deployment-rapid-response-teams-31-hospitals-statewide-collaborative https://psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867656/psn-pdf
     February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 … In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. … We spoke with her about learning systems and their impact on patient safety. … call mature learning health systems), so you are comparing apples to apples. … Creating organized delivery systems: the barriers and facilitators.

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866358/psn-pdf
     July 24, 2024 - To improve health care, focus on fixing systems — not people. … To improve health care, focus on fixing systems — not people. Harvard Business Review. … July 12, 2024; https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people While … a focus on the systems approach is a long-standing element of patient safety improvement, organizations … https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people https://psnet.ahrq.gov

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72820/psn-pdf
     March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change … Medication errors related to computerized provider order entry systems in hospitals and how they change … Computerized provider order entry (CPOE) systems have been advocated as a strategy to reduce medical … This narrative review identified knowledge gaps in the relationship between CPOE systems and how systems-related … Studies suggest that system-related errors persist with long-term use of CPOE systems, but future research

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867042/psn-pdf
     October 30, 2024 - The foundational science of learning health systems. … The foundational science of learning health systems. … https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems Learning health systems (LHS … It describes research topics within each foundational method (implementation, data, engagement, systems … https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems https://psnet.ahrq.gov/glossary

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866690/psn-pdf
     September 11, 2024 - The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing … The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing … https://psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety … - and-reducing Checklists and error reporting systems are designed to improve patient safety. … https://psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing