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Showing results for "systems".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851062/psn-pdf
     June 28, 2023 - Systems approach to suicide prevention: strengthening culture, practice, and education. … Systems approach to suicide prevention: strengthening culture, practice, and education. … https://psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and- … These authors use a systems-based approach to identify missed opportunities to prevent suicide and present … , applying best practices and policies for prevention in systems, and workforce education and development

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866311/psn-pdf
     January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- … safety-incident Incident reporting systems are commonly used to detect threats to patient safety. … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866351/psn-pdf
     July 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … https://psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic … used incident reports involving anticoagulant medication errors to demonstrate the effectiveness of Systems … https://psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72526/psn-pdf
     January 01, 2021 - How effective are electronic medication systems in reducing medication error rates and associated harm … How effective are electronic medication systems in reducing medication error rates and associated harm … https://psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error … In this systematic review, the authors found variable evidence about the effectiveness of these systems … Included studies reported reductions in error rates, but implementation of electronic systems did not

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47721/psn-pdf
     April 24, 2019 - Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: … Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: … https://psnet.ahrq.gov/issue/effects-chemotherapy-prescription-clinical-decision-support-systems- chemotherapy-process … Although the implementation of clinical decision support prescribing systems has been shown to improve … increase in particular types of errors or the introduction of new errors when such decision support systems

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47752/psn-pdf
     May 29, 2019 - How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure … How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure … https://psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient- … This scoping review examined how nurses employ early warning scoring systems that prompt them to call … identification and treatment of patient deterioration included difficulty implementing early warning score systems

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60614/psn-pdf
     June 24, 2020 - A systems approach to analyzing and preventing hospital adverse events. … A systems approach to analyzing and preventing hospital adverse events. … https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events This … and design systems-level changes to prevent future AEs. … https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events https:

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867084/psn-pdf
     November 06, 2024 - Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery … Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery … https://psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and … - care-delivery Artificial intelligence-based clinical decision support systems (AI-CDSS) hold promise … https://psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848087/psn-pdf
     August 02, 2019 - Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. … Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. … https://psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through … This article describes the development and implementation of a simulation-based clinical systems testing … (SbCST) program to identify latent safety threats in healthcare systems prior to patient exposure.

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72499/psn-pdf
     November 25, 2020 - Transformational improvement in quality care and health systems: the next decade. … Transformational improvement in quality care and health systems: the next decade. … https://psnet.ahrq.gov/issue/transformational-improvement-quality-care-and-health-systems-next-decade … Delivering high-quality, safe healthcare requires coordination and integration of complex systems and … https://psnet.ahrq.gov/issue/transformational-improvement-quality-care-and-health-systems-next-decade

191. Safe Site Invasive Procedure—Non-Operating Room. | PSNet
     psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
     December 07, 2022 - Institute for Clinical Systems Improvement. … Institute for Clinical Systems Improvement. … December 7, 2022 Measures and measurement of high-performance work systems in health … February 9, 2011 Patient safety reporting systems: sustained quality improvement using … November 25, 2020 Systems approach to health service design, delivery and improvement

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843413/psn-pdf
     February 01, 2023 - Toward the translation of systems thinking methods in patient safety practice: assessing the validity … Toward the translation of systems thinking methods in patient safety practice: assessing the validity … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice- assessing-validity-net … This article describes validity testing of systems-thinking risk assessment (Net-HARMS) to identify … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - Systems Approach September 15, 2024 Systems Approach. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the … The systems approach, by contrast, takes the view that most errors reflect predictable human failings … in the context of poorly designed systems (e.g., expected lapses in human vigilance in the face of … Analyzing Errors Using the Systems Approach The systems approach provides a framework for analysis of

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60225/psn-pdf
     April 15, 2020 - Beyond 'find and fix': improving quality and safety through resilient healthcare systems. … Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. … psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare- systems … Using ethnographic methods and resilient healthcare principles (described as systems that anticipate … https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47729/psn-pdf
     April 10, 2019 - Reclaiming the systems approach to paediatric safety. … Reclaiming the systems approach to paediatric safety. … https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety Children are vulnerable to … pediatric patient safety improvement efforts in the United Kingdom and emphasizes the importance of systems … https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety https://psnet.ahrq.gov/issue

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849121/psn-pdf
     May 17, 2023 - Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report … https://psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality- … organizations to review patient safety incidents and classify them into themes from a human factors and systems … The process involves clearly characterizing the safety incidents, describing the involved safety systems

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34888/psn-pdf
     March 11, 2019 - : dissatisfaction with test result management systems in primary care. … : Dissatisfaction with test result management systems in primary care. … psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management- systems-primary … physicians about their practice patterns in managing test results, their satisfaction with current systems … conclude that current levels of dissatisfaction with management of test results indicate a need for systems

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836915/psn-pdf
     April 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record … Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record … https://psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical- … https://psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health … https://psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837031/psn-pdf
     May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an … Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an … https://psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning- systems-hospitals … Comprehensive implementation of reporting and learning systems (RLS, also known as incident reporting … systems) is important for its successful use as a patient safety improvement tool.

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838024/psn-pdf
     September 07, 2022 - Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. … Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. … https://psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems … - scoping-review Computerized decision support systems can alert clinicians to drug-drug interactions … The authors discuss the need for improved decision support systems to improve DDI alerts and actionable