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Showing results for "systems".

21. Safety Management Systems - an Introduction for Healthcare. | PSNet
    psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
    February 14, 2024 - Book/Report Safety Management Systems - an Introduction for Healthcare. … Citation Text: Safety Management Systems - an Introduction for Healthcare. … Safety management systems (SMS) are employed in many high-risk industries , yet are not fully adopted … Copy URL Cite Citation Citation Text: Safety Management Systems … March 1, 2023 Clinical Investigation Booking Systems Failures: Written Communications

22. Cognitive Systems Engineering in Health Care. | PSNet
    psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
    October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. … Citation Text: Cognitive Systems Engineering in Health Care. … The book discusses how to apply cognitive systems engineering principles to team interactions with … Copy URL Cite Citation Citation Text: Cognitive Systems … June 15, 2022 National trends in the safety performance of electronic health record systems

23. Systems analysis of adverse drug events. | PSNet
    psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
    February 10, 2011 - Study Classic Systems analysis of adverse drug events. … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. … The authors report a "systems analysis" of the adverse drug events (ADEs) detected in their seminal … Using the airline industry as an example, the authors advocate a nonpunitive systems approach as a … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43.

24. The systems approach at the sharp end. | PSNet
    psnet.ahrq.gov/issue/systems-approach-sharp-end
    April 21, 2021 - Commentary The systems approach at the sharp end. … The systems approach at the sharp end. … Systems solutions are often focused on creating improvements at the organizational or blunt end. … The author explores the role of clinical teams in applying systems thinking to reduce blame, improve … The systems approach at the sharp end.

25. Reclaiming the systems approach to paediatric safety. | PSNet
    psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
    April 03, 2019 - Commentary Reclaiming the systems approach to paediatric safety. … Reclaiming the systems approach to paediatric safety. … pediatric patient safety improvement efforts in the United Kingdom and emphasizes the importance of systems … The authors highlight huddles and pediatric early warning systems as two tactics that improve the … Reclaiming the systems approach to paediatric safety.

26. The foundational science of learning health systems. | PSNet
    psnet.ahrq.gov/issue/foundational-science-learning-health-systems
    June 26, 2019 - Commentary The foundational science of learning health systems. … The foundational science of learning health systems. … Learning health systems (LHS) build functions, networks, and processes to use data, information, evidence … It describes research topics within each foundational method (implementation, data, engagement, systems … The foundational science of learning health systems.

27. Systems science: a primer on high reliability. | PSNet
    psnet.ahrq.gov/issue/systems-science-primer-high-reliability
    March 23, 2022 - Review Systems science: a primer on high reliability. … Systems science: a primer on high reliability. … This review summarizes the systems science , organizational structure, and interpersonal working methods … Systems science: a primer on high reliability. … July 14, 2021 Rapid response systems as a patient safety strategy: a systematic review

28. The frustrating case of incident-reporting systems. | PSNet
    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. … The frustrating case of incident-reporting systems. … This commentary discusses the limitations of incident reporting systems and provides suggestions for … The frustrating case of incident-reporting systems.

29. Patient Safety Systems Chapter. | PSNet
    psnet.ahrq.gov/issue/patient-safety-systems-chapter
    November 27, 2018 - Organizational Policy/Guidelines Patient Safety Systems Chapter. … Citation Text: Patient Safety Systems Chapter. … Copy URL Cite Citation Citation Text: Patient Safety Systems

30. Safer Clinical Systems: Evaluation Findings. | PSNet
    psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings
    March 03, 2025 - Book/Report Safer Clinical Systems: Evaluation Findings. … Citation Text: Safer Clinical Systems: Evaluation Findings. … Copy URL Cite Citation Citation Text: Safer Clinical Systems

31. Advancing Patient Safety Through State Reporting Systems | PSNet
    psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. … Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. … and controversy about the purpose and usefulness of these systems. … original systems have been updated and refined. … As state experience with reporting systems grows, the systems continue to evolve and mature.

32. PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet
    psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
    October 29, 2017 - Commentary 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 … PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations … October 29, 2017 COVID-19 pandemic preparation: using simulation for systems-based learning

33. The systems approach to medicine: controversy and misconceptions. | PSNet
    psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
    June 24, 2020 - Commentary The systems approach to medicine: controversy and misconceptions. … The systems approach to medicine: controversy and misconceptions. … Highlighting how the systems approach is often misunderstood to ascribe responsibility for failure … The systems approach to medicine: controversy and misconceptions. … Download Citation Related Resources From the Same Author(s) A systems

34. Using simulation to improve systems. | PSNet
    psnet.ahrq.gov/issue/using-simulation-improve-systems-0
    July 22, 2020 - Review Using simulation to improve systems. … Using Simulation to Improve Systems. … Using Simulation to Improve Systems. … September 27, 2017 Using simulation to improve systems-based practices.

35. Improving patient safety by taking systems seriously. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
    April 17, 2013 - Commentary Improving patient safety by taking systems seriously. … Improving patient safety by taking systems seriously. … The authors advocate that systems thinking  needs to be applied more robustly in health care in order … Improving patient safety by taking systems seriously. … June 18, 2013 Medical Errors and Safety Systems.

36. Health IT and Clinical Decision Support Systems. | PSNet
    psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
    June 19, 2013 - Special or Theme Issue Health IT and Clinical Decision Support Systems. … Citation Text: Health IT and Clinical Decision Support Systems. Ohno-Machado L, ed. … the return on investment for health information technology (IT) and computerized decision support systems … Cite Citation Citation Text: Health IT and Clinical Decision Support Systems … November 16, 2022 Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems

37. Toward learning from patient safety reporting systems. | PSNet
    psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
    January 02, 2017 - Study Toward learning from patient safety reporting systems. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … The authors note that the science of incident reporting systems is still in its infancy and recommend … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … Integrating the intensive care unit safety reporting system with existing incident reporting systems

38. Errors associated with outpatient computerized prescribing systems. | PSNet
    psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
    June 28, 2010 - Classic Errors associated with outpatient computerized prescribing systems … Errors associated with outpatient computerized prescribing systems. … safety in the ambulatory setting is an ongoing challenge, partly driven by the lack of computerized systems … The error rates varied for different computerized systems (ranging from 5% to 38%) with omitted information … Errors associated with outpatient computerized prescribing systems.

39. How to use online clinician rating systems. | PSNet
    psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
    April 19, 2016 - Commentary How to use online clinician rating systems. … How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957. … This commentary reviews concerns associated with using these scoring systems and recommends that patients … How to Use Online Clinician Rating Systems.

40. Preventing patient harms through systems of care. | PSNet
    psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
    February 27, 2014 - Study Preventing patient harms through systems of care. … Preventing patient harms through systems of care. … Recognizing this fact, this commentary calls for a systems engineering approach to identifying and preventing … Preventing patient harms through systems of care.