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Showing results for "systems".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47806/psn-pdf
     January 01, 2021 - Pursuing patient safety at the intersection of design, systems engineering, and health care delivery … Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery … https://psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health … - care-delivery Applying systems engineering strategies from problem analysis through postimplementation … psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73132/psn-pdf
     April 14, 2021 - Association of clinician diagnostic performance with machine learning–based decision support systems … Association of clinician diagnostic performance with machine learning–based decision support systems … psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based- decision-support-systems … systematic review of 37 studies found limited evidence that the use of machine learning-based CDS systems … psnet.ahrq.gov/issue/machine-learning-medicine https://psnet.ahrq.gov/primer/clinical-decision-support-systems

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865874/psn-pdf
     May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … https://psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review Incident … reporting systems (IRS) allow providers, staff, and, in some cases, patients and families, to report … https://psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review https://

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867651/psn-pdf
     February 26, 2025 - I and Safety II (Safety I/II) are not safety methods but rather perspectives on how to think about systems … Specifically, Safety II posits that the systems of interest are complex, adaptive sociotechnical systems … This perspective is widely applied to understanding systems of care and reviewing cases. … Safety I assumes that systems resulting in success and systems resulting in failure function via two … The theory of graceful extensibility: Basic rules that govern adaptive systems.

205. Safety I, Safety II, and the New Views of Safety | PSNet
     psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
     October 02, 2024 - Specifically, Safety II posits that the systems of interest are complex, adaptive sociotechnical systems … Safety I assumes that systems resulting in success and systems resulting in failure function via two … Cognitive systems engineering: new wine in new bottles. … The theory of graceful extensibility: Basic rules that govern adaptive systems. … Humanistic Systems website. December 5, 2023.

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60591/psn-pdf
     June 17, 2020 - National trends in the safety performance of electronic health record systems from 2009 to 2018. … National trends in the safety performance of electronic health record systems from 2009 to 2018. … https://psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009 … - 2018 Researchers measured the safety performance of electronic health record (EHR) systems using … https://psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867446/psn-pdf
     January 08, 2025 - Methodological approaches for analyzing medication error reports in patient safety reporting systems … Methodological approaches for analyzing medication error reports in patient safety reporting systems … psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety- reporting-systems … psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems … psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857446/psn-pdf
     December 06, 2023 - Community Health Systems’ ongoing journey to zero preventable harm. … Community Health Systems’ ongoing journey to zero preventable harm. … https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm Achieving … and accelerating learning through a structured approach to cause analysis at both the individual and systems … https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm https://psnet.ahrq.gov

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836718/psn-pdf
     March 09, 2022 - Systems engineering analysis of diagnostic referral closed-loop processes. … Systems engineering analysis of diagnostic referral closed-loop processes. … https://psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes … A systems engineering analysis was conducted to identify vulnerabilities in the referral process and … https://psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes https

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839322/psn-pdf
     November 02, 2022 - A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis … A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis … https://psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases- … disseminated tuberculosis in a patient with lung cancer and discusses the how cognitive biases and systems … https://psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72681/psn-pdf
     January 27, 2021 - A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management … A complexity thinking account of the COVID-19 pandemic: Implications for systems- oriented safety management … https://psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented … The authors use a complexity thinking (understanding the dynamic interactions between systems) perspective … https://psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840152/psn-pdf
     November 16, 2022 - Scientific view of the global literature on medical error reporting and reporting systems from 1977 … Scientific view of the global literature on medical error reporting and reporting systems from 1977 … https://psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems … , researchers observed a lack of cross-country collaboration on studies evaluating error reporting systems … https://psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60872/psn-pdf
     September 02, 2020 - How incident reporting systems can stimulate social and participative learning: a mixed-methods study … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning … mixed-methods Using qualitative and quantitative data, this study evaluated how incident reporting systems … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862985/psn-pdf
     February 21, 2024 - A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical … A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical … https://psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845072/psn-pdf
     February 22, 2023 - A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage … A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage … https://psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory … Researchers used three systems thinking methods (ActorMap, AcciMap, and PreventiMap) and stakeholder … https://psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/859355/psn-pdf
     December 20, 2023 - Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being … https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safety-improving-healthcare- worker-safety-and-well … that engage active care providers on the research team to explore avenues to improve the interrelated systems … https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safety-improving-healthcare-worker-safety-and-well … https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safety-improving-healthcare-worker-safety-and-well

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852271/psn-pdf
     August 09, 2023 - Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial … Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial … https://psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human- … between patients and providers, patient involvement in AI development, and reduction of bias in AI systems … https://psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47838/psn-pdf
     June 02, 2019 - Exploring leadership within a systems approach to reduce health care–associated infections: a scoping … Exploring leadership within a systems approach to reduce health care-associated infections: A scoping … https://psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated … This review found that evidence regarding the role of leadership in implementing the Systems Engineering … https://psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74141/psn-pdf
     December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74264/psn-pdf
     January 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. … Characteristics of critical incident reporting systems in primary care: an international survey. … https://psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international … - survey Critical incident reporting systems (CIRS) are used to improve learning and patient safety … https://psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey