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Showing results for "systems".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857452/psn-pdf
     December 06, 2023 - Improving patient safety governance and systems through learning from successes and failures: qualitative … Improving patient safety governance and systems through learning from successes and failures: qualitative … https://psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning- successes-and-failures … https://psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures … https://psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40469/psn-pdf
     May 20, 2019 - Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. … https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd … This updated edition covers key concepts in safety, beginning with the systems approach and the role … https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition … https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/primer/human-factors-engineering

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74834/psn-pdf
     February 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. … Evaluating incident learning systems and safety culture in two radiation oncology departments. … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation- … oncology staff in two local health districts to assess understanding and use of incident learning systems … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60645/psn-pdf
     July 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. … How health care systems let our patients down: a systematic review into suicide deaths. … https://psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide- … deaths This systematic review examined common systems factors affecting suicide deaths in mental health … https://psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60838/psn-pdf
     January 01, 2021 - Using the ecological systems theory to understand black/white disparities in maternal morbidity and … Using the ecological systems theory to understand black/white disparities in maternal morbidity and … https://psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal … - morbidity-and This study used ecological systems theory to review the literature on the root causes … https://psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836824/psn-pdf
     March 30, 2022 - Collaborative case review: a systems-based approach to patient safety event investigation and analysis … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event- … investigation-and Root cause analysis is a commonly used tool to identify systems-related factors that … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47890/psn-pdf
     June 15, 2019 - Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm … https://psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated … This qualitative study examined the use of human factors and systems engineering principles within an … https://psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39127/psn-pdf
     November 25, 2009 - An effectiveness analysis of healthcare systems using a systems theoretic approach. … An effectiveness analysis of healthcare systems using a systems theoretic approach. … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach … systems with accreditation activities. … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72550/psn-pdf
     January 01, 2022 - A systems approach to address the impact of second victim phenomenon. … A systems approach to address the impact of second victim phenomenon. … https://psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon Medical errors … geography on the ‘second victim’ phenomenon and variability across healthcare settings, and suggests systems … https://psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon https://psnet.ahrq.gov

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50728/psn-pdf
     December 11, 2019 - Before mea culpa, Children’s was confident its air systems weren’t source of infection December 11, … https://psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection … https://psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection … association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840255/psn-pdf
     November 16, 2022 - to tackle these complex systems. … Researchers have explored the use of HFE to improve the safety of IT systems. … Human factors systems approach to healthcare quality and patient safety. … Systems engineers and how do I become one? Coursera. Accessed September 13, 2022. … https://www.coursera.org/articles/systems-engineer 11.

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33874/psn-pdf
     February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems … Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems … https://psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems … https://psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems … Curricular transformation in health systems science: the need for global change.

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836812/psn-pdf
     March 30, 2022 - Tools covered in this primer include incident reporting systems, Root Cause Analysis (RCA), and Failure … Incident Reporting Systems Incident reporting systems are widely used by health care organizations to … They are a general term for patient safety event reporting systems where voluntary reports are made … To be maximally effective, incident reporting systems should be coupled with supportive institutional … Incident reporting systems are a form of passive surveillance and therefore have limitations in their

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851869/psn-pdf
     July 31, 2023 - achieving safer care and reducing harm, developed recommendations on creating and coordinating a total systems … Learning networks can be leveraged to improve education and training that is provided at the systems … and Building Capacity While educational standards and learning systems are well-recognized essential … needs in building capacity for patient safety, the shift toward learning systems can be challenging … Taking it one step further, organizations can consider creating systems to report and analyze successes

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34892/psn-pdf
     February 03, 2011 - Effects of computerized clinical decision support systems on practitioner performance and patient outcomes … Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes … The rapid growth of computerized clinical decision support systems (CDSS) and their impact on patient … provider performace improved with CDSS using a number of different outcomes, including diagnostic systems … , reminder systems, disease management systems, and prescribing systems.

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845650/psn-pdf
     March 08, 2023 - Towards conceptualizing patients as partners in health systems: a systematic review and descriptive … Towards conceptualizing patients as partners in health systems: a systematic review and descriptive … https://psnet.ahrq.gov/issue/towards-conceptualizing-patients-partners-health-systems-systematic-review … https://psnet.ahrq.gov/issue/towards-conceptualizing-patients-partners-health-systems-systematic-review-and-descriptive … https://psnet.ahrq.gov/issue/towards-conceptualizing-patients-partners-health-systems-systematic-review-and-descriptive

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47960/psn-pdf
     May 15, 2019 - A systematic review of clinical decision support systems for clinical oncology practice. … A Systematic Review of Clinical Decision Support Systems for Clinical Oncology Practice. … https://psnet.ahrq.gov/issue/systematic-review-clinical-decision-support-systems-clinical-oncology-practice … https://psnet.ahrq.gov/issue/systematic-review-clinical-decision-support-systems-clinical-oncology-practice … https://psnet.ahrq.gov/issue/effects-chemotherapy-prescription-clinical-decision-support-systems-chemotherapy-process

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838623/psn-pdf
     October 19, 2022 - Resident and nurse perspectives on the use of secure text messaging systems. … Resident and nurse perspectives on the use of secure text messaging systems. … https://psnet.ahrq.gov/issue/resident-and-nurse-perspectives-use-secure-text-messaging-systems The introduction … California children’s hospital sought to assess the advantages and shortcomings of secure text messaging systems … https://psnet.ahrq.gov/issue/resident-and-nurse-perspectives-use-secure-text-messaging-systems https:

239. Feeling No Pain | PSNet
     psnet.ahrq.gov/web-mm/feeling-no-pain
     August 30, 2023 - Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … The Systems Approach: Artichoke Model The leaves of the systems approach … artichoke are the constituent systems of the context of care, and the basic care-providing systems are

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848085/psn-pdf
     April 26, 2023 - Understanding complexity in a safety critical setting: a systems approach to medication administration … Understanding complexity in a safety critical setting: a systems approach to medication administration … https://psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication … https://psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration … https://psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration