-
psnet.ahrq.gov/node/44276/psn-pdf
July 08, 2015 - 2014 Guide to State Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
State reporting systems … https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
https://psnet.ahrq.gov/ … issue/attributes-medical-event-reporting-systems
https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems … https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
-
psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief and Health … This related and simultaneously released report identifies and describes state reporting
systems and … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
https://psnet.ahrq.gov/ … https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
-
psnet.ahrq.gov/node/47406/psn-pdf
October 31, 2018 - Systems Approach in Healthcare.
October 31, 2018
Dean J, Clarkson J, eds. … https://psnet.ahrq.gov/issue/systems-approach-healthcare
The systems approach has long been heralded … Articles in this
special issue explore techniques to engage clinicians and leadership in supporting a systems … https://psnet.ahrq.gov/issue/systems-approach-healthcare
https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/issue/error-medicine
https://psnet.ahrq.gov/issue/systems-approach-sharp-end
-
psnet.ahrq.gov/node/42256/psn-pdf
May 10, 2013 - Rapid response systems: should we still question their
implementation? … Rapid response systems: should we still question their implementation? … https://psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
This … https://psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
https … /primer/rapid-response-systems
-
psnet.ahrq.gov/node/41027/psn-pdf
September 01, 2016 - Clinical decision support systems could be modified to
reduce 'alert fatigue' while still minimizing … Clinical decision support systems could be modified to
reduce 'alert fatigue' while still minimizing … https://psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while … -
still
Clinical decision support systems rely on automated reminders to warn clinicians of potentially … tailoring of alerts to minimize alert fatigue and improve
the safety performance of decision support systems
-
psnet.ahrq.gov/node/45417/psn-pdf
July 01, 2017 - A literature review of the training offered to qualified
prescribers to use electronic prescribing systems … A literature review of the training offered to qualified prescribers to use
electronic prescribing systems … psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-
prescribing-systems … Insufficient training on electronic health record systems can hinder user satisfaction. … that future research should examine how to
educate users about challenges associated with electronic systems
-
psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking. … A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196. … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling … This review highlights four primary components of a systems approach to provide context for
interprofessional … https://psnet.ahrq.gov/issue/error-medicine
https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Advancing Patient Safety Through State Reporting
Systems
June 1, 2007
Rosenthal J. … Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. … 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.
-
psnet.ahrq.gov/node/39997/psn-pdf
December 17, 2010 - Literature review: do rapid response systems reduce the
incidence of major adverse events in the deteriorating … Literature review: do rapid response systems reduce the incidence of
major adverse events in the deteriorating … https://psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse … -
events
Finding limited evidence that rapid response systems prevent adverse clinical outcomes, this … https://psnet.ahrq.gov/primer/rapid-response-systems
-
psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - U.S. adoption of computerized physician order entry
systems. … U.S. adoption of computerized physician order entry systems. … https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
This study discovered … that implementation of computerized physician order entry (CPOE) systems is a
greater reflection of … https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/43249/psn-pdf
June 18, 2014 - Automated and electronically assisted hand hygiene
monitoring systems: a systematic review. … Automated and electronically assisted hand hygiene
monitoring systems: a systematic review. … https://psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems- … review evaluated new technologies for assisting hand hygiene monitoring, including
automated counting systems … , video monitoring, and fully automated monitoring systems.
-
psnet.ahrq.gov/node/42661/psn-pdf
October 16, 2013 - Utility and assessment of non-technical skills for rapid
response systems and medical emergency teams … Utility and assessment of non-technical skills for rapid response systems and
medical emergency teams … https://psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and- … medical-emergency
This review describes the value of training non-technical skills in rapid response systems … https://psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
-
psnet.ahrq.gov/node/46751/psn-pdf
July 23, 2018 - A call for a systems-thinking approach to medication
adherence: stop blaming the patient. … A Call for a Systems-Thinking Approach to Medication Adherence: Stop
Blaming the Patient. … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient … Systems thinking has been applied to address various underlying conditions that contribute to medical … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
-
psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box. … Organisational reporting and learning systems: Innovating inside and outside of the
box. … https://psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside … -
box
Incident reporting systems are a popular method for hospitals to detect patient safety hazards … , but little
progress has been made in utilizing information from these systems to reduce risks.
-
psnet.ahrq.gov/node/44867/psn-pdf
March 23, 2016 - Understanding why quality initiatives succeed or fail: a
sociotechnical systems perspective. … Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems
Perspective. … https://psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems … The
framework includes assessing whether systems are prepared for change, identifying leaders, and … psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
-
psnet.ahrq.gov/node/41247/psn-pdf
April 06, 2012 - Development of a pragmatic measure for evaluating and
optimizing rapid response systems. … Development of a pragmatic measure for evaluating and
optimizing rapid response systems. … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-
systems … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems … https://psnet.ahrq.gov/primer/rapid-response-systems
-
psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? … https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- … systematic-literature
This systematic review found little evidence that incident reporting systems performed … Although incident reporting systems did help enhance
processes of care, there was no evidence that even … robust systems improved clinical outcomes or safety
culture.
-
psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Maximize benefits of IV workflow management systems
by addressing workarounds and errors. … https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-
workarounds-and-errors … Discussing how
pharmacies have increasingly implemented workflow management systems to automate compounded … sterile solution processes, this newsletter article reviews challenges associated with these systems … https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
https
-
psnet.ahrq.gov/node/37958/psn-pdf
January 11, 2017 - The growth of rapid response systems.
January 11, 2017
Steel AC, Reynolds SF. … The growth of rapid response systems. … https://psnet.ahrq.gov/issue/growth-rapid-response-systems
This article describes content delivered … at a 2008 symposium on hospital-based rapid response systems
and medical emergency teams. … https://psnet.ahrq.gov/issue/growth-rapid-response-systems
https://psnet.ahrq.gov/primer/rapid-response-systems
-
psnet.ahrq.gov/node/42342/psn-pdf
December 31, 2014 - A growing list of unintended consequences from
computerized provider order entry (CPOE) systems has … This study
describes a robust classification structure for identifying systems-related errors in CPOE … Two
hospitals with different CPOE systems were examined. … Systems-related errors were found to be frequent,
comprising 42% of all prescribing errors, although … Both CPOE systems in
this study prevented many more prescribing errors than they created, supporting