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psnet.ahrq.gov/node/37110/psn-pdf
October 06, 2011 - Seeing systems in health care organizations.
October 6, 2011
Friedman LH, King JB, Bella D. … Seeing systems in health care organizations. Physician Exec.
2007;33(4):20-9. … https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
Using a hypothetical scenario, … the authors illustrate how to use the systems approach to identify
organizational behaviors that impede … https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/40276/psn-pdf
June 15, 2011 - The need for systems integration in health care.
June 15, 2011
Mathews SC, Pronovost P. … The need for systems integration in health care. JAMA. 2011;305(9):934-5. … https://psnet.ahrq.gov/issue/need-systems-integration-health-care
This commentary suggests a systems … https://psnet.ahrq.gov/issue/need-systems-integration-health-care
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/38069/psn-pdf
March 10, 2011 - Evaluating clinical decision support systems: monitoring
CPOE order check override rates in the Department … Evaluating clinical decision support systems: monitoring CPOE order
check override rates in the Department … https://psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check … Investigators call for greater
qualitative research to understand the interactions between these systems … https://psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety. … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-
ensure-patient-safety … Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather than
systems … This article reviews the use of systems thinking models to address failure and discusses how
small problems … https://psnet.ahrq.gov/issue/error-medicine
https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/42972/psn-pdf
February 26, 2014 - Use of paediatric early warning systems in Great Britain:
has there been a change of practice in the … Use of paediatric early warning systems in Great Britain: has there
been a change of practice in the … https://psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change … However, most of these "early warning" systems have not been
appropriately validated. … -7
https://psnet.ahrq.gov/primer/rapid-response-systems
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psnet.ahrq.gov/node/40173/psn-pdf
January 26, 2011 - A vision for patient-centered health information systems.
January 26, 2011
Krist AH, Woolf SH. … A vision for patient-centered health information systems. JAMA. 2011;305(3):300-1. … https://psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
This commentary discusses … the difficulties in creating personal health information systems and describes
how such systems can … https://psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
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psnet.ahrq.gov/node/39971/psn-pdf
January 22, 2017 - Rapid response systems: from implementation to
evidence base. … Rapid response systems: from implementation to evidence base. … https://psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
This commentary reviews … https://psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
https://psnet.ahrq.gov … /primer/rapid-response-systems
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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
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psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - Errors associated with outpatient computerized
prescribing systems. … Errors associated with outpatient computerized prescribing
systems. … https://psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
Medication … 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
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psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - Systems errors versus physicians' errors: finding the
balance in medical education. … Systems errors versus physicians' errors: finding the balance in medical education. … https://psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education … The movement to systems thinking as a mechanism to reduce errors poses unique challenges in academic … This article illustrates the need to balance the systems approach to error prevention with
the valuable
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psnet.ahrq.gov/node/38908/psn-pdf
January 03, 2017 - Rapid response systems in adult academic medical
centers. … Rapid response systems in adult academic medical centers. … https://psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
This survey characterizes … https://psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
https://psnet.ahrq.gov … /primer/rapid-response-systems
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psnet.ahrq.gov/node/37137/psn-pdf
October 04, 2011 - Rural hospital patient safety systems implementation in
two states. … Rural Hospital Patient Safety Systems Implementation in Two States. … examined implementation of patient safety systems in rural hospitals and found that the gap
between … rural and urban hospitals with regard to use of such systems is narrowing. … https://psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
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psnet.ahrq.gov/node/43491/psn-pdf
January 01, 2015 - The systems approach to medicine: controversy and
misconceptions. … The systems approach to medicine: controversy and misconceptions. … https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
Highlighting how … the systems approach is often misunderstood to ascribe responsibility for failure to the
system when … /primer/systems-approach
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psnet.ahrq.gov/node/41114/psn-pdf
February 01, 2012 - Rapid response systems: identification and management
of the "prearrest state." … Rapid response systems: identification and management of the "prearrest state". … https://psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
This … review discusses how rapid response systems are seen as a logical improvement approach despite
the … https://psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
https
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psnet.ahrq.gov/node/36681/psn-pdf
May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders … Improving general practice computer systems for patient safety:
qualitative study of key stakeholders … https://psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study … a key component of improving patient safety,
but development and implementation of health care IT systems … but were frustrated with a
perceived lack of attention to human factors engineering in current IT systems
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psnet.ahrq.gov/node/41888/psn-pdf
December 12, 2012 - ACOG Committee Opinion #546: tracking and reminder
systems. … Committee Opinion No.546: Tracking and reminder systems. … https://psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking-and-reminder-systems
This revision … of the 2010 committee statement describes important characteristics for tracking systems and
patient … /issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/38451/psn-pdf
March 23, 2011 - Towards safer, better healthcare: harnessing the natural
properties of complex sociotechnical systems … Towards safer, better healthcare: harnessing the natural properties
of complex sociotechnical systems … psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-
sociotechnical-systems … This piece explores how complex sociotechnical systems, natural peer-driven networks, and tipping points … psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
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psnet.ahrq.gov/node/41525/psn-pdf
July 18, 2012 - Effect of clinical decision-support systems: a systematic
review. … Effect of clinical decision-support systems: a systematic review. … https://psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
This systematic … review found that clinical decision support systems were generally effective at improving
processes … https://psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
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psnet.ahrq.gov/node/35111/psn-pdf
April 06, 2011 - Patient safety features of clinical computer systems:
questionnaire survey of GP views. … Patient safety features of clinical computer systems:
questionnaire survey of GP views. … https://psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp … authors assessed physicians' views on the importance of patient safety features in computer support
systems … https://psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp-views
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient … The intended and unintended consequences of communication systems on
general internal medicine inpatient … https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-
internal-medicine … The utility and effectiveness of many such systems have not been tested. … teaching hospitals discusses the potential benefits and unintended effects of
different communication systems