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Showing results for "systems".

301. Psn-Pdf (pdf file)
     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.

302. Psn-Pdf (pdf file)
     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

303. Psn-Pdf (pdf file)
     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

304. Psn-Pdf (pdf file)
     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

305. Psn-Pdf (pdf file)
     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

306. Psn-Pdf (pdf file)
     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

307. Psn-Pdf (pdf file)
     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

308. Psn-Pdf (pdf file)
     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

309. Psn-Pdf (pdf file)
     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

310. Psn-Pdf (pdf file)
     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

311. Psn-Pdf (pdf file)
     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

312. Psn-Pdf (pdf file)
     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

313. Psn-Pdf (pdf file)
     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

314. Psn-Pdf (pdf file)
     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

315. Psn-Pdf (pdf file)
     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

316. Psn-Pdf (pdf file)
     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

317. Psn-Pdf (pdf file)
     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

318. Psn-Pdf (pdf file)
     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

319. Psn-Pdf (pdf file)
     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

320. Psn-Pdf (pdf file)
     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