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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - widespread adoption of electronic health records (EHRs) over the last 10 years, the usability of
these systems … In current systems, abnormal findings and change in
a patient's status are easily missed during the … To do this well, EHR vendors, health care systems,
and frontline health care workers need to partner … In: CHI '92 Proceedings of the SIGCHI
Conference on Human Factors in Computing Systems. … Beyond usability: designing effective technology implementation systems to promote patient
safety.
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psnet.ahrq.gov/node/34086/psn-pdf
May 27, 2011 - Overcoming barriers to adopting and implementing
computerized physician order entry systems in U.S. … Overcoming barriers to adopting and implementing computerized
physician order entry systems in U.S. … psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-
order-entry-systems-us … The authors report interviews on barriers to adoption of CPOE systems with 52 senior managers of 26 … psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
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psnet.ahrq.gov/node/38108/psn-pdf
September 30, 2014 - No more blame & shame: developing event-reporting
systems may go a long way to reducing patient care … Developing event-reporting systems may
go a long way to reducing patient care errors in EMS. … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way- … reducing-patient-care
This article describes how applying a just culture and systems approach to adverse … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
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psnet.ahrq.gov/node/34646/psn-pdf
July 01, 2015 - The attributes of medical event reporting systems. … The attributes of medical event-reporting systems:
experience with a prototype medical event-reporting … https://psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
This article describes an effort … The authors conclude that developing event-reporting systems can help
organizations address systems … https://psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/42507/psn-pdf
December 18, 2013 - Electronic error-reporting systems: a case study into the
impact on nurse reporting of medical errors … Electronic error-reporting systems: a case study into the impact
on nurse reporting of medical errors … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical … system,
ranging from confusion about which errors should be reported to technical problems with the systems … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
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psnet.ahrq.gov/node/36418/psn-pdf
July 14, 2010 - Application of the IV Medication Harm Index to assess the
nature of harm averted by "smart" infusion safety
systems … Application of the IV Medication Harm Index to Assess the
Nature of Harm Averted by "Smart" Infusion Safety Systems … psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-
infusion-safety-systems … The results suggest that
the systems were effective in averting harm and can help identify areas for … psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department. … A systematic review of patient tracking systems for use in the pediatric
emergency department. … https://psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-
department … found support for the use of barcode, infrared, and radiofrequency identification patient tracking
systems … https://psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
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psnet.ahrq.gov/node/42913/psn-pdf
January 29, 2014 - What to do with healthcare incident reporting systems. … What to do with healthcare Incident Reporting Systems. … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
Incident reporting systems … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
https://psnet.ahrq.gov/primer … /reporting-patient-safety-events
https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
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psnet.ahrq.gov/node/38802/psn-pdf
March 04, 2011 - The impact of computerized provider order entry systems
on inpatient clinical workflow: a literature … The impact of computerized provider order entry systems on
inpatient clinical workflow: a literature … https://psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-inpatient-clinical-workflow … -
literature
This review highlights the mixed impact of CPOE systems on clinical workflow, including … https://psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-inpatient-clinical-workflow-literature
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psnet.ahrq.gov/node/42844/psn-pdf
May 29, 2014 - Does the concept of safety culture help or hinder systems
thinking in safety? … Does the concept of safety culture help or hinder systems thinking in safety? … https://psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
This … https://psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
https … ://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/41763/psn-pdf
October 10, 2012 - Latency of ECG displays of hospital telemetry systems: a
science advisory from the American Heart Association … Latency of ECG displays of hospital telemetry systems: a science
advisory from the American Heart Association … https://psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american … This commentary details how the delay of electrocardiogram data distributed via wireless telemetry
systems … https://psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - The long road to patient safety: a status report on patient
safety systems. … The long road to patient safety: a status report on patient safety
systems. … https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
To grade … Medicine (IOM) report, this AHRQ-funded
study examined the status and evolution of patient safety systems … instance, surgical areas and medication
processes seemed to embrace the greatest level of patient safety systems
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psnet.ahrq.gov/node/44812/psn-pdf
February 15, 2017 - Combining systems and teamwork approaches to
enhance the effectiveness of safety improvement
interventions … Combining Systems and Teamwork Approaches to Enhance the
Effectiveness of Safety Improvement Interventions … https://psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety- … improvement
Safety culture and work systems influence safety, but it is unclear whether safety improvement … finding suggests that in order to truly enhance surgical safety, organizations must invest in
both systems
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psnet.ahrq.gov/node/40852/psn-pdf
January 19, 2012 - Understanding how rapid response systems may improve
safety for the acutely ill patient: learning from … Understanding how rapid response systems may improve safety for the
acutely ill patient: learning from … https://psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill- … patient-learning
A controversial safety intervention, rapid response systems (RRS) do not appear to … https://psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
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psnet.ahrq.gov/node/43911/psn-pdf
April 15, 2016 - Trust, temporality and systems: how do patients
understand patient safety in primary care? … Trust, temporality and systems: how do patients understand patient
safety in primary care? … https://psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety- … primary-care
Although the field of patient safety was largely built around a systems approach, this … https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov/primer/ambulatory-care-safety
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psnet.ahrq.gov/node/42116/psn-pdf
March 20, 2013 - Rapid response systems as a patient safety strategy: a
systematic review. … Rapid-response systems as a patient safety strategy: a systematic
review. … https://psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
Rapid … response systems (RRSs) are somewhat effective at preventing cardiorespiratory arrest outside the
intensive … https://psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
https:/
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psnet.ahrq.gov/node/42821/psn-pdf
December 18, 2013 - Safe use of electronic health records and health
information technology systems: trust but verify. … Safe use of electronic health records and health information
technology systems: trust but verify. … https://psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-
systems-trust-verify … https://psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify … https://psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
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psnet.ahrq.gov/node/42272/psn-pdf
November 26, 2014 - Effect of a systems intervention on the quality and safety
of patient handoffs in an internal medicine … Effect of a systems intervention on the quality and safety of
patient handoffs in an internal medicine … https://psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal … -
medicine-residency
Systems changes to facilitate verbal communication combined with a tool to improve … https://psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal-medicine-residency
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psnet.ahrq.gov/node/37342/psn-pdf
December 23, 2012 - Toward higher-performance health systems: adults'
health care experiences in seven countries, 2007. … Toward higher-performance health systems: adults' health care
experiences in seven countries, 2007. … https://psnet.ahrq.gov/issue/toward-higher-performance-health-systems-adults-health-care-experiences- … seven-countries-2007
This survey study shares patient experiences from differing health care systems … https://psnet.ahrq.gov/issue/toward-higher-performance-health-systems-adults-health-care-experiences-seven-countries
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psnet.ahrq.gov/node/41899/psn-pdf
December 05, 2012 - National and local medication error reporting systems—a
survey of practices in 16 countries. … National and local medication error reporting systems: a
survey of practices in 16 countries. … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16 … -
countries
This survey of 11 countries with either local or national medication error reporting systems … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16