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psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
February 27, 2014 - Study
Preventing patient harms through systems of care. … Preventing patient harms through systems of care. … Recognizing this fact, this commentary calls for a systems engineering approach to identifying and preventing … Preventing patient harms through systems of care.
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psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
June 19, 2013 - Special or Theme Issue
Health IT and Clinical Decision Support Systems. … Citation Text:
Health IT and Clinical Decision Support Systems. Ohno-Machado L, ed. … the return on investment for health information technology (IT) and computerized decision support systems … Cite
Citation
Citation Text:
Health IT and Clinical Decision Support Systems … November 16, 2022
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems
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psnet.ahrq.gov/issue/using-simulation-improve-systems-0
July 22, 2020 - Review
Using simulation to improve systems. … Using Simulation to Improve Systems. … Using Simulation to Improve Systems. … September 27, 2017
Using simulation to improve systems-based practices.
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psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
October 16, 2024 - Review
Barriers and facilitators to improving patient safety learning systems: a … Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … Incident reporting systems offer important opportunities for health systems to learn from safety events … This systematic review of 22 studies identified barriers and facilitators influencing how health systems … use and learn from incident reporting systems.
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science … Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science … Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science … Curricular transformation in health systems science: the need for global change. … Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science
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psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
April 10, 2024 - Commentary
Emerging Classic
Simulation-based clinical systems … Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. … (SbCST) program to identify latent safety threats in healthcare systems prior to patient exposure. … Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. … systems-focused simulations.
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psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference
July 22, 2020 - Study
Classic
A systems approach to morbidity and mortality … A systems approach to morbidity and mortality conference. … Morbidity and Mortality (M&M) conferences are designed to explore systems that contribute to medical … resident awareness of systems issues. … A systems approach to morbidity and mortality conference.
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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach. … Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. … epidemiology of surgical adverse events from major epidemiologic studies and discusses the need for a systems … Spinal surgery and patient safety: a systems approach. … February 9, 2011
Wrong-site craniotomy: analysis of 35 cases and systems for prevention
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psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking-and-reminder-systems
May 22, 2019 - Commentary
ACOG Committee Opinion #546: tracking and reminder systems. … Committee Opinion No.546: Tracking and reminder systems. … This revision of the 2010 committee statement describes important characteristics for tracking systems … Committee Opinion No.546: Tracking and reminder systems. … : dissatisfaction with test result management systems in primary care.
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Review
Medication errors related to computerized provider order entry systems in … Medication errors related to computerized provider order entry systems in hospitals and how they change … Computerized provider order entry (CPOE) systems have been advocated as a strategy to reduce medical … This narrative review identified knowledge gaps in the relationship between CPOE systems and how systems-related … Medication errors related to computerized provider order entry systems in hospitals and how they change
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety
Lucy A. … In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. … We spoke with her about learning systems and their impact on patient safety. … mature learning health systems), so you are comparing apples to apples. … Creating organized delivery systems: the barriers and facilitators.
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care. … The need for systems integration in health care. … This commentary suggests a systems approach for implementing technologies to improve safety and efficiency … The need for systems integration in health care. … March 3, 2011
A vision for patient-centered health information systems.
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psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
December 21, 2022 - 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 … Insufficient training on electronic health record systems can hinder user satisfaction . … A literature review of the training offered to qualified prescribers to use electronic prescribing systems … April 5, 2023
Electronic prescribing systems in hospitals to improve medication safety
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psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient
October 19, 2022 - Classic
Effects of computerized clinical decision support systems … 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 … , reminder systems, disease management systems, and prescribing systems. … March 11, 2011
Effects of computer-based clinical decision support systems on physician
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psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
April 12, 2011 - Commentary
A vision for patient-centered health information systems. … A vision for patient-centered health information systems. … This commentary discusses the difficulties in creating personal health information systems and describes … how such systems can engage patients in their care. … A vision for patient-centered health information systems.
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - Book/Report
Textbook of Rapid Response Systems: Concept and Implementation. … Citation Text:
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). … Rapid response systems are a core strategy to ensure safe care for hospitalized patients should unexpected … Cite
Citation
Citation Text:
Textbook Of Rapid Response Systems … monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems
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psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
December 21, 2022 - of hospital health information technologies: a qualitative study of hospital electronic prescribing systems … of hospital health information technologies: a qualitative study of hospital electronic prescribing systems … Some health care systems have invested in hospital-wide integrated programs that include prescribing … modules, whereas others have linked standalone systems through interfacing mechanisms. … December 21, 2022
Workarounds to hospital electronic prescribing systems: a qualitative
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psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - Commentary
Towards a unified model of accident causation: refining and validating the systems … Towards a unified model of accident causation: refining and validating the systems thinking safety tenets … Systems thinking concepts are used by healthcare organizations to encourage learning from failures … This article outlines a refined and validated set of systems thinking tenets and discusses how they can … Towards a unified model of accident causation: refining and validating the systems thinking safety tenets
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psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication
April 10, 2024 - factors and safety analysis methods used in the design and redesign of electronic medication management systems … factors and safety analysis methods used in the design and redesign of electronic medication management systems … provider order entry (CPOE), clinical decision support (CDS), and electronic medication management systems … Tool for Improving Patient Safety
March 29, 2023
Electronic prescribing systems … 1, 2020
Effects of computerized physician order entry and clinical decision support systems
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - Commentary
Beyond the corrective action hierarchy: a systems approach to organizational … Beyond the corrective action hierarchy: a systems approach to organizational change. … The authors propose a multifaceted definition of ‘systems change’ and a rubric for determining the extent … to which a corrective action addresses ‘systems change’ (‘systems change hierarchy’). … Beyond the corrective action hierarchy: a systems approach to organizational change.