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Showing results for "systems".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38532/psn-pdf
     January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting … conference about the development and implementation of clinical triggers and targeted injury detection systems … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary … https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39020/psn-pdf
     October 14, 2009 - A critical review of the systems approach within patient safety research. … A critical review of the systems approach within patient safety research. … https://psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research This narrative … analyzes how systems thinking components can be applied to risk analysis in clinical medicine and illustrates … https://psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research https://

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35291/psn-pdf
     April 21, 2010 - Use of complex adaptive systems metaphor to achieve professional and organizational change. … Use of complex adaptive systems metaphor to achieve professional and organizational change. … https://psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and- organizational-change … https://psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change … https://psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37108/psn-pdf
     October 04, 2011 - Electronic prescribing systems in pediatrics: the rationale and functionality requirements. … Electronic prescribing systems in pediatrics: the rationale and functionality requirements. … https://psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality- … https://psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements … https://psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38395/psn-pdf
     January 02, 2017 - Reducing medication errors and improving systems reliability using an electronic medication reconciliation … Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation … https://psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic … https://psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication … https://psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35325/psn-pdf
     July 14, 2009 - Clarian and Spectrum Health Systems prove it is possible! July 14, 2009 Paparella S. … Clarian and Spectrum Health Systems Prove It Is Possible!. … https://psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health- systems-prove-it … https://psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health-systems-prove-it … https://psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health-systems-prove-it

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40326/psn-pdf
     May 25, 2011 - The impact of computerized provider order entry systems on medical-imaging services: a systematic review … The impact of computerized provider order entry systems on medical-imaging services: a systematic review … https://psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services … This systematic review found that decision support systems (DSS) within CPOE increased adherence to … https://psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37437/psn-pdf
     June 03, 2010 - Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. … Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and- … meta-analysis Rapid response systems (RSS) have been widely endorsed and implemented, but controversy … https://psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42281/psn-pdf
     May 22, 2013 - The effect of computerized provider order entry systems on clinical care and work processes in emergency … The effect of computerized provider order entry systems on clinical care and work processes in emergency … https://psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work- … https://psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency … psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44710/psn-pdf
     May 09, 2017 - The vulnerabilities of computerized physician order entry systems: a qualitative study. … The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. … https://psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study … Investigators then entered potentially problematic medication orders in various CPOE systems using a … https://psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37594/psn-pdf
     September 24, 2010 - Improving sepsis care through systems change: the impact of a medical emergency team. … Improving sepsis care through systems change: the impact of a medical emergency team. … https://psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency- … https://psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team … https://psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35529/psn-pdf
     May 27, 2011 - Case study: identifying potential problems at the human/technical interface in complex clinical systems … Case study: identifying potential problems at the human/technical interface in complex clinical systems … psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex- clinical-systems … psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems … psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42387/psn-pdf
     December 30, 2014 - 'Bad apples': time to redefine as a type of systems problem? … 'Bad apples': time to redefine as a type of systems problem? … https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem While efforts to improve … safety have mainly focused on systems solutions, this editorial comments on a study whose findings suggest … https://psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem https://psnet.ahrq.gov/issue

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42649/psn-pdf
     October 09, 2013 - Spreading human factors expertise in healthcare: untangling the knots in people and systems. … Spreading human factors expertise in healthcare: untangling the knots in people and systems. … https://psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and- systems … https://psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems … https://psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35837/psn-pdf
     March 28, 2011 - Building safer systems by ecological design: using restoration science to develop a medication safety … Building safer systems by ecological design: using restoration science to develop a medication safety … https://psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop … https://psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety … https://psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41623/psn-pdf
     April 05, 2013 - Preventing patient harms through systems of care. April 5, 2013 Pronovost P, Bo-Linn GW. … Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. … https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care Recent initiatives, such … Recognizing this fact, this commentary calls for a systems engineering approach to identifying and preventing … https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care https://psnet.ahrq.gov/issue

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39389/psn-pdf
     January 03, 2017 - Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication … underlying factors including fatigue (the nurse had worked a double shift the day before), failed safety systems … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37757/psn-pdf
     March 10, 2011 - Workarounds to barcode medication administration systems: their occurrences, causes, and threats to … Workarounds to barcode medication administration systems: their occurrences, causes, and threats to … https://psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences- … recommendations that focus on improving the design, implementation, and workflow integration of bar coding systems … https://psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39583/psn-pdf
     October 30, 2010 - The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems … The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems … psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety- reporting-systems … Voluntary error reporting systems are ubiquitous in health care, but such incident reports often fail … psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42727/psn-pdf
     November 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications … Impact of electronic health record systems on information integrity: quality and safety implications … https://psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and … https://psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications … https://psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications