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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/35375/psn-pdf
January 02, 2017 - Integrating the intensive care unit safety reporting system
with existing incident reporting systems … Integrating the intensive care unit safety reporting
system with existing incident reporting systems … psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-
reporting-systems … psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems … psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
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psnet.ahrq.gov/node/36884/psn-pdf
May 27, 2011 - Evaluation of outpatient computerized physician
medication order entry systems: a systematic review. … Evaluation of outpatient computerized physician medication order
entry systems: a systematic review. … https://psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems … https://psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review … https://psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review
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psnet.ahrq.gov/node/39855/psn-pdf
September 29, 2017 - Industrial and Systems Engineering and Health Care:
Critical Areas of Research: Final Report. … https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research … -
final-report
This workshop report explores why efforts to apply industrial and systems engineering … https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report … https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report