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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36337/psn-pdf
    October 26, 2010 - Technology, governance and patient safety: systems issues in technology and patient safety. … Technology, governance and patient safety: systems issues in technology and patient safety. … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and- … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety … https://psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38346/psn-pdf
    April 01, 2010 - Human factors engineering in healthcare systems: the problem of human error and accident management. … Human factors engineering in healthcare systems: the problem of human error and accident management. … https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and- accident-management … https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management … https://psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36506/psn-pdf
    April 19, 2011 - Part 2: safety in patient retrieval systems. April 19, 2011 Hearns S, Shirley PJ. … Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):943-7. … psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient- retrieval-systems … psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems … psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35760/psn-pdf
    July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. … Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. … psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex- clinical-systems … /psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems … /psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42684/psn-pdf
    September 24, 2016 - A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective … A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective … https://psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding- … https://psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters … https://psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49749/psn-pdf
    December 01, 2015 - The systems approach is recommended for adverse event analysis and systems (re)design.(4) The Systems … The major systems focus of this event is the people–technology interaction. … Safety is a systems property. … Bringing a Systems Approach to Health. … Human factors systems approach to healthcare quality and patient safety.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43916/psn-pdf
    November 30, 2016 - Safer Clinical Systems: Evaluation Findings. … https://psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings This report discusses the results … https://psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings https://psnet.ahrq.gov/issue/ … safer-clinical-systems https://psnet.ahrq.gov/issue/safety-management-different-high-risk-domains-all-same … psnet.ahrq.gov/issue/safety-management-different-high-risk-domains-all-same https://psnet.ahrq.gov/primer/systems-approach
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38866/psn-pdf
    August 19, 2009 - Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. … Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. … https://psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach- reducing-errors … https://psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors … https://psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43466/psn-pdf
    September 27, 2016 - Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational … Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational … https://psnet.ahrq.gov/issue/exploring-safety-systems-dispensing-community-pharmacies-focusing-how- … https://psnet.ahrq.gov/issue/exploring-safety-systems-dispensing-community-pharmacies-focusing-how-staff-relate … https://psnet.ahrq.gov/issue/exploring-safety-systems-dispensing-community-pharmacies-focusing-how-staff-relate
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38925/psn-pdf
    September 16, 2009 - A literature review of the individual and systems factors that contribute to medication errors in nursing … A literature review of the individual and systems factors that contribute to medication errors in nursing … https://psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors … https://psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing … https://psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45057/psn-pdf
    June 22, 2017 - 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. … authors describe various integration and interfacing issues with both standalone and multimodular systems
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38463/psn-pdf
    June 16, 2009 - The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments … The safety of emergency care systems: Results of a survey of clinicians in 65 US emergency departments … https://psnet.ahrq.gov/issue/safety-emergency-care-systems-results-survey-clinicians-65-us-emergency- … https://psnet.ahrq.gov/issue/safety-emergency-care-systems-results-survey-clinicians-65-us-emergency-departments … https://psnet.ahrq.gov/issue/safety-emergency-care-systems-results-survey-clinicians-65-us-emergency-departments
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44386/psn-pdf
    August 12, 2015 - Using simulation to improve systems. August 12, 2015 Lundberg PW, Korndorffer JR. … Using Simulation to Improve Systems. … https://psnet.ahrq.gov/issue/using-simulation-improve-systems Safety approaches from aviation that can … https://psnet.ahrq.gov/issue/using-simulation-improve-systems https://psnet.ahrq.gov/issue/how-aviation-improves-medical-safety … teamstepps-strategies-and-tools-enhance-performance-and-patient-safety https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38777/psn-pdf
    March 04, 2011 - Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care … Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care … https://psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented- … https://psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary … https://psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43587/psn-pdf
    November 05, 2014 - Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. … Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. … https://psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic … pharmacist prescription medication review and electronic health record customization to one without such systems … https://psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41459/psn-pdf
    August 02, 2012 - The use of simulation in healthcare: from systems issues, to team building, to task training, to education … The use of simulation in healthcare: from systems issues, to team building, to task training, to education … https://psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training- education-and-high … https://psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high … https://psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high

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