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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44474/psn-pdf
    September 24, 2016 - Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency … Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the emergency … https://psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions … https://psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency … https://psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39261/psn-pdf
    February 03, 2010 - Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn … Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn … https://psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately … https://psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality … https://psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43881/psn-pdf
    February 11, 2015 - Cognitive Systems Engineering in Health Care. … https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care This publication provides information … The book discusses how to apply cognitive systems engineering principles to team interactions with specific … https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care https://psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case … 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/43385/psn-pdf
    August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. … Medicines management support to older people: understanding the context of systems failure. … https://psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems- … https://psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure … https://psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46389/psn-pdf
    November 15, 2017 - Creating a highly reliable neonatal intensive care unit through safer systems of care. … Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care. … https://psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems … https://psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care … https://psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45491/psn-pdf
    May 09, 2017 - the types and causes of prescribing errors generated from using computerized provider order entry systems … the types and causes of prescribing errors generated from using computerized provider order entry systems … systematic-review-types-and-causes-prescribing-errors-generated-using- computerized-provider The use of computerized provider order entry (CPOE) systems … prescribing errors, including flaws in functional design and underlying clinical decision support systems … psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46507/psn-pdf
    October 11, 2017 - Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution … Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution … https://psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about- … communication-and Communication-and-resolution programs, in which health systems and liability insurers … https://psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
  8. psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - Schiff, MD Computerized provider order entry (CPOE) systems that incorporate clinical decision support … (both within and between systems), which can result in confusion and errors. … of these systems. … Role of computerized physician order entry systems in facilitating medication errors. … Analysis of variations in the display of drug names in computerized prescriber-order-entry systems.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47564/psn-pdf
    December 05, 2018 - Challenges and opportunities for improving patient safety through human factors and systems engineering … Challenges And Opportunities For Improving Patient Safety Through Human Factors And Systems Engineering … psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors- and-systems … psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems … psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47375/psn-pdf
    November 02, 2018 - Ethical duty of health care systems to address interfacility medical error discovery. … Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. … https://psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery … https://psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery … issue/could-it-happen-here-learning-other-organizations-safety-errors https://psnet.ahrq.gov/primer/systems-approach
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44052/psn-pdf
    July 16, 2015 - Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems … Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems … psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison- 8-systems … psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems … psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43645/psn-pdf
    November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. … https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on … the return on investment for health information technology (IT) and computerized decision support systems … https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems https://psnet.ahrq.gov/issue … return-investment-vendor-computerized-physician-order-entry-four-community-hospitals https://psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40602/psn-pdf
    December 31, 2014 - How to improve the delivery of medication alerts within computerized physician order entry systems: … How to improve the delivery of medication alerts within computerized physician order entry systems: … psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order- entry-systems … psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems … psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47397/psn-pdf
    January 09, 2019 - Using patient safety reporting systems to understand the clinical learning environment: a content analysis … Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning- environment-content … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44210/psn-pdf
    September 09, 2015 - The future of graduate medical education: a systems- based approach to ensure patient safety. … The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. … https://psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient- … https://psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety … https://psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43528/psn-pdf
    October 01, 2014 - Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts … Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts … https://psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural- adaptation-and-safety … https://psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety … https://psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45888/psn-pdf
    December 19, 2017 - A work systems analysis approach to understanding fatigue in hospital nurses. … A work systems analysis approach to understanding fatigue in hospital nurses. … https://psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses Prior … They conclude that a work systems approach leads to a better understanding of occupational fatigue and … https://psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses https
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events?  … Can surveillance systems identify and avert adverse drug events? … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion … Organization-wide adoption of computerized provider order entry systems: a study based on diffusion … https://psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study … https://psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion … https://psnet.ahrq.gov/issue/organization-wide-adoption-computerized-provider-order-entry-systems-study-based-diffusion
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34980/psn-pdf
    February 15, 2011 - Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy … https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions- … judgments from expert panels, investigators outline nearly 30 barriers to implementing patient safety systems … https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy … https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy

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