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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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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psnet.ahrq.gov/node/47180/psn-pdf
November 15, 2018 - Efficacy and unintended consequences of hard-stop
alerts in electronic health record systems: a systematic … Efficacy and unintended consequences of hard-stop alerts in
electronic health record systems: a systematic … psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-
record-systems … psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems … psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
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psnet.ahrq.gov/node/44257/psn-pdf
November 06, 2015 - A systems approach to evaluating ionizing radiation: six
focus areas to improve quality, efficiency, … A systems approach to evaluating ionizing radiation: six focus areas to
improve quality, efficiency, … https://psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve- … https://psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and … https://psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
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psnet.ahrq.gov/node/47596/psn-pdf
March 27, 2019 - Mortality and morbidity rounds (MMR) in pathology:
relative contribution of cognitive bias vs. systems … Mortality and morbidity rounds (MMR) in pathology: relative
contribution of cognitive bias vs. systems … psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-
bias-vs-systems … psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems … psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems