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Showing results for "systems".

81. White paper on recommendation for systems-based practice competency. | PSNet
    psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency
    December 18, 2017 - Commentary White paper on recommendation for systems-based practice competency. … QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency … A systems approach to practice has been advocated as a key element of safe medical care. … , including education about organizational leadership and complexity science and systems theory in … December 18, 2017 Systems thinking for managing COVID-19 in health care systems: seven

82. Community Health Systems’ ongoing journey to zero preventable harm. | PSNet
    psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
    July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. … Community Health Systems’ ongoing journey to zero preventable harm. … and accelerating learning through a structured approach to cause analysis at both the individual and systems … Community Health Systems’ ongoing journey to zero preventable harm. … June 19, 2024 Personal formularies of primary care physicians across 4 health care systems

83. Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet
    psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
    December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. … Systems engineering analysis of diagnostic referral closed-loop processes. … A systems engineering analysis was conducted to identify vulnerabilities in the referral process and … Systems engineering analysis of diagnostic referral closed-loop processes. … May 4, 2022 Personal formularies of primary care physicians across 4 health care systems

84. Medication safety systems and the important role of pharmacists. | PSNet
    psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
    July 19, 2023 - Review Medication safety systems and the important role of pharmacists. … Medication Safety Systems and the Important Role of Pharmacists. … This review describes a framework for medication safety systems , including design considerations … Medication Safety Systems and the Important Role of Pharmacists.

85. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet
    psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
    March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking … Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient … This article reviews the use of systems thinking models to address failure and discusses how small … September 19, 2018 Design for patient safety: a systems-based risk identification framework … December 20, 2017 The dichotomy of the application of a systems approach in UK healthcare

86. Incident and error reporting systems in intensive care: a systematic review of the literature. | PSNet
    psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature
    November 10, 2015 - Review Incident and error reporting systems in intensive care: a systematic review … Incident and error reporting systems in intensive care: a systematic review of the literature. … the standards recommended by the World Health Organization for adverse event reporting systems. … Incident and error reporting systems in intensive care: a systematic review of the literature. … October 28, 2010 Rapid response systems in the Netherlands.

87. Establishing a global learning community for incident-reporting systems. | PSNet
    psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
    May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems … Establishing a global learning community for incident-reporting systems. … The ultimate goal was to develop guidelines for effective use of reporting systems to improve safety. … Discussing the advantages and challenges of current reporting systems, this article proposes guidelines … Establishing a global learning community for incident-reporting systems.

88. To improve health care, focus on fixing systems — not people. | PSNet
    psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
    September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not … To improve health care, focus on fixing systems — not people. Harvard Business Review. … While a focus on the systems approach is a long-standing element of patient safety improvement, organizations … To improve health care, focus on fixing systems — not people. Harvard Business Review. … Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023

89. Patient safety, systems design and ergonomics. | PSNet
    psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
    February 03, 2021 - Study Patient safety, systems design and ergonomics. … Patient safety, systems design and ergonomics. … Patient safety, systems design and ergonomics. … 2011 The safety journal: lessons learned with an error reporting tool to stimulate systems … September 26, 2012 Electronic prescribing systems in hospitals to improve medication

90. Human factors of complex sociotechnical systems. | PSNet
    psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
    June 09, 2021 - Commentary Human factors of complex sociotechnical systems. … Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. … Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. … Spreading human factors expertise in healthcare: untangling the knots in people and systems

91. Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. | PSNet
    psnet.ahrq.gov/issue/critical-drug-drug-interactions-use-electronic-health-records-systems-computerized-physician
    December 21, 2017 - Study Critical drug–drug interactions for use in electronic health records systems … Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With Computerized Physician … Even when combined with decision support, CPOE systems frequently fail to detect potentially serious … Noting that there is no standard for which drug–drug interactions should be prioritized in CPOE systems … not only help reduce medication errors, but also improve the usability of such systems by minimizing

92. Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer
    April 24, 2019 - Specifications of computerized provider order entry and clinical decision support systems … Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer … This systematic review of CPOE and clinical decision support systems for chemotherapy administration … Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer … June 13, 2011 Organization-wide adoption of computerized provider order entry systems

93. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet
    psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
    February 15, 2012 - prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems … A growing list of unintended consequences from computerized provider order entry (CPOE) systems has … Two hospitals with different CPOE systems were examined. … Systems-related errors were found to be frequent, comprising 42% of all prescribing errors, although … Both CPOE systems in this study prevented many more prescribing errors than they created, supporting

94. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. | PSNet
    psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
    December 21, 2022 - Study Workarounds to hospital electronic prescribing systems: a qualitative study … Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. … Computerized provider order entry systems are now widely deployed in hospitals, but their effectiveness … Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. … of hospital health information technologies: a qualitative study of hospital electronic prescribing systems

95. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet
    psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems … A failure in the medication delivery system—how disclosure and systems investigation improve patient … Medical errors that receive widespread media attention frequently spur health systems to reexamine … ; build resilient medication delivery systems; and, establish methods of investigations. … A failure in the medication delivery system—how disclosure and systems investigation improve patient

96. Error reporting and disclosure systems: views from hospital leaders. | PSNet
    psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
    June 16, 2010 - Study Classic Error reporting and disclosure systems: views … Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. … to better understand the opinions and experiences of hospital leaders with mandatory state reporting systems … Results demonstrated substantial concern about the impact of these systems on internal reporting systems … Error reporting and disclosure systems: views from hospital leaders.

97. Evaluation and certification of computerized physician order entry systems. | PSNet
    psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
    May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems … Evaluation and certification of computerized provider order entry systems. … The authors reviewed studies on implementation and use of computerized physician order entry systems … Evaluation and certification of computerized provider order entry systems. … May 27, 2011 Electronic prescribing systems in hospitals to improve medication safety

98. Rural hospital patient safety systems implementation in two states. | PSNet
    psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
    February 03, 2011 - Study Rural hospital patient safety systems implementation in two states. … Rural Hospital Patient Safety Systems Implementation in Two States. … This survey examined implementation of patient safety systems in rural hospitals and found that the gap … between rural and urban hospitals with regard to use of such systems is narrowing. … Rural Hospital Patient Safety Systems Implementation in Two States.

99. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/impact-commercial-computerized-provider-order-entry-cpoe-and-clinical-decision-support
    August 26, 2020 - Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems … Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems ( … have the potential to improve patient safety, less is known about the impact of such systems in intensive … Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems ( … June 14, 2017 The effect of computerized provider order entry systems on clinical care

100. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. | PSNet
     psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
     September 01, 2016 - Study Effects of two commercial electronic prescribing systems on prescribing error … Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients … Although computerized provider order entry (CPOE) systems are being more widely implemented and appear … to reduce medication errors , little data exists on the effectiveness of specific CPOE systems. … As the evidence base around implementation of CPOE systems remains relatively small, studies like this