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psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
February 16, 2011 - Study
Rapid response systems in adult academic medical centers. … Rapid response systems in adult academic medical centers. … This survey characterizes the types of rapid response systems in academic tertiary care hospitals in … Rapid response systems in adult academic medical centers.
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psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
September 24, 2010 - Commentary
Rapid response systems: from implementation to evidence base. … Rapid response systems: from implementation to evidence base. … Rapid response systems: from implementation to evidence base. … Related Resources From the Same Author(s)
Improving sepsis care through systems … February 23, 2011
Literature review: do rapid response systems reduce the incidence of
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psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
June 29, 2011 - Study
Pharmacists' perceptions of computerized prescriber-order-entry systems. … Pharmacists' perceptions of computerized prescriber-order-entry systems. … pharmacists found only moderate satisfaction with existing computerized provider order entry (CPOE) systems … Pharmacists' perceptions of computerized prescriber-order-entry systems.
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psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2014 Guide to State Adverse Event Reporting Systems. … Citation Text:
2014 Guide to State Adverse Event Reporting Systems. … State reporting systems were advocated early in the patient safety movement as a way to enable learning … November 29, 2009
2007 Guide to State Adverse Event Reporting Systems. … July 3, 2013
Utilizing a Systems and Design Thinking Approach for Improving Well-Being
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psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2007 Guide to State Adverse Event Reporting Systems. … Citation Text:
2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. … Highlighting the large increase in state adverse event reporting systems, this report finds that states … Cite
Citation
Citation Text:
2007 Guide to State Adverse Event Reporting Systems … November 29, 2009
2014 Guide to State Adverse Event Reporting Systems.
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psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
December 21, 2022 - implementing commercial computerized physician order entry and clinical decision support prescribing systems … implementing commercial computerized physician order entry and clinical decision support prescribing systems … The introduction of computerized provider order entry (CPOE) systems has led to many readily apparent … Negligible overall differences in the consequences were observed between the two systems. … August 29, 2018
Clinical decision support systems could be modified to reduce 'alert
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter2.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 2. … and Design
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems … Peer Reviewers
List of Tables and Exhibits
Frequently, new systems are created based … solely on existing systems and the problems and advantages that are associated with them. … design is based on Nadler's "Ideal Design of Effective and Logical Systems" (IDEALS) design concept
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
February 16, 2011 - Methods and Metrics Issues in Delivery Systems Research
Methods and Metrics Issues in Delivery System … trajectories
Organizational/ system level developmental trajectories
Time
9
Not all delivery systems … improvement and communication of DSC for widespread use
Delivery Capacity
Building the capacity of relevant systems … deliver improved care
Market Pull/Demand
Building a market and demand for DSC
Increase the number of systems
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide169.html
October 01, 2014 - Systems
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - Systems
Peter J. … Yet, most reporting
systems are still new and focus on reporting events. … Potential Benefits of Patient Safety Reporting Systems
Web-based patient safety reporting systems (PSRS … Yet,
individual hospitals and health care systems cannot do this alone. … Toward learning from patient safety reporting
systems.
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www.ahrq.gov/news/blog/ahrqviews/ahrq-pcori-collaborate.html
February 01, 2023 - The benefits of learning health systems (LHS) are increasingly evident in today’s data-rich healthcare … High-performing learning health systems promote innovation and systems change based on rigorous research … and engagements with stakeholders to address systems concerns and patient needs. … Support partnerships with community organizations, healthcare systems, and other stakeholders. … We look forward to receiving your proposals for advancing learning health systems!
Dr.
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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
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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.
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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.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaplan-b-2001
January 01, 2001 - Kaplan B 2001 "Evaluating informatics applications - clinical decision support systems literature review … Evaluating informatics applications - clinical decision support systems literature review. … The literature indicates a general consensus that clinical decision support systems are thought to have … Evidence is more equivocal for guidelines and for systems to aid physicians with diagnosis. … Whether systems aid physicians with diagnosis also is unclear."
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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
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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
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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
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www.ahrq.gov/chsp/about-chsp/centers/dartmouth.html
July 01, 2019 - Dartmouth College Center of Excellence is studying the use of evidence-based innovations in health systems … the Dartmouth Center of Excellence has conducted the National Survey of Healthcare Organizations and Systems … by developing a taxonomy that will define the various types of health systems, hospitals, and physician … Identify mechanisms health systems use to influence adoption of evidence-based practices, reasons for … and ways that different systems adopt these approaches, and effects of these approaches on performance
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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