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psnet.ahrq.gov/node/46013/psn-pdf
January 01, 2018 - The dichotomy of the application of a systems approach
in UK healthcare the challenges and priorities … The dichotomy of the application of a systems approach in UK
healthcare the challenges and priorities … https://psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-
priorities-implementation … This commentary uses case examples to illustrate how combining human factors
engineering and the systems … https://psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
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psnet.ahrq.gov/node/34654/psn-pdf
June 16, 2011 - Risk mitigation in large scale systems: lessons from high
reliability organizations. … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations … They describe effective techniques in risk mitigation that can be
employed in other large-scale systems … Finally, large-scale systems need to maintain strong safety cultures and norms that reinforce
common … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
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psnet.ahrq.gov/node/44664/psn-pdf
May 30, 2016 - Ventilator-related adverse events: a taxonomy and
findings from 3 incident reporting systems. … Ventilator-Related Adverse Events: A Taxonomy and Findings
From 3 Incident Reporting Systems. … psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-
systems … //psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems … //psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems
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psnet.ahrq.gov/node/38064/psn-pdf
February 23, 2009 - Same system, different outcomes: comparing the
transitions from two paper-based systems to the same … Same system, different outcomes: comparing the transitions
from two paper-based systems to the same … https://psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-
systems-same … This study found that provider satisfaction with computerized provider order entry systems is influenced … https://psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016142-sims-final-report-2008.pdf
January 01, 2008 - The underlying problem from a systems perspective, and especially with technological
systems, begins … • Data from all systems will be accurately displayed. … • Data in all systems will be accurately synchronized. … Data in all systems will be accurately synchronized. … to having the systems drive
the work.
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psnet.ahrq.gov/node/45156/psn-pdf
June 22, 2017 - Workarounds to hospital electronic prescribing systems:
a qualitative study in English hospitals. … Workarounds to hospital electronic prescribing systems: a qualitative
study in English hospitals. … https://psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english … -
hospitals
Computerized provider order entry systems are now widely deployed in hospitals, but their … https://psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering … Viewing Prevention of Catheter-Associated Urinary Tract Infection as a
System: Using Systems Engineering … /psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-
systems … Investigators utilized systems approaches to examine the
factors related to CAUTI at their institution … ://psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
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psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints … A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints … https://psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-
systems-patient … provides a comprehensive overview of the strengths
and weaknesses of different types of error detection systems … https://psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional … https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within … This report
suggests institutions apply design thinking and systems thinking methods to develop interventions … https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health … https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
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psnet.ahrq.gov/node/36433/psn-pdf
February 10, 2011 - Effects of computer-based clinical decision support
systems on physician performance and patient outcomes … Effects of Computer-Based Clinical Decision Support Systems on
Physician Performance and Patient Outcomes … https://psnet.ahrq.gov/issue/effects-computer-based-clinical-decision-support-systems-physician-
performance-and-patient … Increasing adoption of clinical decision support systems (CDSS) has been suggested to positively impact … https://psnet.ahrq.gov/issue/effects-computer-based-clinical-decision-support-systems-physician-performance-and-patient
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psnet.ahrq.gov/node/47293/psn-pdf
October 10, 2018 - Specifications of computerized provider order entry and
clinical decision support systems for cancer … Specifications of Computerized Provider Order Entry and
Clinical Decision Support Systems for Cancer … psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-
systems-cancer … This systematic review of CPOE and clinical decision support systems for chemotherapy administration … psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer
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psnet.ahrq.gov/node/43500/psn-pdf
November 17, 2014 - A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes … A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes … https://psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know- … The authors suggest that more standardized measurement systems be developed to
assess the effectiveness … https://psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
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psnet.ahrq.gov/node/47756/psn-pdf
February 06, 2019 - Meltdown: Why Our Systems Fail and What We Can Do
About It. … https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
Complex systems … include those utilized in patient safety work,
such as multidisciplinary teamwork, process design, and systems … https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
https://psnet.ahrq.gov … psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general … Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General … https://psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-
weekend-effect-urgent … Hospitals with electronic operating room
scheduling and electronic bed management systems were less … https://psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
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psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State
Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-
systems … report built on earlier research to examine rates of adverse events reported to state-level reporting
systems … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … The Systems Approach: Artichoke Model
The leaves of the systems approach artichoke are the constituent … systems of the context of care, and the
basic care-providing systems are the heart of the artichoke
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digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
January 01, 2005 - Iowa hospitals had more computerized systems but
used IT technologies to a lesser extent than Canada … Iowa rural hospitals had low levels of clinical
information systems (Ward et al., in press). … to
determine the level of systems in each hospital
Sample for 2005 Survey
number of
hospitals … clinical information systems. … systems, network influence, or
wanting to stay current with other hospitals
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psnet.ahrq.gov/node/43780/psn-pdf
September 09, 2015 - Rapid response systems and collective (in)competence:
an exploratory analysis of intraprofessional and … Rapid response systems and collective (in)competence: An
exploratory analysis of intraprofessional and … https://psnet.ahrq.gov/issue/rapid-response-systems-and-collective-incompetence-exploratory-analysis- … https://psnet.ahrq.gov/issue/rapid-response-systems-and-collective-incompetence-exploratory-analysis-intraprofessional-and … https://psnet.ahrq.gov/issue/rapid-response-systems-and-collective-incompetence-exploratory-analysis-intraprofessional-and
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psnet.ahrq.gov/node/46878/psn-pdf
June 25, 2018 - Patient perceptions of deterioration and patient and
family activated escalation systems—a qualitative … Patient perceptions of deterioration and patient and family
activated escalation systems-A qualitative … psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-
systems … /psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems … /psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
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psnet.ahrq.gov/node/37984/psn-pdf
August 13, 2008 - Planning and implementing a systems-based patient
safety curriculum in medical education. … Planning and implementing a systems-based patient
safety curriculum in medical education. … https://psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical … The curriculum was well-received by students and was effective in helping
them understand systems approaches … https://psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education