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psnet.ahrq.gov/node/866320/psn-pdf
January 01, 2025 - Rapid response systems, antibiotic stewardship and
medication reconciliation: a scoping review on
implementation … Rapid response systems, antibiotic stewardship and
medication reconciliation: a scoping review on implementation … https://psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation … patient safety practices: medication reconciliation, antibiotic stewardship
programs, and rapid response systems … issue/antibiotic-stewardship-acute-care-practical-playbook
https://psnet.ahrq.gov/primer/rapid-response-systems
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - CPOE systems were originally developed to improve the safety of medication orders, but modern
systems … The widespread
implementation of CPOE into electronic health systems (EHR) has benefited clinicians … CPOE systems are generally paired with some form of clinical decision support system (CDSS), which can … Studies of e-prescribing systems—CPOE systems used
primarily in outpatient practices that allow direct … As detailed in a 2015 Food and Drug Administration white paper (summarized here), current
CPOE systems
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psnet.ahrq.gov/node/44286/psn-pdf
July 18, 2024 - Rapid response systems.
July 18, 2024
Stevens JP. UpToDate. July 18, 2024. … https://psnet.ahrq.gov/issue/rapid-response-systems-0
Although rapid response programs have been advocated … This review provides an overview of rapid response systems,
including key components and goals of the … https://psnet.ahrq.gov/issue/rapid-response-systems-0
https://psnet.ahrq.gov/primer/rapid-response-systems … deployment-rapid-response-teams-31-hospitals-statewide-collaborative
https://psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
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digital.ahrq.gov/principal-investigator/brennan-patricia-flatley
January 01, 2023 - Brennan, Patricia Flatley
Industrial and systems engineering and health … Industrial and systems engineering and health care: critical areas of research - background report. … Principal Investigator
Brennan, Patricia Flatley
Project Name
Industrial & Systems Engineering … and Health Care: Critical Areas of Research Workshop
Industrial and Systems … Industrial and Systems Engineering and Health Care: Critical Areas of Research - Final Report.
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025 … In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. … We spoke with her about learning systems and their impact on patient safety. … call mature learning health systems), so you are comparing apples to apples. … Creating organized delivery systems:
the barriers and facilitators.
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - To improve health care, focus on fixing systems — not
people. … To improve health care, focus on fixing systems — not people.
Harvard Business Review. … July 12, 2024;
https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
While … a focus on the systems approach is a long-standing element of patient safety improvement,
organizations … https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change … Medication errors related to computerized provider order entry
systems in hospitals and how they change … Computerized provider order entry (CPOE) systems have been advocated as a strategy to reduce medical … This narrative review identified knowledge gaps in the relationship between
CPOE systems and how systems-related … Studies suggest that system-related
errors persist with long-term use of CPOE systems, but future research
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psnet.ahrq.gov/node/867042/psn-pdf
October 30, 2024 - The foundational science of learning health systems. … The foundational science of learning health systems. … https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems
Learning health systems (LHS … It describes research topics within each foundational
method (implementation, data, engagement, systems … https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems
https://psnet.ahrq.gov/glossary
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psnet.ahrq.gov/node/866690/psn-pdf
September 11, 2024 - The effectiveness of checklists and error reporting
systems in enhancing patient safety and reducing … The effectiveness of checklists and error reporting systems in
enhancing patient safety and reducing … https://psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety … -
and-reducing
Checklists and error reporting systems are designed to improve patient safety. … https://psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing
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psnet.ahrq.gov/node/851062/psn-pdf
June 28, 2023 - Systems approach to suicide prevention: strengthening
culture, practice, and education. … Systems approach to suicide prevention: strengthening culture, practice, and
education. … https://psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and- … These authors use a systems-based approach to identify missed opportunities to prevent
suicide and present … , applying best practices and policies for prevention in systems, and workforce
education and development
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psnet.ahrq.gov/node/866311/psn-pdf
January 01, 2025 - Systematic review of types of safety incidents and the
processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and
systems used for safety incident … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- … safety-incident
Incident reporting systems are commonly used to detect threats to patient safety. … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - Seeking systems-based facilitators of safety and
healthcare resilience: a thematic review of incident … Seeking systems-based facilitators of safety and healthcare resilience: a
thematic review of incident … https://psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic … used incident reports involving anticoagulant medication errors to demonstrate the effectiveness of
Systems … https://psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
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digital.ahrq.gov/organization/new-york-city-health-and-mental-hygiene
January 01, 2023 - New York City Health and Mental Hygiene
Bringing High Performing Systems … Principal Investigator
Parsons, Amanda
Project Name
Bringing High Performing Systems … to Small Practices
Bringing High Performing Systems to Small Practices - 2011 … Principal Investigator
Parsons, Amanda
Project Name
Bringing High Performing Systems … to Small Practices
Bringing High Performing Systems to Small Practices - 2010
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psnet.ahrq.gov/node/72526/psn-pdf
January 01, 2021 - How effective are electronic medication systems in
reducing medication error rates and associated harm … How effective are electronic medication systems in reducing
medication error rates and associated harm … https://psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error … In this systematic review, the authors found variable evidence
about the effectiveness of these systems … Included studies
reported reductions in error rates, but implementation of electronic systems did not
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psnet.ahrq.gov/node/47721/psn-pdf
April 24, 2019 - Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: … Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: … https://psnet.ahrq.gov/issue/effects-chemotherapy-prescription-clinical-decision-support-systems-
chemotherapy-process … Although the implementation of clinical decision support prescribing systems has been shown to improve … increase in
particular types of errors or the introduction of new errors when such decision support systems
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psnet.ahrq.gov/node/47752/psn-pdf
May 29, 2019 - How do nurses use early warning scoring systems to
detect and act on patient deterioration to ensure … How do nurses use early warning scoring systems to detect and act on
patient deterioration to ensure … https://psnet.ahrq.gov/issue/how-do-nurses-use-early-warning-scoring-systems-detect-and-act-patient- … This scoping review
examined how nurses employ early warning scoring systems that prompt them to call … identification and treatment of
patient deterioration included difficulty implementing early warning score systems
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digital.ahrq.gov/principal-investigator/matthews-karen
January 01, 2023 - Matthews, Karen
The Bettering Lives Utilizing Electronic Systems (BLUES … The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi … Investigator
Matthews, Karen
Project Name
The Bettering Lives Utilizing Electronic Systems … with Health Information Technology
The Bettering Lives Utilizing Electronic Systems … Investigator
Matthews, Karen
Project Name
The Bettering Lives Utilizing Electronic Systems
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psnet.ahrq.gov/node/60614/psn-pdf
June 24, 2020 - A systems approach to analyzing and preventing hospital
adverse events. … A systems approach to analyzing and preventing hospital
adverse events. … https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
This … and
design systems-level changes to prevent future AEs. … https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
https:
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psnet.ahrq.gov/node/848087/psn-pdf
August 02, 2019 - Simulation-based clinical systems testing for healthcare
spaces: from intake through implementation. … Simulation-based clinical systems testing for healthcare spaces:
from intake through implementation. … https://psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through … This article describes the development and implementation of a simulation-based clinical systems
testing … (SbCST) program to identify latent safety threats in healthcare systems prior to patient exposure.
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psnet.ahrq.gov/node/72499/psn-pdf
November 25, 2020 - Transformational improvement in quality care and health
systems: the next decade. … Transformational improvement in quality care and health
systems: the next decade. … https://psnet.ahrq.gov/issue/transformational-improvement-quality-care-and-health-systems-next-decade … Delivering high-quality, safe healthcare requires coordination and integration of complex systems and … https://psnet.ahrq.gov/issue/transformational-improvement-quality-care-and-health-systems-next-decade