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psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
December 07, 2022 - Institute for Clinical Systems Improvement. … Institute for Clinical Systems Improvement. … December 7, 2022
Measures and measurement of high-performance work systems in health … February 9, 2011
Patient safety reporting systems: sustained quality improvement using … November 25, 2020
Systems approach to health service design, delivery and improvement
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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - Toward the translation of systems thinking methods in
patient safety practice: assessing the validity … Toward the translation of systems thinking methods in patient safety
practice: assessing the validity … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-
assessing-validity-net … This article
describes validity testing of systems-thinking risk assessment (Net-HARMS) to identify … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
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psnet.ahrq.gov/node/60225/psn-pdf
April 15, 2020 - Beyond 'find and fix': improving quality and safety
through resilient healthcare systems. … Beyond ‘find and fix’: improving quality and safety through resilient
healthcare systems. … psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-
systems … Using ethnographic methods and resilient healthcare principles (described as systems that anticipate … https://psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
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psnet.ahrq.gov/node/47729/psn-pdf
April 10, 2019 - Reclaiming the systems approach to paediatric safety. … Reclaiming the systems approach to paediatric safety. … https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
Children are vulnerable to … pediatric patient safety improvement efforts in the United
Kingdom and emphasizes the importance of systems … https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report … https://psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality- … organizations to review patient safety incidents and classify
them into themes from a human factors and systems … The process involves clearly
characterizing the safety incidents, describing the involved safety systems
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psnet.ahrq.gov/node/34888/psn-pdf
March 11, 2019 - : dissatisfaction
with test result management systems in primary care. … : Dissatisfaction with test
result management systems in primary care. … psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-
systems-primary … physicians about their practice patterns in managing test results, their satisfaction with current
systems … conclude that current levels of
dissatisfaction with management of test results indicate a need for systems
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psnet.ahrq.gov/node/836915/psn-pdf
April 13, 2022 - Workarounds in electronic health record systems and the
revised Sociotechnical Electronic Health Record … Workarounds in electronic health record systems and the revised
sociotechnical Electronic Health Record … https://psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical- … https://psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health … https://psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
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psnet.ahrq.gov/node/837031/psn-pdf
May 04, 2022 - Indicators for implementation outcome monitoring of
reporting and learning systems in hospitals: an … Indicators for implementation outcome monitoring of reporting
and learning systems in hospitals: an … https://psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-
systems-hospitals … Comprehensive implementation of reporting and learning systems (RLS, also known as incident reporting … systems) is important for its successful use as a patient safety improvement tool.
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psnet.ahrq.gov/node/838024/psn-pdf
September 07, 2022 - Overriding drug-drug interaction alerts in clinical decision
support systems: a scoping review. … Overriding drug-drug interaction alerts in clinical decision
support systems: a scoping review. … https://psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems … -
scoping-review
Computerized decision support systems can alert clinicians to drug-drug interactions … The authors discuss the need
for improved decision support systems to improve DDI alerts and actionable
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psnet.ahrq.gov/node/47806/psn-pdf
January 01, 2021 - Pursuing patient safety at the intersection of design,
systems engineering, and health care delivery … Pursuing Patient Safety at the Intersection of Design, Systems
Engineering, and Health Care Delivery … https://psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health … -
care-delivery
Applying systems engineering strategies from problem analysis through postimplementation … psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
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psnet.ahrq.gov/node/73132/psn-pdf
April 14, 2021 - Association of clinician diagnostic performance with
machine learning–based decision support systems … Association of clinician diagnostic performance with machine
learning–based decision support systems … psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based-
decision-support-systems … systematic review of 37 studies found limited evidence that the use of machine learning-based CDS
systems … psnet.ahrq.gov/issue/machine-learning-medicine
https://psnet.ahrq.gov/primer/clinical-decision-support-systems
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psnet.ahrq.gov/node/60591/psn-pdf
June 17, 2020 - National trends in the safety performance of electronic
health record systems from 2009 to 2018. … National trends in the safety performance of electronic health record
systems from 2009 to 2018. … https://psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009 … -
2018
Researchers measured the safety performance of electronic health record (EHR) systems using … https://psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009
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digital.ahrq.gov/principal-investigator/aranaydo-linda
January 01, 2023 - Aranaydo, Linda
IT Systems for Rural Indian Clinic Health Care - Final … IT Systems for Rural Indian Clinic Health Care - Final Report. … Principal Investigator
Aranaydo, Linda
Project Name
IT Systems for Rural Indian Clinic … Health Care
IT Systems for Rural Indian Clinic Health Care
Description … rural Tribal Health Programs to implement electronic health records with clinical decision support systems
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digital.ahrq.gov/principal-investigator/devine-emily-b
January 01, 2023 - Methods to Prioritize Implementation of Pharmacogenomic Clinical Decision Support for Learning Health Systems … Methods to Prioritize Implementation of Pharmacogenomic Clinical Decision Support for Learning Health Systems … Methods to Prioritize Implementation of Pharmacogenomic Clinical Decision Support for Learning Health Systems … Implementation of pharmacogenomic clinical decision support for health systems … Implementation of pharmacogenomic clinical decision support for health systems: a cost-utility analysis
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psnet.ahrq.gov/node/836718/psn-pdf
March 09, 2022 - Systems engineering analysis of diagnostic referral
closed-loop processes. … Systems engineering analysis of diagnostic referral closed-loop
processes. … https://psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes … A systems engineering analysis was conducted to identify vulnerabilities in the referral
process and … https://psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
https
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psnet.ahrq.gov/node/839322/psn-pdf
November 02, 2022 - A perfect storm averted: flawed systems, a dropped ball,
and cognitive biases delay a critical diagnosis … A perfect storm averted: flawed systems, a dropped ball, and
cognitive biases delay a critical diagnosis … https://psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases- … disseminated tuberculosis in a patient with lung cancer and discusses the
how cognitive biases and systems … https://psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
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psnet.ahrq.gov/node/72681/psn-pdf
January 27, 2021 - A complexity thinking account of the COVID-19 pandemic:
implications for systems-oriented safety management … A complexity thinking account of the COVID-19 pandemic: Implications for systems-
oriented safety management … https://psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented … The authors use a complexity thinking (understanding the dynamic interactions between
systems) perspective … https://psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
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psnet.ahrq.gov/node/840152/psn-pdf
November 16, 2022 - Scientific view of the global literature on medical error
reporting and reporting systems from 1977 … Scientific view of the global literature on medical error reporting and reporting
systems from 1977 … https://psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems … , researchers observed a lack of cross-country collaboration on studies evaluating error
reporting systems … https://psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems
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psnet.ahrq.gov/node/60872/psn-pdf
September 02, 2020 - How incident reporting systems can stimulate social and
participative learning: a mixed-methods study … How incident reporting systems can stimulate social and participative
learning: a mixed-methods study … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning … mixed-methods
Using qualitative and quantitative data, this study evaluated how incident reporting systems … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
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digital.ahrq.gov/sites/default/files/docs/page/Dixie%20Baker1.ppt
June 16, 2021 - PowerPoint Presentation
Public Trust in Health Information: Foundational Principles for Dependable Systems … Dependable Systems for Quality Care. in Saba, VK and McCormick, KA. … Design and build safety-critical systems to fail in a safe state.
3. Expect success. … Plan for integration with other systems. … Hire meticulous managers (with just a touch of paranoia) to manage your systems and networks.