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Showing results for "systems".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60850/psn-pdf
     August 26, 2020 - Beyond the corrective action hierarchy: a systems approach to organizational change. … Beyond the corrective action hierarchy: a systems approach to organizational change. … https://psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change … to which a corrective action addresses ‘systems change’ (‘systems change hierarchy’). … https://psnet.ahrq.gov/primer/systems-approach

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866433/psn-pdf
     August 07, 2024 - Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta … Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis … https://psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments- systematic-review-and-meta … This systematic review included 22 studies and examined the use of sepsis alert systems in the Emergency … The researchers found that sepsis alert systems were associated with reduced risk of mortality and decreased

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative … https://psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic … - review Incident reporting systems offer important opportunities for health systems to learn from … use and learn from incident reporting systems.

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842416/psn-pdf
     January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient … A failure in the medication delivery system—how disclosure and systems investigation improve patient … https://psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation … - improve-patient Medical errors that receive widespread media attention frequently spur health systems … ; build resilient medication delivery systems; and, establish methods of investigations.

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848821/psn-pdf
     May 10, 2023 - Towards a unified model of accident causation: refining and validating the systems thinking safety tenets … Towards a unified model of accident causation: refining and validating the systems thinking safety tenets … https://psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems … This article outlines a refined and validated set of systems thinking tenets and discusses how they … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72705/psn-pdf
     February 03, 2021 - Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … A systems approach is a key element in safe patient care.  … This systematic review concluded that a systems approach to healthcare design and delivery can lead … https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events

327. Psn-Pdf (pdf file)
     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

328. Psn-Pdf (pdf file)
     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

329. Psn-Pdf (pdf file)
     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

330. Brennan, Patricia Flatley | Digital Healthcare Research
     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.

331. Psn-Pdf (pdf file)
     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.

332. Psn-Pdf (pdf file)
     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

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864853/psn-pdf
     March 20, 2024 - Question answering systems for health professionals at the point of care - a systematic review. … Question answering systems for health professionals at the point of care—a systematic review. … https://psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic- … review, including 79 studies, explored areas for improvement with medical question answering (QA) systems … The authors identified several characteristics that could be used to improve future QA systems, such

334. Psn-Pdf (pdf file)
     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

335. Psn-Pdf (pdf file)
     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

336. Psn-Pdf (pdf file)
     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

337. Psn-Pdf (pdf file)
     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

338. Psn-Pdf (pdf file)
     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

339. Psn-Pdf (pdf file)
     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

340. Psn-Pdf (pdf file)
     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