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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.
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psnet.ahrq.gov/node/845072/psn-pdf
February 22, 2023 - A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage … A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage … https://psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory … Researchers used three systems thinking methods (ActorMap, AcciMap, and PreventiMap) and
stakeholder … https://psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
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psnet.ahrq.gov/node/852271/psn-pdf
August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial … Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial … https://psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human- … between patients and providers, patient involvement in
AI development, and reduction of bias in AI systems … https://psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
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psnet.ahrq.gov/node/47838/psn-pdf
June 02, 2019 - Exploring leadership within a systems approach to
reduce health care–associated infections: a scoping … Exploring leadership within a systems approach to reduce
health care-associated infections: A scoping … https://psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated … This review found that
evidence regarding the role of leadership in implementing the Systems Engineering … https://psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful … Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
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psnet.ahrq.gov/node/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey. … Characteristics of critical incident reporting systems in primary care:
an international survey. … https://psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international … -
survey
Critical incident reporting systems (CIRS) are used to improve learning and patient safety … https://psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey
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psnet.ahrq.gov/node/39127/psn-pdf
November 25, 2009 - An effectiveness analysis of healthcare systems using a
systems theoretic approach. … An effectiveness analysis of healthcare systems using a systems theoretic approach. … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach … systems with accreditation activities. … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Building Systems Citizenship in Health Professions
Education: The Continued Call for Health Systems … Building Systems Citizenship in Health Professions Education: The Continued Call
for Health Systems … https://psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems … https://psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems … Curricular transformation in health systems science: the need for
global change.
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psnet.ahrq.gov/node/34892/psn-pdf
February 03, 2011 - Effects of computerized clinical decision support systems
on practitioner performance and patient outcomes … Effects of Computerized Clinical Decision Support Systems on
Practitioner Performance and Patient Outcomes … The rapid growth of computerized clinical decision support systems (CDSS) and their impact on patient … provider performace improved with CDSS using a number of different outcomes,
including diagnostic systems … , reminder systems, disease management systems, and prescribing systems.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL16LOINCbriefpresentationAHCAkickoff.pdf
April 01, 1995 - PowerPoint - FL16LOINCbriefpresentationAHCAkickoff.ppt [Compatibility Mode]
3M Health Information Systems … Systems, Inc. … 3
3M Health Information Systems, Inc. … Consolidating records into one reference view
5
3M Health Information Systems, Inc. … Quandaries
PRA
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3M Health Information Systems, Inc.
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psnet.ahrq.gov/node/40526/psn-pdf
June 15, 2011 - Critical drug–drug interactions for use in electronic health
records systems with computerized physician … Critical Drug-Drug Interactions for Use in Electronic Health Records
Systems With Computerized Physician … https://psnet.ahrq.gov/issue/critical-drug-drug-interactions-use-electronic-health-records-systems- … computerized-physician
The safety performance of computerized provider order entry (CPOE) systems has … Even when combined with decision support, CPOE systems frequently fail to detect
potentially serious
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psnet.ahrq.gov/node/42221/psn-pdf
April 24, 2013 - Systems approach and systems engineering applied to
health care: improving patient safety and health … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving- … patient-safety-and
This commentary describes a systems engineering approach to understanding how interactions … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/annual-summary/2008
January 01, 2008 - Ascutney Hospital has implemented numerous information systems over the years to satisfy user efficiency … Individual departments leverage ambulatory care systems to meet their needs for documentation and work … Patient demographic and insurance information are maintained in each of these systems, thereby requiring … First, implement the Provider Portal and the integration of data from two primary systems, the hospital … Finally, evaluate, implement, and integrate other key internal and external systems deemed appropriate
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psnet.ahrq.gov/node/46008/psn-pdf
March 29, 2017 - Paediatric early warning systems for detecting and
responding to clinical deterioration in children: … Paediatric early warning systems for detecting and responding
to clinical deterioration in children: … This systematic review found that rapid response systems or teams are widely used, but comprehensive … evaluation of these systems is lacking. … https://psnet.ahrq.gov/primer/rapid-response-systems
https://psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
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psnet.ahrq.gov/node/44797/psn-pdf
March 15, 2016 - Incident and error reporting systems in intensive care: a
systematic review of the literature. … Incident and error reporting systems in intensive care:
a systematic review of the literature. … https://psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review- … literature
This systematic review found that incident reporting systems used in intensive care units … The
common problems with these systems—principally, insufficient analysis of reported incidents and