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Showing results for "systems".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. … Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. … and controversy about the purpose and usefulness of these systems. … original systems have been updated and refined. … As state experience with reporting systems grows, the systems continue to evolve and mature.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39997/psn-pdf
    December 17, 2010 - Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating … Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating … https://psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse … - events Finding limited evidence that rapid response systems prevent adverse clinical outcomes, this … https://psnet.ahrq.gov/primer/rapid-response-systems

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35531/psn-pdf
    May 27, 2011 - U.S. adoption of computerized physician order entry systems. … U.S. adoption of computerized physician order entry systems. … https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems This study discovered … that implementation of computerized physician order entry (CPOE) systems is a greater reflection of … https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems https://psnet.ahrq.gov

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43249/psn-pdf
    June 18, 2014 - Automated and electronically assisted hand hygiene monitoring systems: a systematic review. … Automated and electronically assisted hand hygiene monitoring systems: a systematic review. … https://psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems- … review evaluated new technologies for assisting hand hygiene monitoring, including automated counting systems … , video monitoring, and fully automated monitoring systems.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42661/psn-pdf
    October 16, 2013 - Utility and assessment of non-technical skills for rapid response systems and medical emergency teams … Utility and assessment of non-technical skills for rapid response systems and medical emergency teams … https://psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and- … medical-emergency This review describes the value of training non-technical skills in rapid response systems … https://psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46751/psn-pdf
    July 23, 2018 - A call for a systems-thinking approach to medication adherence: stop blaming the patient. … A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient … Systems thinking has been applied to address various underlying conditions that contribute to medical … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43970/psn-pdf
    May 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. … Organisational reporting and learning systems: Innovating inside and outside of the box. … https://psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside … - box Incident reporting systems are a popular method for hospitals to detect patient safety hazards … , but little progress has been made in utilizing information from these systems to reduce risks.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44867/psn-pdf
    March 23, 2016 - Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. … Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. … https://psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems … The framework includes assessing whether systems are prepared for change, identifying leaders, and … psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41247/psn-pdf
    April 06, 2012 - Development of a pragmatic measure for evaluating and optimizing rapid response systems. … Development of a pragmatic measure for evaluating and optimizing rapid response systems. … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response- systems … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems … https://psnet.ahrq.gov/primer/rapid-response-systems

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44737/psn-pdf
    December 16, 2015 - How effective are incident-reporting systems for improving patient safety? … https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- … systematic-literature This systematic review found little evidence that incident reporting systems performed … Although incident reporting systems did help enhance processes of care, there was no evidence that even … robust systems improved clinical outcomes or safety culture.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45729/psn-pdf
    September 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. … https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors … Discussing how pharmacies have increasingly implemented workflow management systems to automate compounded … sterile solution processes, this newsletter article reviews challenges associated with these systems … https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems https

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37958/psn-pdf
    January 11, 2017 - The growth of rapid response systems.  January 11, 2017 Steel AC, Reynolds SF. … The growth of rapid response systems. … https://psnet.ahrq.gov/issue/growth-rapid-response-systems This article describes content delivered … at a 2008 symposium on hospital-based rapid response systems and medical emergency teams. … https://psnet.ahrq.gov/issue/growth-rapid-response-systems https://psnet.ahrq.gov/primer/rapid-response-systems

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42342/psn-pdf
    December 31, 2014 - A growing list of unintended consequences from computerized provider order entry (CPOE) systems has … This study describes a robust classification structure for identifying systems-related errors in CPOE … Two hospitals with different CPOE systems were examined. … Systems-related errors were found to be frequent, comprising 42% of all prescribing errors, although … Both CPOE systems in this study prevented many more prescribing errors than they created, supporting

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37110/psn-pdf
    October 06, 2011 - Seeing systems in health care organizations. October 6, 2011 Friedman LH, King JB, Bella D. … Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. … https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations Using a hypothetical scenario, … the authors illustrate how to use the systems approach to identify organizational behaviors that impede … https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations https://psnet.ahrq.gov/primer/systems-approach

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40276/psn-pdf
    June 15, 2011 - The need for systems integration in health care. June 15, 2011 Mathews SC, Pronovost P. … The need for systems integration in health care. JAMA. 2011;305(9):934-5. … https://psnet.ahrq.gov/issue/need-systems-integration-health-care This commentary suggests a systems … https://psnet.ahrq.gov/issue/need-systems-integration-health-care https://psnet.ahrq.gov/primer/systems-approach

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46862/psn-pdf
    February 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours- ensure-patient-safety … Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather than systems … This article reviews the use of systems thinking models to address failure and discusses how small problems … https://psnet.ahrq.gov/issue/error-medicine https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42972/psn-pdf
    February 26, 2014 - Use of paediatric early warning systems in Great Britain: has there been a change of practice in the … Use of paediatric early warning systems in Great Britain: has there been a change of practice in the … https://psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change … However, most of these "early warning" systems have not been appropriately validated. … -7 https://psnet.ahrq.gov/primer/rapid-response-systems

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38069/psn-pdf
    March 10, 2011 - Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department … https://psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check … Investigators call for greater qualitative research to understand the interactions between these systems … https://psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40173/psn-pdf
    January 26, 2011 - A vision for patient-centered health information systems. January 26, 2011 Krist AH, Woolf SH. … A vision for patient-centered health information systems. JAMA. 2011;305(3):300-1. … https://psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems This commentary discusses … the difficulties in creating personal health information systems and describes how such systems can … https://psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39971/psn-pdf
    January 22, 2017 - Rapid response systems: from implementation to evidence base. … Rapid response systems: from implementation to evidence base. … https://psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base This commentary reviews … https://psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base https://psnet.ahrq.gov … /primer/rapid-response-systems
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