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psnet.ahrq.gov/node/35178/psn-pdf
April 23, 2014 - Computer visualisation of patient safety in primary care: a
systems approach adapted from management … Computer visualisation of patient safety in primary care: a systems
approach adapted from management … https://psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-
adapted-management … The authors describe a systems engineering model of analysis and synthesis for understanding error … https://psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
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psnet.ahrq.gov/node/44565/psn-pdf
October 14, 2015 - How to use online clinician rating systems.
October 14, 2015
Razmaria AA, Livingston EH. … How to Use Online Clinician Rating Systems. JAMA.
2015;314(13):1418. doi:10.1001/jama.2015.11957. … https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
Clinician rating sites may not … This commentary reviews concerns associated with using these scoring systems and
recommends that patients … https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
https://psnet.ahrq.gov/issue/surgeon-scorecard
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psnet.ahrq.gov/node/37966/psn-pdf
January 15, 2009 - Adopting electronic medical records in primary care:
lessons learned from health information systems … Adopting electronic medical records in primary care: lessons learned from health
information systems … psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-
information-systems … This review analyzed evidence regarding adoption of health information systems in primary care and … psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
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psnet.ahrq.gov/node/47458/psn-pdf
January 01, 2019 - Systems science: a primer on high reliability.
November 26, 2018
Roberson DW, Kirsh ER. … Systems science: a primer on high reliability. … https://psnet.ahrq.gov/issue/systems-science-primer-high-reliability
High-reliability organizations … This review summarizes the systems science, organizational structure, and interpersonal working methods … https://psnet.ahrq.gov/issue/systems-science-primer-high-reliability
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/node/42506/psn-pdf
August 28, 2013 - Foundations for teaching surgeons to address the
contributions of systems to operating room team conflict … Foundations for teaching surgeons to address the contributions
of systems to operating room team conflict … https://psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating- … room-team-conflict
This study identified four systems-related factors that contribute to operating room … https://psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict
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psnet.ahrq.gov/node/36905/psn-pdf
September 01, 2011 - Engineering a safe landing: engaging medical
practitioners in a systems approach to patient safety. … Engineering a safe landing: engaging medical practitioners in a systems
approach to patient safety. … https://psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach … authors surveyed Australian medical practitioners and identified factors limiting their engagement in a
systems … https://psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety
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psnet.ahrq.gov/node/44339/psn-pdf
July 29, 2015 - Rapid response systems: a systematic review and meta-
analysis. … Rapid response systems: a systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
This meta-analysis … of rapid response systems concludes that despite the heterogeneity of included
populations and varying … https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - What hinders the uptake of computerized decision
support systems in hospitals? … What hinders the uptake of computerized decision support
systems in hospitals? … https://psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-
qualitative-study-and … Although clinical decision support systems have been shown to improve patient safety, clinicians do … nurses, technology staff, and board members regarding their experiences with clinical decision support
systems
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psnet.ahrq.gov/node/39709/psn-pdf
September 20, 2011 - A systems approach to morbidity and mortality
conference. … A systems approach to morbidity and mortality conference. … https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference
Morbidity and Mortality … (M&M) conferences are designed to explore systems that contribute to medical
error or adverse outcomes … resident awareness of systems issues.
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - Hospital implementation of computerized provider order
entry systems: results from the 2003 Leapfrog … Hospital implementation of computerized provider order entry systems: results from
the 2003 leapfrog … https://psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results … safety include an initiative to mandate
implementation of computerized provider order entry (CPOE) systems … https://psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results
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psnet.ahrq.gov/node/39275/psn-pdf
February 03, 2010 - Medical librarians supporting information systems project
lifecycles toward improved patient safety. … Medical librarians supporting information systems project lifecycles
toward improved patient safety. … https://psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward … skills that medical librarians can contribute
to the design and implementation of health information systems … https://psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
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psnet.ahrq.gov/node/36449/psn-pdf
May 27, 2011 - Medication-related clinical decision support in
computerized provider order entry systems: a review. … Medication-related clinical decision support in computerized
provider order entry systems: a review. … psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-
entry-systems-review … identify the challenges of integrating clinical decision support into computerized provider order
entry systems … psnet.ahrq.gov/issue/medication-related-clinical-decision-support-computerized-provider-order-entry-systems-review
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - widespread adoption of electronic health records (EHRs) over the last 10 years, the usability of
these systems … In current systems, abnormal findings and change in
a patient's status are easily missed during the … To do this well, EHR vendors, health care systems,
and frontline health care workers need to partner … In: CHI '92 Proceedings of the SIGCHI
Conference on Human Factors in Computing Systems. … Beyond usability: designing effective technology implementation systems to promote patient
safety.
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psnet.ahrq.gov/node/34086/psn-pdf
May 27, 2011 - Overcoming barriers to adopting and implementing
computerized physician order entry systems in U.S. … Overcoming barriers to adopting and implementing computerized
physician order entry systems in U.S. … psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-
order-entry-systems-us … The authors report interviews on barriers to adoption of CPOE systems with 52 senior managers of 26 … psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
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psnet.ahrq.gov/node/38108/psn-pdf
September 30, 2014 - No more blame & shame: developing event-reporting
systems may go a long way to reducing patient care … Developing event-reporting systems may
go a long way to reducing patient care errors in EMS. … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way- … reducing-patient-care
This article describes how applying a just culture and systems approach to adverse … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
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psnet.ahrq.gov/node/34646/psn-pdf
July 01, 2015 - The attributes of medical event reporting systems. … The attributes of medical event-reporting systems:
experience with a prototype medical event-reporting … https://psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
This article describes an effort … The authors conclude that developing event-reporting systems can help
organizations address systems … https://psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/42507/psn-pdf
December 18, 2013 - Electronic error-reporting systems: a case study into the
impact on nurse reporting of medical errors … Electronic error-reporting systems: a case study into the impact
on nurse reporting of medical errors … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical … system,
ranging from confusion about which errors should be reported to technical problems with the systems … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
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psnet.ahrq.gov/node/36418/psn-pdf
July 14, 2010 - Application of the IV Medication Harm Index to assess the
nature of harm averted by "smart" infusion safety
systems … Application of the IV Medication Harm Index to Assess the
Nature of Harm Averted by "Smart" Infusion Safety Systems … psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-
infusion-safety-systems … The results suggest that
the systems were effective in averting harm and can help identify areas for … psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department. … A systematic review of patient tracking systems for use in the pediatric
emergency department. … https://psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-
department … found support for the use of barcode, infrared, and radiofrequency identification patient tracking
systems … https://psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
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psnet.ahrq.gov/node/42913/psn-pdf
January 29, 2014 - What to do with healthcare incident reporting systems. … What to do with healthcare Incident Reporting Systems. … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
Incident reporting systems … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
https://psnet.ahrq.gov/primer … /reporting-patient-safety-events
https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm