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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach. … Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. … epidemiology of surgical adverse events from major epidemiologic studies and discusses the need for a systems … Spinal surgery and patient safety: a systems approach. … February 9, 2011
Wrong-site craniotomy: analysis of 35 cases and systems for prevention
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psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking-and-reminder-systems
May 22, 2019 - Commentary
ACOG Committee Opinion #546: tracking and reminder systems. … Committee Opinion No.546: Tracking and reminder systems. … This revision of the 2010 committee statement describes important characteristics for tracking systems … Committee Opinion No.546: Tracking and reminder systems. … : dissatisfaction with test result management systems in primary care.
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Review
Medication errors related to computerized provider order entry systems in … 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 … Medication errors related to computerized provider order entry systems in hospitals and how they change
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety
Lucy A. … 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. … mature learning health systems), so you are comparing apples to apples. … Creating organized delivery systems: the barriers and facilitators.
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care. … The need for systems integration in health care. … This commentary suggests a systems approach for implementing technologies to improve safety and efficiency … The need for systems integration in health care. … March 3, 2011
A vision for patient-centered health information systems.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
June 02, 2025 - Prologue—Volume 2—Systems Thinking and Patient Safety
1
Prologue
Systems Thinking and Patient Safety … (5) Most systems are open systems; that is, they are affected by—even
dependent upon—larger systems … of which they are a part and, in turn,
they provide inputs to the larger systems. … (6) Complex systems (and even the microsystems of health care are
complex) and open systems are both … work and the roles those
individuals play as part of these systems.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/physicians-hospitals.pdf
June 02, 2025 - Health Systems, 2016
++
More than
half of health
systems have
1or 2
hospitals
The largest
5 percent … of health
systems
each have
18 or more
hospitals
The largest
5 percent of
health systems
each … Health Systems, 2016
There are 626 health systems in the United States, according to AHRQ’s Compendium … Health Systems, 2016. … physicians
in health
systems
Physicians and Hospitals in U.S. Health Systems, 2016
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effectivehealthcare.ahrq.gov/products/health-systems-use-evidence/overview
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effectivehealthcare.ahrq.gov/products/learning-health-systems-panel/overview
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop
January 01, 2023 - Industrial & Systems Engineering and Health Care: Critical Areas of Research Workshop … Industrial & Systems Engineering and Health Care: Critical Areas of Research Workshop - 2010 … ×
Disclaimer
Disclaimer details
Close
Industrial and Systems … Industrial and Systems Engineering and Health Care: Critical Areas of Research - Final Report. … Developing an industrial and systems engineering and health care research agenda.
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psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
December 21, 2022 - A literature review of the training offered to qualified prescribers to use electronic prescribing systems … A literature review of the training offered to qualified prescribers to use electronic prescribing systems … Insufficient training on electronic health record systems can hinder user satisfaction . … A literature review of the training offered to qualified prescribers to use electronic prescribing systems … April 5, 2023
Electronic prescribing systems in hospitals to improve medication safety
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psnet.ahrq.gov/issue/effects-computerized-clinical-decision-support-systems-practitioner-performance-and-patient
October 19, 2022 - Classic
Effects of computerized clinical decision support systems … 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 … , reminder systems, disease management systems, and prescribing systems. … March 11, 2011
Effects of computer-based clinical decision support systems on physician
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psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
April 12, 2011 - Commentary
A vision for patient-centered health information systems. … A vision for patient-centered health information systems. … This commentary discusses the difficulties in creating personal health information systems and describes … how such systems can engage patients in their care. … A vision for patient-centered health information systems.
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - Book/Report
Textbook of Rapid Response Systems: Concept and Implementation. … Citation Text:
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). … Rapid response systems are a core strategy to ensure safe care for hospitalized patients should unexpected … Cite
Citation
Citation Text:
Textbook Of Rapid Response Systems … monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems
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psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
December 21, 2022 - of hospital health information technologies: a qualitative study of hospital electronic prescribing systems … of hospital health information technologies: a qualitative study of hospital electronic prescribing systems … Some health care systems have invested in hospital-wide integrated programs that include prescribing … modules, whereas others have linked standalone systems through interfacing mechanisms. … December 21, 2022
Workarounds to hospital electronic prescribing systems: a qualitative
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psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - Commentary
Towards a unified model of accident causation: refining and validating the systems … Towards a unified model of accident causation: refining and validating the systems thinking safety tenets … Systems thinking concepts are used by healthcare organizations to encourage learning from failures … This article outlines a refined and validated set of systems thinking tenets and discusses how they can … Towards a unified model of accident causation: refining and validating the systems thinking safety tenets
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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - These systems can facilitate workflow and improve the quality of patient care and patient safety. … Failure to redesign clinical process and workflow to incorporate the technology systems. … Concern that systems will become obsolete. … Concern that current market systems are potentially not meeting the needs of rural health centers or … Computerized administration processes, such as scheduling systems.
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices
January 01, 2023 - Bringing High Performing Systems to Small Practices
Project Final Report ( PDF , … Bringing High Performing Systems to Small Practices - 2012
Bringing High Performing Systems to … Small Practices - 2011
Bringing High Performing Systems to Small Practices - 2010
× … Bringing High Performing Systems to Small Practices - Final Report. … Health information systems in small practices.
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www.ahrq.gov/takeheart/training/module-4/index.html
December 01, 2022 - Module 4: Systems Change: Preparing and Understanding Your Data To Foster Systems Change
… YouTube embedded video: https://www.youtube-nocookie.com/embed/enjA1kfOsw0
Video: Systems Change: … to Prepare for System Change (1:01:14)
Slides: Preparing and Understanding Your Data to Support Systems … Change (PDF, 1.7 MB)
Implementation Guide: Preparing and Understanding Your Data to Support Systems … module is the last in a series of four foundational trainings designed to help hospitals and health systems
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psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still
December 21, 2022 - Commentary
Clinical decision support systems could be modified to reduce 'alert fatigue … Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing … Clinical decision support systems rely on automated reminders to warn clinicians of potentially harmful … Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing … October 5, 2016
Workarounds to hospital electronic prescribing systems: a qualitative