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Showing results for "systems".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37536/psn-pdf
    February 01, 2011 - Improving patient safety by taking systems seriously. February 1, 2011 Shortell SM, Singer SJ. … Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. … https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously The authors advocate … that systems thinking needs to be applied more robustly in health care in order to achieve lasting safety … https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously https://psnet.ahrq.gov

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36131/psn-pdf
    September 29, 2010 - Emergent CSCW systems: the resolution and bandwidth of workplaces. … Emergent CSCW systems: the resolution and bandwidth of workplaces. … https://psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces The authors discuss … characteristics should be considered when developing computerized supported collaborative work (CSCW) systems … https://psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces

  3. Improving Rural Health Care: Implementing Innovative Integration Solutions (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016142-sims-final-report-2008.pdf
    January 01, 2008 - The underlying problem from a systems perspective, and especially with technological systems, begins … • Data from all systems will be accurately displayed. … • Data in all systems will be accurately synchronized. … Data in all systems will be accurately synchronized. … to having the systems drive the work.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40269/psn-pdf
    January 01, 2016 - Rapid response systems in the Netherlands. … Rapid Response Systems in the Netherlands. … https://psnet.ahrq.gov/issue/rapid-response-systems-netherlands Nearly 80% of Dutch hospitals have implemented … https://psnet.ahrq.gov/issue/rapid-response-systems-netherlands https://psnet.ahrq.gov/primer/rapid-response-systems

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44689/psn-pdf
    February 24, 2018 - what-role-individual-accountability-patient-safety-multi-site-ethnographic-study The concept of a just culture has become popular for balancing individual accountability with a systems … empiric data from five ethnographic case studies to illustrate the fundamental interdependence of systems … The authors argue apportioning responsibility between systems and the individuals within them leads … Senior author Mary Dixon-Woods elaborates on the relationship between individuals and systems in a PSNet … https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34690/psn-pdf
    February 10, 2011 - Systems analysis of adverse drug events. February 10, 2011 Leape L, Bates DW, Cullen DJ, et al. … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. … https://psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events The authors report a "systems analysis … Using the airline industry as an example, the authors advocate a nonpunitive systems approach as a more … https://psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events https://psnet.ahrq.gov//#adversedrugevent

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38176/psn-pdf
    October 29, 2008 - Human error, not communication and systems, underlies surgical complications. … Human error, not communication and systems, underlies surgical complications. … https://psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications … The authors highlight that their findings challenge "popular wisdom" about the role of systems in patient … https://psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35476/psn-pdf
    February 22, 2010 - Taking the pulse of health care systems: experiences of patients with health problems in six countries … Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health Problems In Six Countries … https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six … https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries … https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47105/psn-pdf
    August 10, 2018 - A systems approach to identify factors influencing adverse drug events in nursing homes. … A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing … Using the Systems Engineering Initiative for Patient Safety model, they identified numerous resident … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41556/psn-pdf
    January 03, 2017 - Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and " … Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “ … https://psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using- multidisciplinary-team … A major limitation of voluntary error reporting systems is that many hospitals do not reliably feed … https://psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36456/psn-pdf
    May 27, 2011 - Evaluation and certification of computerized physician order entry systems. … Evaluation and certification of computerized provider order entry systems. … https://psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems … The authors reviewed studies on implementation and use of computerized physician order entry systems … https://psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36844/psn-pdf
    January 22, 2017 - Errors prevented by and associated with bar-code medication administration systems. … Errors prevented by and associated with bar-code medication administration systems. … https://psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems … The authors share case reports that demonstrate how bar-code medication administration (BCMA) systems … https://psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40696/psn-pdf
    December 01, 2011 - Rapid response systems: a prospective study of response times. … Rapid response systems: a prospective study of response times. … https://psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times Introduction of … https://psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times https://psnet.ahrq.gov … /primer/rapid-response-systems

  14. Statewide Efforts to Enhance HIT in Critical Access Hospitals (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
    January 01, 2005 -  Iowa hospitals had more computerized systems but used IT technologies to a lesser extent than Canada …  Iowa rural hospitals had low levels of clinical information systems (Ward et al., in press). … to determine the level of systems in each hospital Sample for 2005 Survey number of hospitals … clinical information systems. … systems, network influence, or wanting to stay current with other hospitals

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49409/psn-pdf
    July 01, 2003 - Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … The Systems Approach: Artichoke Model The leaves of the systems approach artichoke are the constituent … systems of the context of care, and the basic care-providing systems are the heart of the artichoke

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38452/psn-pdf
    December 30, 2014 - The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development … https://psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999- consensus-development … This review charts the evolution of intravenous drug delivery systems and policies between 1999 and … https://psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-consensus-development … https://psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-consensus-development

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40019/psn-pdf
    November 17, 2010 - Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … https://psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed- opportunities … https://psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities … https://psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35999/psn-pdf
    May 09, 2014 - Internally-developed online adverse drug reaction and medication error reporting systems. … Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems. … psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error- reporting-systems … psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems … psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35279/psn-pdf
    June 30, 2009 - Results of a survey on medical error reporting systems in Korean hospitals. … Results of a survey on medical error reporting systems in Korean hospitals. … https://psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals The authors … studied the use of hospital information systems to report adverse events in Korean hospitals. … https://psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37080/psn-pdf
    October 03, 2011 - Pharmacists' perceptions of computerized prescriber- order-entry systems. … Pharmacists' perceptions of computerized prescriber- order-entry systems. … https://psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems This … pharmacists found only moderate satisfaction with existing computerized provider order entry (CPOE) systems … https://psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems https
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