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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Hidden Heparins: HIT Happens. PSNet [internet]. … Hidden Heparins: HIT Happens. PSNet [internet]. … ( 1 ), most patients with HIT continue to test positive for HIT antibodies well after the thrombocytopenia … (or at risk for HIT) will be exposed to heparin. … Hidden Heparins: HIT Happens. PSNet [internet].
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - As he did so, the pump flew out of his hand and hit the magnet, which is always on. … The scissors hit a patient causing a cut on the patient’s head.”
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psnet.ahrq.gov/issue/when-bone-flap-hits-floor
March 12, 2025 - Study
When the bone flap hits the floor.
Citation Text:
Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90.
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psnet.ahrq.gov/issue/fda-discusses-oversight-regulation-hit-onc-workgroup-hearing-patient-safety
March 10, 2010 - Published March 10, 2010
FDA discusses oversight, regulation of HIT … This news article covers federal testimony in support of health information technology (HIT … The piece describes safety concerns that could result from HIT and discusses potential regulatory approaches
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psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
December 06, 2023 - Efforts to implement health information technology (HIT) continue at a rapid pace, particularly for … However, studies have demonstrated the unintended consequences of HIT and new errors they create. … This commentary takes a sociotechnical approach to highlight the origins of HIT errors, which the authors … A past AHRQ PSNet perspective discussed HIT and patient safety with national expert Dr. … April 20, 2011
Challenges in ethics, safety, best practices, and oversight regarding HIT
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psnet.ahrq.gov/issue/challenges-ethics-safety-best-practices-and-oversight-regarding-hit-vendors-their-customers
July 30, 2014 - Commentary
Challenges in ethics, safety, best practices, and oversight regarding HIT … Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and … position paper to address the extraordinary growth in the adoption of health information technology (HIT … Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and
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psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
May 20, 2019 - This study compared the categorization of incidents as involving health information technology (HIT) … or not involving HIT by specialists trained in HIT and patient safety and safety managers trained in … involving or not involving HIT, respectively. … Increased education for safety managers on the interaction of HIT and patient safety may result in … better classification of HIT-related incidents.
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Newspaper/Magazine Article
Half of hospitals in Conn., Del. hit by Medicare's safety … Citation Text:
Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. … Cite
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Citation Text:
Half of hospitals in Conn., Del. hit
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - PubMedId RIS
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Background
Health information technology (HIT … errors
Transfusion safety
Adherence with evidence-based care
While there are a variety of HIT … practices that may address each one of these areas, this essay focuses specifically on HIT practices … HIT Approaches to Impacting Diagnostic Errors
The true magnitude of diagnostic errors is difficult … One area of HIT research receiving continued attention is the challenge of HIT implementation in clinical
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psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
August 04, 2021 - In this study, twelve months of health information technology (HIT) incidents were retrospectively … reviewed and classified into one of five types: HIT failures, unmet user needs, external system interactions … , absence of HIT features, and not enough information to assess. … Prospective categorization was efficient and allowed for more real-time analysis of HIT safety concerns
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
February 23, 2011 - Despite widespread interest in the implementation of health information technology (HIT) and a systematic … review demonstrating its positive effects on clinical outcomes, use of HIT remains limited . … safety by examining the incidence of selected patient safety indicators (PSIs) after implementation of HIT … significant improvements in some PSIs, including health care–associated infections , were associated with HIT … The study did not assess whether specific elements of HIT, such as computerized provider order entry
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psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
August 07, 2013 - Continued adoption of health information technology (HIT) systems is driven by efforts to improve safety … This study used a national survey database to analyze the extent of HIT adoption specifically for medication … hospital characteristics, and geographic locations, with an average hospital adopting 2.24 out of 8 HIT … The authors were most struck by the association seen between HIT adoption and states' patient safety … They also advocate for thoughtful policy and governmental incentives to further foster HIT adoption moving
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psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
August 09, 2023 - Health information technology (HIT) has improved many aspects of patient safety, but poor design can … This commentary describes how context influences vendor, organization, and user understanding of HIT-related … January 2, 2017
Challenges in ethics, safety, best practices, and oversight regarding HIT
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psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
June 24, 2020 - Newspaper/Magazine Article
When COVID-19 hit, many elderly were left to die. … When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. … When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8.
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psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
March 10, 2021 - Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. … Facebook
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February 5, 2020
Partnership for HIT … Health information technology ( HIT) can improve record keeping, test ordering and prescription legibility … Safe Practices for Diagnostic Results Partnership for HIT Patient Safety.
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psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
July 22, 2020 - This special collection examines the use of novel health information technology (HIT) to promote patient … Articles featured in this issue include a focus on qualitative approaches to evaluating the impact of HIT
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psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study
April 03, 2024 - Health information technology (HIT) can further safety in healthcare but can also introduce threats … clinical informaticists to incorporate patient safety into health information processes and address HIT-related
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psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
February 10, 2015 - Health information technology (HIT) is widely viewed as a solution to improve the quality and safety … This study provides a detailed cost and benefit analysis of investment in HIT based on experiences in … more broadly, is timely given the current federal stimulus dollars being dedicated to investments in HIT
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Health information technology (HIT) has led to improvements and efficiencies in patient care but has … In this qualitative analysis, researchers explored factors contributing to HIT-related patient safety
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psnet.ahrq.gov/issue/clinical-informatics-team-members-perspectives-health-information-technology-safety-after
September 04, 2024 - Health information technology (HIT) can increase the safety of many processes, but it may also introduce … Individual outcomes included a sense of ownership of HIT safety, and team outcomes included improved