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101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43625/psn-pdf
     October 29, 2014 - impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45234/psn-pdf
     November 18, 2016 - Recommended responsibilities for management of MR safety. November 18, 2016 Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43909/psn-pdf
     March 11, 2015 - adoption-electronic-health-records-grows-rapidly-fewer-half-us-hospitals-had-least-basic https://psnet.ahrq.gov/issue/challenges-ethics-safety-best-practices-and-oversight-regarding-hit-vendors-their-customers

104. Missed Patient Assignment: Is Anyone There? | PSNet
     psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
     September 01, 2017 - personnel, clinicians, and patients) involved in the design, development, implementation, and use of HIT … Organizational leaders and committees write and implement IT policies and procedures responsible for overseeing HIT … facilitate or place constraints on the design, development, implementation, use, and evaluation of HIT … and monitoring Effective measurement and monitoring programs address four key issues related to HIT … HIT, health information technology.

105. Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging. | PSNet
     psnet.ahrq.gov/issue/practice-advisory-anesthetic-care-magnetic-resonance-imaging-report-american-society
     August 09, 2023 - Commentary Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging. Citation Text: Practice advisory on anesthetic care for magnetic resonance imaging: an updat…

106. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
     February 26, 2025 - review for the government the information on the cost and benefits of health information technology (HIT … As we were looking at these HIT data, it became apparent that there was no way to summarize this in a … tagged each one by a number of different variables including the organizational setting, what kind of HIT … For many of the aspects that people think are important when deciding to implement an HIT system, the

107. EMR Entry Error: Not So Benign | PSNet
     psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
     July 01, 2012 - Second, EMR installation (like most health care information technology [HIT] installations) usually takes … All HIT implementations require never-ending vigilance and on-the-floor observation to "get it right. … inventive creators of workarounds when faced with system barriers—their need to help patients supersedes HIT … Thus, the efforts of industry-led certification groups to enhance information exchange across HIT platforms … June 22, 2009 Challenges in ethics, safety, best practices, and oversight regarding HIT

108. In redesigned room, hospital patients may feel better already. | PSNet
     psnet.ahrq.gov/issue/redesigned-room-hospital-patients-may-feel-better-already
     August 19, 2020 - Copy Citation Related Resources From the Same Author(s) When COVID-19 hit

109. How a Doctor Confronts Medical Error. | PSNet
     psnet.ahrq.gov/issue/how-doctor-confronts-medical-error
     September 20, 2023 - August 19, 2020 When COVID-19 hit, many elderly were left to die.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36907/psn-pdf
     September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update. September 14, 2012 Washington DC: National Quality Forum; December 2011. https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update The National Quality Forum originally defined 27 health care "never events"—patient safety events that pose ser…

111. NHS Improvement. | PSNet
     psnet.ahrq.gov/issue/nhs-improvement
     April 15, 2020 - July 10, 2012 Challenges in ethics, safety, best practices, and oversight regarding HIT

112. Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. | PSNet
     psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
     September 06, 2023 - September 19, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties

113. In Conversation with…Carolyn Clancy, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
     September 01, 2005 - A second great area is health information technology [HIT] to improve patient safety. … AHRQ sits uniquely at the intersection of health information technology and patient safety, asking how HIT … Now, on some level, there's been so much excitement about the potential of HIT that its value may seem … providers don't necessarily have safety and quality at the top of their lists of reasons to invest in HIT … The investments that we're making, building the evidence base to show how selected applications of HIT

114. Check your medical records for dangerous errors. | PSNet
     psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
     November 03, 2021 - June 27, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties.

115. Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. | PSNet
     psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
     January 18, 2023 - February 19, 2020 Half of hospitals in Conn., Del. hit by Medicare's safety penalties

116. During in-flight emergencies, sometimes airlines’ medical kits fall short. | PSNet
     psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
     January 25, 2023 - February 19, 2020 Half of hospitals in Conn., Del. hit by Medicare's safety penalties

117. The wrong goodbye. | PSNet
     psnet.ahrq.gov/issue/wrong-goodbye
     October 05, 2022 - Newspaper/Magazine Article The wrong goodbye. Citation Text: The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

118. Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. | PSNet
     psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
     December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…

119. Think health care workers are tested often for the Coronavirus? Think again. | PSNet
     psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
     July 29, 2020 - August 19, 2020 When COVID-19 hit, many elderly were left to die.

120. The other opioid crisis: hospital shortages lead to patient pain, medical errors. | PSNet
     psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
     April 08, 2020 - September 19, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties