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  1. psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality
    September 07, 2011 - July 30, 2014 Challenges in ethics, safety, best practices, and oversight regarding HIT
  2. psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
    October 30, 2010 - April 24, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties.
  3. psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
    April 26, 2017 - September 30, 2020 When COVID-19 hit, many elderly were left to die.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50842/psn-pdf
    January 29, 2020 - https://www.ecri.org/Resources/HIT/Patient%20ID/Patient_Identification_Evidence_Based_Literature_final.pdf … pmc/articles/PMC4376046/ https://www.ncbi.nlm.nih.gov/pubmed/16306279 https://www.ecri.org/Resources/HIT
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49771/psn-pdf
    July 01, 2016 - HIT makes ECRI's top 10 list of hazardous technologies for 2011. December 6, 2010. … www.ncbi.nlm.nih.gov/pubmed/15755942 http://dx.doi.org/10.1518/001872095779049516 http://www.healthcareitnews.com/news/hit-makes-ecris-top … "e-Iatrogenesis": the most critical unintended consequence of CPOE and other HIT.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836877/psn-pdf
    May 16, 2022 - CO2 as a way of looking at real-time data versus waiting for that pulse oximetry for the hypoxia to hit … One that I can think of is that with monitors, if you hit the wrong button, it would just shut off instead … now have a feature where if it looks like you're about to defibrillate they don't turn off if you hit
  7. psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
    March 27, 2024 - The story that you had to tell was that the chance of a mismatch was about the chance of being hit by … If you could tell that story, people would say, "Okay, I might get hit by lightning. … I'm not going to stay inside my whole life because I might get hit by lightning."
  8. psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
    August 20, 2018 - February 13, 2019 Half of hospitals in Conn., Del. hit by Medicare's safety penalties
  9. psnet.ahrq.gov/web-mm/language-barrier
    February 28, 2024 - 14 ) A resident's misinterpretation of two Spanish words ( se pegó misinterpreted as "a girl was hit … by someone else" instead of "the girl hit herself" when she fell off her tricycle) resulted in a
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49484/psn-pdf
    June 01, 2005 - Health care information technology (HIT) should be designed to correspond to human characteristics of … An optimal fit of HIT to its environment and to the needs of users is therefore of paramount importance
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33706/psn-pdf
    February 01, 2011 - I mean, not every project turned to gold, but I'd guess about one in five of the projects hit a home … honest, you're an open learner, you model behaviors you like others to show, and you rolled back and hit
  12. psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
    April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
  13. psnet.ahrq.gov/periodic-issue/periodic-issue-299
    July 28, 2021 - consider unintended consequences when implementing new tools, such as health information technology (HIT … identify the type of medication error, the stage in the process in which the error occurred, and how HIT
  14. psnet.ahrq.gov/periodic-issue/periodic-issue-405
    August 30, 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
  15. psnet.ahrq.gov/periodic-issue/periodic-issue-377
    February 01, 2023 - Health information technology (HIT), such as electronic health records (EHRs) or computerized provider … articles found that machine learning and statistical modeling are the most commonly used automated, HIT-based
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33859/psn-pdf
    June 01, 2018 - some of the time that we used to spend training for heart sounds now gets replaced with this, so you hit … How far away do you think we are before we hit that? RH: This is a difficult question.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33857/psn-pdf
    July 01, 2012 - The story that you had to tell was that the chance of a mismatch was about the chance of being hit by … If you could tell that story, people would say, "Okay, I might get hit by lightning. … I'm not going to stay inside my whole life because I might get hit by lightning."
  18. psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
    October 28, 2020 - Select homes got hit in all three areas, and some had wide-spread outbreaks. … There were some homes that were hit pretty badly. … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … October 14, 2020 When COVID-19 hit, many elderly were left to die.
  19. psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
    October 28, 2020 - Select homes got hit in all three areas, and some had wide-spread outbreaks. … There were some homes that were hit pretty badly. … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … October 14, 2020 When COVID-19 hit, many elderly were left to die.
  20. psnet.ahrq.gov/web-mm/two-pills-same-drug
    May 27, 2011 - Health care information technology (HIT) should be designed to correspond to human characteristics of … An optimal fit of HIT to its environment and to the needs of users is therefore of paramount importance

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