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  1. Clinical alarms: complexity and common sense. | PSNet

    psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
    September 23, 2020 - March 7, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33748/psn-pdf
    April 01, 2013 - In Conversation With… Christopher P. Landrigan, MD, MPH April 1, 2013 In Conversation With… Christopher P. Landrigan, MD, MPH. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph Editor's note: Christopher P. Landrigan, MD, is Associate Professor of Medicine and …

  3. Unintended Consequences of CPOE | PSNet

    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - HIT makes ECRI's top 10 list of hazardous technologies for 2011. December 6, 2010. … "e-Iatrogenesis": the most critical unintended consequence of CPOE and other HIT.

  4. In Conversation With… Richard Hoppmann, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
    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.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33627/psn-pdf
    February 01, 2006 - removing-insult-injury-disclosing-adverse-events Perspective You pull into a parking space, swing open the car door, and are dismayed to hear it hit

  6. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
    February 01, 2017 - PowerPoint Presentation Spotlight The Hazards of Distraction: Ticking All the EHR Boxes * Source and Credits This presentation is based on the February 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Anthony C. Easty, PhD, Adjunct Pr…

  7. Security Lapse | PSNet

    psnet.ahrq.gov/web-mm/security-lapse
    December 18, 2019 - Security Lapse Citation Text: Mason D. Security Lapse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - first ambitious target (30% of Medicare payments tied to alternative payment models) was actually hit

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - www.ncbi.nlm.nih.gov/pubmed/23874365 https://psnet.ahrq.gov//#ref12back https://www.ecri.org/Resources/HIT

  10. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet

    psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    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.

  11. Medical errors: impact on clinical laboratories and other critical areas. | PSNet

    psnet.ahrq.gov/issue/medical-errors-impact-clinical-laboratories-and-other-critical-areas
    March 06, 2005 - March 7, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties.

  12. Medical errors: an introduction to concepts. | PSNet

    psnet.ahrq.gov/issue/medical-errors-introduction-concepts
    March 06, 2005 - March 7, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties.

  13. Origin and uses of primum non nocere—above all, do no harm! | PSNet

    psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
    January 09, 2019 - December 15, 2010 Challenges in ethics, safety, best practices, and oversight regarding HIT

  14. Right Electrocardiogram, Wrong Patient | PSNet

    psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
    April 24, 2024 - Available from: https://www.ecri.org/Resources/HIT/Patient%20ID/Patient_Identification_Evidence_Based_Literature_final.pdf

  15. In Conversation With… Jack Needleman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - Its staffing targets were high and they hit their targets 84% of the time—that's the best case. … patients safe, to deliver care reliably, to deliver care efficiently, and how to ensure that it can hit

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49720/psn-pdf
    December 01, 2014 - seconds. 1 = Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit … position for full 5 seconds. 1 = Drift; leg falls by the end of the 5- second period but does not hit

  17. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet

    psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
    August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable Citation Text: Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…

  18. Junior medics bullied to lie about hours: doctors ordered to work without proper training. | PSNet

    psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
    April 27, 2016 - March 7, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49587/psn-pdf
    May 01, 2009 - injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians hit

  20. Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error. | PSNet

    psnet.ahrq.gov/issue/inadvertent-administration-magnesium-sulfate-through-epidural-catheter-report-and-analysis
    March 06, 2019 - August 19, 2009 Challenges in ethics, safety, best practices, and oversight regarding HIT
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