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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46894/psn-pdf
    June 20, 2018 - Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. … //psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can- lead-patient-harm … https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm … https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm

  2. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=12648454
    RoadMap  Project Contacts Name  Title Organization  Email Kevin Abbott NIDDK Nephrology Lead … NIH  kevin.abbott@nih.gov Jenna Norton NIDDK Lead NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH … saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health … Research Lead NIH Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ … RTI shaque@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot Technical Lead

  3. View Source

    cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=109249106
    RoadMap  Project Contacts Name  Title Organization  Email Kevin Abbott NIDDK Nephrology Lead … NIH  kevin.abbott@nih.gov Jenna Norton NIDDK Lead NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH … saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health … Research Lead NIH Janey.Hsiao@ahrq.hhs.gov Steve Bernstein AHRQ Technical Lead AHRQ Steve.Bernstein@ … RTI shaque@rti.org Alexa Ortiz RTI Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot Technical Lead

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36842/psn-pdf
    April 25, 2007 - VA takes the lead in paperless care. April 25, 2007 Brown D. … https://psnet.ahrq.gov/issue/va-takes-lead-paperless-care This article describes the Veterans Affairs … https://psnet.ahrq.gov/issue/va-takes-lead-paperless-care

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36235/psn-pdf
    September 06, 2006 - Tenfold errors can lead to tragedy. September 6, 2006 Sipkoff M. Drug Topics. August 21, 2006. … https://psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy This article discusses a decimal error  … https://psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy

  6. Improving EHR Design Increases Patient Safety—Especially for Children | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
    January 01, 2018 - Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead … “Poor interface design and poor technology implementations can lead to errors that may result in patient … Improving EHR design and usability will reduce errors that can lead to patient harm. … other EHR functionality can help increase the safety of EHR systems, which will reduce errors that can lead … to establish clear guidelines for both EHR vendors and healthcare provider organizations that will lead

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37291/psn-pdf
    May 02, 2018 - Error-prone conditions that lead to student nurse-related errors. … https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors Reporting on survey … https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors https://psnet.ahrq.gov

  8. Diffusion of Responsibility Leads to Danger | PSNet

    psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
    November 08, 2013 - In summary, high patient acuity and volume can lead to delays in safe transitions from the ED to a setting

  9. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=21299209
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  10. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=21299221
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  11. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=18710532
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  12. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=18710533
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  13. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=16285697
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  14. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=21299202
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  15. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=14680067
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  16. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=15728641
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  17. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=13336617
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  18. View Source

    ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=13336606
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  19. View Source

    cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=109249192
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu

  20. View Source

    cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=109249177
    MCC Project RoadMap  Project Contacts Name  Title Organization  Email Jenna Norton NIDDK Lead … NIH  jenna.norton@nih.gov Saadia Miran NIDDK PM NIH saadia.miran@nih.gov Arlene Bierman AHRQ Lead AHRQ … Arlene.Bierman@ahrq.hhs.gov Janey Hsiao AHRQ Health Research Lead AHRQ Janey.Hsiao@ahrq.hhs.gov Steve … Systems  thicke@cognitivemedicine.com Saira Haque RTI Pilot Lead RTI shaque@rti.org Alexa Ortiz RTI … Pilot PM RTI amortiz@rti.org David Dorr RTI Pilot- OHSU Site Lead OHSU dorrd@ohsu.edu
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