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digital.ahrq.gov/program-overview/research-stories/decision-support-emergency-department-improve-medication-safety
January 01, 2023 - older patients, new medications prescribed outside of the primary care setting increases the chance of adverse
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digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
January 01, 2023 - predictive models improving the allocation of critical care pharmacists to intensive care units to reduce adverse
-
digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients
January 01, 2023 - the three alert strategies on improving dental care utilization and reducing emergency visits due to adverse
-
digital.ahrq.gov/track-1-patient-safety-and-health-it-across-settings-and-populations
January 01, 2023 - Finally, presenters will discuss how to refine CPOE systems with clinical decision support to prevent adverse
-
digital.ahrq.gov/health-care-theme/patient-engagement
January 01, 2023 - affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse
-
digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care
January 01, 2024 - independence upon transitioning home, increasing the strain on family and care partners, and contributing to adverse
-
digital.ahrq.gov/medical-condition/colorectal-cancer
January 01, 2024 - affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse
-
digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
June 16, 2021 - • Impact on
adverse drug
events
• Medical record
reviews
You will need to have
longitudinal data … You could do active
surveillance and build
prompts into the
system for clinicians
to report adverse … The teams must
come together
to decide what
constitutes
an adverse
drug event
and how it will … Adverse drug
events are
relatively rare
and it takes
many medical
record reviews
to be confident … event or
outbreak
• Logs
• Report review
Pre- and post-
implementation
review of reports
of adverse
-
digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
January 01, 2023 - What is the impact of health IT on preventable adverse events: less weight loss, less decline in ADLs … , fewer adverse drug events?
-
digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
January 01, 2018 - Scott Ryan Levin tested E-triage, a machine-learning algorithm, to predict the risk of adverse outcomes
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chase-h-et-al-2003
January 01, 2003 - ) levels were determined at 0 and 6 months, and the number of high and low blood glucose levels and adverse
-
digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Errors
Medical error rate of 18 per 100 patients
One of three hundred patients experienced an
adverse … Some data suggest teamwork behaviors can
prevent or mitigate adverse events
Crew resource management
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - www.ahrq.gov
2
Abstract
Purpose: The purpose of this project was to reduce medical errors and adverse … 3
Final Report
Purpose
The purpose of this project was to reduce medical errors and adverse … a public education
campaign to build awareness of patient safety and this “Swiss cheese” model of adverse … This may be because of the relative attention the SNAP and the “Swiss cheese model” of adverse events … The disparity between the lack of change in beliefs that surround reporting of adverse events
and near
-
digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Type of Care
Family Medicine
Internal Medicine
Pediatrics
Health Care Theme
Adverse
-
digital.ahrq.gov/ahrq-funded-projects/improving-outcomes-related-patients-through-advanced-nursing-technology
March 31, 2023 - shift reporting ( BSR), hourly rounding ( HR), and other bedside interactions, reduces the risk of adverse
-
digital.ahrq.gov/program-overview/research-stories/continuous-predictive-analytics-monitoring-improve-care-risk
January 01, 2023 - CoMET)—an artificial intelligence tool with visual analytics that displays risk estimates for multiple adverse
-
digital.ahrq.gov/ahrq-funded-projects/electronic-medication-adherence-reporting-and-feedback-during-care-transitions
January 01, 2023 - Adverse drug events are common due to many factors, including misunderstanding of the prescribed medication
-
digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-chronic-pain-management-rti
August 01, 2024 - It explored methodologies to identify patients at high risk of adverse outcomes from opioids.
-
digital.ahrq.gov/ahrq-funded-projects/using-electronic-health-records-support-decision-making-pediatric-obesity-care
January 01, 2024 - remains a highly prevalent public health issue and contributes to significant short- and long-term adverse
-
digital.ahrq.gov/population/pharmacist
January 01, 2024 - Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse