-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/return-investment-computerized
August 23, 2021 - renal dosing guidance (accountable for approximately half of the benefits); other method of savings are 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/health-care-theme/chronic-disease-management
January 01, 2023 - affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse
-
digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
January 01, 2023 - Currently, nearly one-third of medical errors and adverse events in healthcare can be tied to miscommunication
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eslami-s-et-al-2007
January 01, 2007 - The effect was not significant on the number of adverse drug events.
-
digital.ahrq.gov/sites/default/files/docs/page/modeling-risk-reduction-interventions-for-patients-with-type-2-diabetes-mellitus.pdf
June 03, 2010 - Complex Patients Require Complex
Treatment Decisions
Multiple Possible Adverse Outcomes
Which are … Risk
Diminishing Returns
When there are many different ways to reduce the risk of a
particular adverse
-
digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Cullen et al (1997) showed that the large
number of medication errors and adverse drug events (ADEs … Incidence of
Adverse Drug Events And Potential Adverse Drug
Events: Implications for Prevention. … Preventable
adverse drug events in hospitalized patients: a
comparative study of intensive care and
-
digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
May 25, 2010 - fragmentation of spend and maverick purchasing
inter-departmental power and politics
the risk adverse
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/financial-analysis-projects
January 01, 2002 - Quality of Care and Patient Safety Outcome: Assumed 28% reduction in adverse drug events (ADEs).
-
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/6_GLIDES_Usability_TEP%20_Aug_2011.pdf
January 01, 2011 - 15
Reasons
• Specialty: Experts don’t need DS, patients more
complex
• Workflow: Habit
• Social: Adverse
-
digital.ahrq.gov/sites/default/files/docs/page/Tichy.ppt
January 01, 2005 - Index
Development of a Master Medication List
Development of an Inventory of Allergies and other Adverse
-
digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - Incidence of adverse events
and negligence in hospitalized patients. … The nature of adverse
events in hospitalized patients. … Medication Errors and
Adverse Drug Events in Pediatric Inpatients. … Relationship between medication errors and
adverse drug events. … Systems analysis of adverse drug
events. ADE Prevention Study Group.
-
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/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/taconic-health-information
March 31, 2008 - "We will look carefully at medical errors, adverse drug events, quality issues, and cost in all three
-
digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
January 01, 2010 - HIV RNA, depression, anxiety, and quality of life; safety, such as documentation of drug allergies, adverse
-
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/sites/default/files/docs/page/adhd_dx_assessment_final_1.pdf
June 25, 2013 - Plan
Counseled in behavior modification techniques; Counseled about expected benefits and possible adverse
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2009
January 01, 2009 - In either case, quality of care may be undermined and patients may be exposed to a higher risk of adverse