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digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems
January 01, 2023 - opportunities for errors to be intercepted during the clinical workflow and reducing the likelihood of adverse … drug events. … Theme
Human Factors
Medication Errors
Medication Safety
Medication errors cause adverse … drug events in nearly 5 percent of the inpatient population. … Although no adverse drug events were reported within the study period, 22 percent of the ordering errors
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digital.ahrq.gov/principal-investigator/koss-richard
January 01, 2023 - Description
Promoted and evaluated the interchange of patient safety information and the reporting of adverse … events and close calls among public and private voluntary incident reporting systems being used at U.S
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - clinician-reported medical errors, medical errors attributable to sub-optimal information exchange, adverse … events, and other measures of patient safety and workflow. … will evaluate the impact of this intervention on patient safety outcomes, including medical errors and adverse … events, using interrupted time series methodology, and conduct a robust mixed-methods evaluation on … events; its clinical use and perceived usability; and any facilitators and barriers to use from those
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digital.ahrq.gov/sites/default/files/docs/implementation/U%20of%20MN%209-17-05.ppt
November 24, 2003 - IOM Report
cont’d
Death in Hospitals from Medical Errors
1 in 343 Admits to 1 in 764 Admits
Adverse … Events in Hospitals
1 in 27 Admits to 1 in 34 Admits
The Patient Safety Learning Lab
Top 10 … Movement
Design Recommendations, con’t
Active Failures
Operative/Post-Op Complications/Infections
Events … Relating to Medication Errors
Deaths of Patients in Restraints
Inpatient Suicides
Transfusion Related Events … Safety
Shared Values and Beliefs about Safety within the Organization
Always Anticipating Precarious Events
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digital.ahrq.gov/events/national-web-conference-applying-advanced-analytics-clinical-care
January 01, 2021 - Describe how data mining and machine learning can help forecast adverse outcomes among surgical patients
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digital.ahrq.gov/sites/default/files/docs/page/09-0023-EF_bcma_0.pdf
December 01, 2008 - Incidence of adverse events and negligence in hospitalized
patients: results from the Harvard Medical … Adverse Drug Events Prevention Study Group. … The costs of adverse
drug events in hospitalized patients. JAMA 1997;227: 307-11.
4. … Incidence of adverse drug events and potential adverse drug events.
JAMA 1995;274:29-34.
6. … Systems analysis of adverse drug events.
JAMA 1995;274:35-43.
8.
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - Incidence of adverse events and negligence in hospitalized
patients: results from the Harvard Medical … Adverse Drug Events Prevention Study Group. … The costs of adverse
drug events in hospitalized patients. JAMA 1997;227: 307-11.
4. … Incidence of adverse drug events and potential adverse drug events.
JAMA 1995;274:29-34.
6. … Systems analysis of adverse drug events.
JAMA 1995;274:35-43.
8.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/cost-benefit-analysis-electronic
January 01, 2003 - decision support alters and reminder built in the EHR could decrease healthcare costs by reducing 34% of adverse … drug events, offering 15% savings by using alternatives, less expensive medications, and reducing the … The financial benefits are savings by $2,200 for adverse drug events, $16,400 for drug savings, $2,400 … see the benefits of chart pull savings and transcription savings from the first year; prevention of adverse … drug events and drug savings from the second year; and laboratory savings, radiology savings, charge
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
January 01, 2010 - These cross-disciplinary cores currently support projects on soliciting information from patients on adverse … medication events, using clinical decision support (CDS), evaluating new processes for medication reconciliation … telephony to ask outpatients identified from electronic health record (EHR) data if they are experiencing adverse … The team reviewed a large dataset of adverse drug events involving multiple drugs in community hospitals … to build on previous research and develop recommendations to prevent adverse drug events.
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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
January 01, 2023 - Disclaimer details
Close
Project Description
Publications
Events … Research Story
Using algorithms can predict postoperative adverse outcomes with … Detected events triggered an alert on a clinical dashboard. … Tower (ACT) software to monitor the real-time status of all ORs in the operating suite, where detected events … Algorithms were able to predict postoperative adverse outcomes with a high degree of accuracy.
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digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_and_improving_medication_use_2010pdf_2.pdf
August 01, 2011 - These cross-disciplinary cores currently support projects on soliciting information
from patients on adverse … medication events, using clinical decision support (CDS), evaluating new
processes for medication reconciliation … The team reviewed a large dataset
of adverse drug events involving multiple drugs in community hospitals … to build on previous research and
develop recommendations to prevent adverse drug events. … medication reconciliation
module by adjudicating medication discrepancies and reviewing potential adverse
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs018236-ziemer-final-report-2012.pdf
January 01, 2012 - events. … Much of the information needed concerns medication:
actual behavior and adverse drug events from the … Incorrect medication histories contribute to prescribing errors and adverse drug events (ADEs). … events: each patient used all three
information instruments (n= 117; AIM-1);
§ Randomized trial … Adverse drug events in ambulatory
care.[see comment]. New England Journal of Medicine.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022728-zhou-final-report-2018.pdf
January 01, 2018 - Adverse events from medications are
part of clinical practice, but the ability to identify a patient's … The ability to identify adverse events has been a challenge due to
limitations of available data sources … events
for postmarketing surveillance such as those posted on social media that would otherwise … events more quickly and to improve clinical decision support
with regard to a patient's estimated … risk for specific adverse events at the time of
medication prescription or review.
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digital.ahrq.gov/organization/joint-commission
January 01, 2023 - Description
Promoted and evaluated the interchange of patient safety information and the reporting of adverse … events and close calls among public and private voluntary incident reporting systems being used at U.S
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
administration, and desired effects), how to appropriately store and handle medications, and potential adverse … Anticipate and monitor individual desired and adverse effects, for example, through history/symptoms, … examination, and check of appropriate labs with notification of critical labs/adverse effects. … Track adverse events across populations, for example, (ideally) via robust structured data-reporting
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digital.ahrq.gov/az-index
S
T
V
W
Access to Care
Administrative System
Adverse … Events
Architecture
Artificial Intelligence
Audit Log
Bar Coding
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digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
January 01, 2023 - Discuss the factors associated with the use of a clinical decision support tool to reduce risk of adverse … events due to complex medication regimes in a home health setting.
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digital.ahrq.gov/technology/administrative-system
January 01, 2023 - Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse … drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate … Description
Implemented and evaluated a voluntary system for reporting medical errors and adverse … drug events in eight small rural hospitals; identified barriers to technology, described the epidemiology
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - Hospital
Inpatient
Population
Rural Populations
Health Care Theme
Adverse … Events
Medication Errors
Medication Management
Patient Safety
This project implemented … There was a 56 percent reduction in the number of reported unexpected adverse drug reactions and a 10
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digital.ahrq.gov/program-overview/impact-stories/improving-delivery-health-services
January 01, 2019 - discontinuation orders between electronic health records and pharmacies, can improve medication safety and reduce adverse … drug events. … Control Tower: Like Air Traffic Control for Operating Rooms Using algorithms can predict postoperative adverse