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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/outpatient-prescribing-errors
September 01, 2005 - Intervention: basic electronic prescribing support Evaluation Method: assessment for potential adverse … drug events (ADE) Description: Basic computerized prescribing (one commercial system, one home-grown
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digital.ahrq.gov/sites/default/files/docs/publication/u19hs021094-bates-final-report-2017.pdf
January 01, 2017 - Keywords: Adverse drug events, drug side effects, pharmacist monitoring, interactive voice
response. … Thus deploying IVR calls one month (for
acute) and four months (for more chronic) adverse events/symptoms … Screening for Adverse Drug Events:
Automated Calls Coupled with Phone-Based Pharmacist Counseling (main … The Role of the Pharmacist in Monitoring and
Evaluating Patients with Adverse Drug Events.
8 … events.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluating-capability
January 01, 2002 - Evaluating the capability of information technology to prevent adverse drug events: A computer simulation
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Design Recommendations,
con’t
• Active Failures
– Operative/Post-Op Complications/Infections
– Events … to Medication Errors
– Deaths of Patients in Restraints
– Inpatient Suicides
– Transfusion Related Events … Shared Values and Beliefs about Safety within the
Organization
• Always Anticipating Precarious Events … •ICU: 43 – 84 dBA
•ER:
–Range: 52 – 96
–Ambulance door
alarm: 76 dBA
Design around
precarious events … :
Adverse drug
events
•Retrospective
chart review using
the *IHI trigger
tool
*Institute for Healthcare
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - home at discharge, and compared health information technology to usual care for benefits outcomes, adverse … events, effectiveness, costs, and satisfaction among patients and physicians.
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digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
January 01, 2020 - Operating Rooms
Using algorithms for real-time monitoring during surgery can predict and prevent adverse … 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/health-it-tools-and-resources/health-it-costs-and-benefits-database/characteristics-and-consequences
for whom an alert was triggered. 320 patients were evaluated in more detail, revealing 19 possible adverse … drug events (ADE) related to the alerted drug.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/computerized-physician-order
Nursing homes are the setting of care for growing numbers of our nation's older people, and adverse … drug events are an increasingly recognized safety and quality concern in this population.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-5-how-key-terms-are-used-book
Such events may be related to professional practice, healthcare products, procedures, and systems, including … Institute for Safe Medication Practices (ISMP): [12]
No Error
Category A - Circumstances or events … medication is achieved; the safety with which medications are used — for example, avoiding preventable adverse … events - and the financial implications of medication use — for example, cost-effectiveness compared
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/development-and-impact
October 01, 2001 - , days of sub therapeutic and excessive-doses of anti-infective, costs of anti-infective doses, and adverse … drug events.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-hospitalwide-computerized
January 01, 2005 - safety Summary: Settings: University pediatric hospital Intervention: Compare medication errors and adverse … drug events before and after implementation of CPOE with drug warnings Evaluation Method: Utilization
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/evaluation-studies-health-it/evaluation
January 01, 2007 - The effect was not significant on the number of adverse drug events.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/prescribers-responses-alerts
that further refinements to such systems are required, and that their impact on medication errors and adverse … drug events must be carefully assessed.
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digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - • Up to 35% of outpatients experience an adverse drug
event (ADE), leading to 1 million hospital … • Adverse drug events in the outpatient setting
increase health care costs by up to $1,900/case.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/implementation-electronic-system
February 15, 2007 - reconciled reported a greater understanding of the medications, including how to take them and potential adverse … events.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - events. … This may be because of the relative attention the SNAP and the “Swiss cheese model” of adverse events … events. … The disparity between the lack of change in beliefs that surround reporting of adverse events
and near … events.
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digital.ahrq.gov/organization/university-michigan-ann-arbor
January 01, 2023 - Investigator(s)
Dorsch, Michael
Patient Engagement in Reporting Medication Events … affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse … medication-related events to their care team.
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digital.ahrq.gov/location/usa-mi-ann-arbor
January 01, 2023 - Investigator(s)
Dorsch, Michael
Patient Engagement in Reporting Medication Events … affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse … medication-related events to their care team.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-physician-order-1
January 01, 2004 - computerized archive of medical records Quality of Care and Patient Safety Outcome: Rates of potential adverse … drug events (ADEs), medication prescribing errors (MPs) and rule violations (RVs) all decreased significantly
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/implementation-online-radiology
November 01, 2006 - impact of a confidential, online reporting system for monitoring potential quality-related matters or adverse … clinical events in a radiology department Years of study: 2004-2005 Study Design: time-series Outcomes