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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
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - almost all overrides of alerts were clinically appropriate and that overrides rarely caused serious adverse … reasons for pharmacist interventions after CPOE implementations identified increases in duplicate therapy events … In one study, adverse consequences almost never occurred even when the highest level drug-drug interactions
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digital.ahrq.gov/national-webinars/applying-advanced-analytics-clinical-care
January 01, 2023 - 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/citation/r21hs024751-dalal-final-report-2019.pdf
January 01, 2019 - Scope: Approximately 19-23% of hospitalized patients experience preventable adverse events
post-discharge … Lack of patient engagement may
contribute to preventable adverse events and readmissions. … Approximately 19-23% of hospitalized patients experience preventable
adverse events post-discharge. … Lack of patient engagement during the process of
discharge preparation may contribute to preventable adverse … events and costly readmissions.
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digital.ahrq.gov/organization/massachusetts-general-hospital
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision
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digital.ahrq.gov/key-topics/computerized-provider-order-entry
January 01, 2007 - In addition, recent research suggests CPOE implementation can introduce various adverse unintended consequences … The effect was not significant on the number of adverse drug events. … High Rates of Adverse Drug Events in a Highly Computerized Hospital Author(s) : Nebeker JR, Hoffman JM … shown that specific computerized interventions may reduce medication errors, but few have examined adverse … drug events (ADEs) across all stages of the computerized medication process.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-automated-alerts-provider
September 01, 2005 - The study was not designed to have an adequate sample size to detect differences in adverse drug events
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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 … Communication
To Improve Patient Safety
Communication failures primary root cause in 3
of every 5 sentinel events … Some data suggest teamwork behaviors can
prevent or mitigate adverse events
Crew resource management
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
January 01, 2011 - drug events in hospitals6, 7. … drug events than in a hospital
setting8
Following numerous published studies on medication errors … Two studies have
.
4
reported a rate of Potential Adverse Drug Events (PADEs) caused by medication … Incidence of
adverse drug events and potential adverse drug events.
Implications for prevention. … Role of
pharmacist counseling in preventing adverse drug
events after hospitalization.
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digital.ahrq.gov/principal-investigator/samore-matthew
January 01, 2023 - for acute respiratory infections, frequency of hemoglobin A1c in diabetics, incidence of outpatient adverse … drug events, and influenza vaccine immunizations.
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0069-EF_1.pdf
June 01, 2009 - High
rates of adverse drug events in a highly
computerized hospital. Arch Intern Med 2005
3. … The effect of electronic prescribing on
medication errors and adverse drug events: a
systematic review … Effect of
computerized provider order entry with clinical
decision support on adverse drug events in … Reducing and preventing adverse drug events to
decrease hospital costs. … Adverse drug events in hospitalized patients.
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - High
rates of adverse drug events in a highly
computerized hospital. Arch Intern Med 2005
3. … The effect of electronic prescribing on
medication errors and adverse drug events: a
systematic review … Effect of
computerized provider order entry with clinical
decision support on adverse drug events in … Reducing and preventing adverse drug events to
decrease hospital costs. … Adverse drug events in hospitalized patients.
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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 … events.
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digital.ahrq.gov/ahrq-funded-projects/interactive-patient-centered-discharge-toolkit-promote-self-management-during
January 01, 2023 - Disclaimer details
Close
Project Description
Publications
Events … in Care
Approximately 19 to 23 percent of hospitalized patients experience preventable adverse … events after discharge, many that are due to suboptimal monitoring of medical conditions, medication
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-adherence-reporting-and-feedback-during-care-transitions
January 01, 2023 - Disclaimer details
Close
Project Description
Publications
Events … Adverse drug events are common due to many factors, including misunderstanding of the prescribed medication
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digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard/annual-summary/2012
January 01, 2012 - Patient safety problems, such as adverse drug events, monitoring failures, and lack of followup on abnormal
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - system that generates "reminders for potassium blood testing in patients taking diuretics" to decrease adverse … drug events.
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digital.ahrq.gov/research-method/retrospective
January 01, 2025 - Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse … Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse
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digital.ahrq.gov/sites/default/files/docs/page/CITL%20ACPOE%20Executive%20Preview_0.pdf
March 01, 2003 - drug events and more than 190,000 hospitalizations per year. … Adverse Drug Events (ADEs) are
defined as injuries “resulting from an intervention related to a drug … Systems Analysis of Adverse Drug Events. … Using Computerized Data to Identify Adverse Drug
Events in Outpatients. … Identifying Hospital Admissions Due
to Adverse Drug Events Using a Computer-Based Monitor.
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digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions
January 31, 2025 - Incomplete discharge planning puts patients at increased risk of care disruption, complications, and adverse … health events, resulting in nearly one in four patients being readmitted.