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digital.ahrq.gov/ahrq-funded-projects/hie-and-ambulatory-test-utilization/annual-summary/2011
January 01, 2011 - The budget underspending was due to the delay caused by the purchase of ManagedCare by TransUnion in
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2012
January 01, 2012 - September 2011 – September 2014
AHRQ Funding Amount
$335,705
Summary: Medical errors are often caused
-
digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
June 16, 2021 - technological
solutions designed to reduce errors
• Several examples illustrate the
unintended harms caused
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digital.ahrq.gov/ahrq-funded-projects/enabling-sleep-apnea-patient-centered-care-internet-intervention
January 01, 2023 - Telehealth
Obstructive sleep apnea syndrome (OSA) is a common type of sleep apnea and is caused
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digital.ahrq.gov/ahrq-funded-projects/hie-and-ambulatory-test-utilization/annual-summary/2010
January 01, 2010 - While this process caused a delay in the receipt of the anticipated data extracts, all revised agreements
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
January 01, 2023 - note, in comparing the manual to the automated system, there was no difference in the level of harm caused
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digital.ahrq.gov/ahrq-funded-projects/evidence-based-contingency-planning-electronic-health-record-downtime
January 01, 2023 - It may be caused by system failures; software or hardware issues; interruptions to internet connectivity
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-ut
January 01, 2023 - This change in direction caused delays in the overall implementation of the HIE.
-
digital.ahrq.gov/ahrq-funded-projects/bettering-lives-utilizing-electronic-systems-blues-project-improving-diabetes/annual-summary/2011
January 01, 2011 - This difference caused the project team to review the methods used in the original queries to ensure
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digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/annual-summary/2010
January 01, 2010 - mellitus, congestive heart failure, chronic obstructive pulmonary disease, and xerostomia (dry mouth) caused
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digital.ahrq.gov/ahrq-funded-projects/hie-and-ambulatory-test-utilization/annual-summary/2012
January 01, 2012 - There was an initial delay caused by the purchase of ManagedCare by TransUnion in late 2010.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - Problems with EMR usability -especially for documenting progress notes - caused physicians to spend extra
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
June 16, 2021 - Was the event
caused by a
medication that
required outpatient
blood monitoring?
1.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - Root Cause Analysis
Acronym
RCA
Examples
Latino RJ. The "5 PS" concept. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. 77-86.
Latino RJ. Case studies. Patient safety: the PROACT root cause analysis approach. Boca Raton, FL: CRC Press; 2009. p. …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cause-and-effect-diagram
January 01, 2023 - Cause-and-Effect Diagram
Also Known As
Ishikawa Diagram
Fishbone Diagram
Examples
Roberts L, Johnson C, Shanmugam R, et al. Computer simulation and six-sigma tools applied to process improvement in an emergency department. 17th Annual Society for Health Systems Management Engineering F…
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-prevent-medication-induced-birth/annual-summary/2011
January 01, 2011 - information technology (IT) may help doctors counsel women about preventing birth defects that could be caused
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digital.ahrq.gov/ahrq-funded-projects/visualdecisionlinc-real-time-decision-support-behavioral-health/annual-summary/2012
January 01, 2012 - the time to remission, as well as reduce the likelihood of medication errors and the adverse events caused
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/lamberts-r-2003
January 01, 2003 - This enabled us to become increasingly efficient with the use of [the EHR] and caused the data in [the
-
digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - These complications are caused by a variety of factors, including poor communication among the inpatient
-
digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-prevent-medication-induced-birth/annual-summary/2010
January 01, 2010 - information technology (IT) may help doctors counsel women about preventing birth defects that could be caused