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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
January 01, 2013 - A for drug B, or drug B for drug A in
any pair). … : The drug patient received in error
† Intended Drug: The drug patient was supposed to receive
‡ Average … Intended
Drug*
Delivered
Drug†
Average
Harm
Score‡
Number
of
Subjects§
Intended
Drug … : The drug patient was supposed to receive
† Delivered Drug: The drug patient received in error
‡ … : The drug patient was supposed to receive
† Delivered Drug: The drug patient received in error
‡
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digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - Features of the prescription writer included on-the-fly drug-to-drug interaction prompts; automatic allergy … Drug-drug interaction checker : The drug-drug interaction checker displayed information about potential … drug-drug interactions above the electronic prescription pad. … Drug names color coded red indicated a major drug-drug interaction, purple indicated a moderate interaction … domains were studied, linked to the tool’s decision support features: medication safety (potential drug-drug
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tamblyn-r-et-al-2003
January 01, 2003 - [Link]
Abstract
"Background: Adverse drug-related events are common in the elderly, and inappropriate … therapeutic duplication by the study physician and another physician (RR 1.66, 95% CI 0.99-2.79) and drug … Interpretation: Computer-based access to complete drug profiles and alerts about potential prescribing … contraindications, 23 to drug interactions, 17 to drug-age contraindications, 3 to duration of therapy … This trend was evident for drug-disease contraindications, drug-age contraindications, excessive duration
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digital.ahrq.gov/program-overview/research-stories/use-artificial-intelligence-and-machine-learning-improve-care
January 01, 2023 - potential to optimize critical care pharmacist resources and improve patient safety by reducing adverse drug … on rounds in the ICU has significant benefits, including reduction of medication errors and adverse drug … Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
January 01, 2022 - Aim 3: Redesign drug allergy alerting mechanisms. … Drug allergies known to
cause adverse drug reactions (ADRs) account for 6 percent of hospitalizations … We included only drug class
allergens that comprised at least 0.5 percent of all reported drug allergies … We
found that drug matches are less likely to be overridden. … Drug-induced Anaphylaxis Documented in Electronic Health Records.
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digital.ahrq.gov/technology/computerized-provider-order-entry-system
January 01, 2023 - Adoption of Patient Photographs in Electronic Health Records
Preventing Wrong-Drug … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022728-zhou-final-report-2018.pdf
January 01, 2018 - For example, a mention of a drug name may be in reference
to that drug as an allergen, but it could … The prevalence of each drug and drug class was calculated and compared by sex
and race/ethnicity. … 1.95 drug allergies per patient. … drug intolerance syndrome (MDIS) and multiple drug
allergy syndrome (MDAS) is poorly characterized. … to ≥2
drug classes.
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digital.ahrq.gov/principal-investigator/sikora-andrea
January 01, 2024 - Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug … Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug … Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug … Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug … Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug
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digital.ahrq.gov/research-method/delphi-method
January 01, 2023 - Delphi Method
Preventing Perioperative Medication Errors and Adverse Drug … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name
Children's EHR Format Enhancement
Drug-drug interactions that … Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/annual-summary/2012
January 01, 2012 - Specific Aims:
Identify a subset of known LASA drug pairs that are prescribed in ambulatory pediatric … (Achieved)
Estimate frequencies of screening alerts (potential LASA substitution errors) in these drug … (Ongoing)
2012 Activities: The research team identified a subset of known LASA drug pairs that are … The team used a Food and Drug Administration (FDA) file that cross-referenced the brand name and generic … drugs that are the same drug but are listed under different names.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - potentially inappropriate therapy, avoiding potentially inappropriate dosages,
avoiding potential drug-drug … drug events. … Practice-level avoidance of potential drug-
drug interactions and potentially inappropriate dosages were … interactions,
drug-disease interactions and monitoring or prevention of adverse drug events (ADE)s. … drug events.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015413-samore-final-report-2008.pdf
January 01, 2008 - Features included on-the-fly drug to drug
interaction prompts, automatic allergy and drug intolerance … Drug-Drug Interaction Checker. … The drug-drug interaction checker displayed information
about potential drug-drug interactions above … Drug
names color coded red indicated a major drug-drug interaction, purple indicated a moderate
reaction … Results: Drug-Drug Interactions.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - trial, or an observational study with controls and if the measured outcomes were clinical (e.g. adverse drug … corollary orders, 1 an improvement in 5 prescribing behaviors, and 1 an improvement in nephrotoxic drug … , and more sophisticated CDSSs can perform drug allergy checks, drug-laboratory value checks, and drug-drug … about corollary orders (e.g. prompting the user to order glucose checks after ordering insulin) or drug … Basic CDSSs often assist in tasks such as drug selection, dosing, and duration, and more refined CDSSs
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - abbreviation
12.06 Strength abbreviation
12.07 Amount abbreviation
12.08 Weight abbreviation
12.09 Drug … Substitution
13.01 Wrong drug given
13.02 Wrong patient received drug
13.03 … Wrong drug ordered
15. … Failure to recognize drug-drug interaction
16. Inadequate follow-up of therapy
17. … Use of inappropriate drug
18. Avoidable delay of treatment
19.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026565-bull-final-report-2021.pdf
January 01, 2021 - Pharmacists identified drug-drug interactions (DDIs) and
made recommendations to clinicians. … Specific Aim 2: Identify the common drug-drug interactions (DDIs) by a virtual pharmacist in
a palliative … therapy (polypharmacy)6,7 that is associated with drug-drug
interactions (DDIs) and adverse events8 … of TapCloud, in this intervention a
pharmacist assessed each patient’s medication list, identified drug-drug … Drug-drug and drug-disease interactions in
the ED: analysis of a high-risk population.
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digital.ahrq.gov/care-setting/across-health-care-system
January 01, 2023 - , Kathy
Huston, Paula
Enabling Shared Decision Making to Reduce Harm from Drug … graphically communicate risks and decision options, supporting SDM for patients and providers regarding drug-drug … Number
R01 HS026214
Principal Investigator(s)
Toh, Darren
Meaningful Drug … Interaction Alerts
Description
This research developed algorithms for eight key drug-drug
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digital.ahrq.gov/principal-investigator/jack-brian
February 28, 2023 - Investigator
Jack, Brian
Project Name
Virtual Patient Advocate to Reduce Ambulatory Adverse Drug … African American Women
Virtual Patient Advocate to Reduce Ambulatory Adverse Drug … Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events - Final Report. … Investigator
Jack, Brian
Project Name
Virtual Patient Advocate to Reduce Ambulatory Adverse Drug … Events
Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events - 2011
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digital.ahrq.gov/sites/default/files/docs/page/2006FieldJudgeDeFlorio_051211comp.pdf
January 01, 2006 - units
Clinical Decision Support System
Design principles
Types of drug … orders triggering alerts
- high severity drug interactions
- problematic lab test results
- potential … dose recommendations
Hyperglycemia
Multiple drugs with antiplatelet effects
Drug interactions … processed
9414 alerts triggered (2.5 per resident-
month)
54% of alerts not relevant to the drug … order
- dose recommendations
- drug interactions
- opioid orders
Relevant
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digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative/annual-summary/2010
January 01, 2010 - the AHA Annual Survey, it was estimated that approximately 26 percent of all in-hospital prescription drug … available to them: reminders for guideline-based interventions and/or screening tests, warnings of drug … allergy alerts, drug-drug interaction alerts, drug-laboratory interaction alerts, or drug dosing support … CDS technologies that inform courses of action (clinical guidelines, clinical reminders, and drug dosing … alerts, drug-drug interaction alerts, and drug-lab interaction alerts).
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digital.ahrq.gov/sites/default/files/docs/publication/u19hs021094-bates-final-report-2017.pdf
January 01, 2017 - Data for drug-drug interaction, drug allergy,
duplicate medication, renal, geriatric, and formulary … We
evaluated the domains of drug-drug interactions (DDI), drug suggestions for geriatrics and
patients … The most
common alerts were duplicate drug (33.1%), patient allergy (16.8%), and drug-drug interactions … An International
Evaluation of User Perceptions of Drug-Drug and Drug-Allergy Interaction Alerts. … An International
Evaluation of User Perceptions of Drug-Drug and Drug-Allergy Interaction Alerts.