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digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - hardware location, lighting,
engineering)
• Inadequately secured data
• Hardware Failure
• Use error … Security, virus or other malware
• Incompatibility between devices
• Equipment/Device function
○ Error … in charting, communication or display
○ Loss of clinical data
○ Medication error—software related
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2010
January 01, 2010 - The error rates of these 200 medication pairs will then be estimated by reviewing patient medication … After estimation of the error rate, the positive predictive value will be identified for the screening … To measure the error rates of the final list of medication pairs, the team will review patient medication
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digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
July 31, 2023 - by approximately 12 percent, supporting earlier research and highlighting the efficacy of alerts in error … mistakes does not correct or prevent errors, it provides the facility with information to discover error … Yet, human error is very common in the healthcare environment. … The research team will conduct a randomized controlled trial of wrong-patient error rates between systems
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support
Project Final Report ( PDF , 503.69 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its cont…
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
January 01, 2009 - to weight-based dosing, off-label drug usage and preparation, limited ability to withstand a dosing error … , and a limited ability to communicate with health care professionals when an error might occur or has … It changes the culture of the organization gradually and whittles away at the medication error and other … phased EMR implementation and these other initiatives have contributed to the changes in medication error … Overall error rates, including low-severity errors, dropped to almost zero by late 2007.
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digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2011
January 01, 2011 - verbal communication increases the potential for data loss, delayed time to treatment, and medical error … outcomes including effects on communication, information availability for decisionmaking, and medical error
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error … broad range of errors that may occur in practice that may be missed by using traditional retrospective error
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-reported-medication
January 01, 2006 - three intensive care units of the 473-bed University of Kentucky Hospital Intervention: medication error
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - Each prescription was evaluated for the presence of an error. … The first outcome of
interest was whether an error (or potential error) occurred. … Human Error. Cambridge, England:
Cambridge University Press; 1990.
7. Leape LL. … National Coordinating Council for Medication Error
and Reporting and Prevention. … The impact of
computerized physician order entry on medication
error prevention.
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digital.ahrq.gov/sites/default/files/docs/activity/comprehensive_information_tech_2009_update_2.pdf
January 01, 2009 - to weight-based dosing, off-
label drug usage and preparation, limited ability to withstand a dosing error … , and a limited ability to
communicate with health care professionals when an error might occur or has … It changes the culture of the organization gradually and
whittles away at the medication error and other … phased EMR
implementation and these other initiatives have contributed to the changes in medication error … Overall error rates, including low-severity errors, dropped to almost zero by
late 2007.
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digital.ahrq.gov/principal-investigator/basco-william
January 01, 2023 - Basco, William
Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report
Citation
Basco W. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report. (Prepared by the Medical University of South Carolina under Grant No. R03 HS0…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/computerized-provider-order-entry-cpoe-systems
July 12, 2021 - Medical error reduction is an international issue, as is the implementation of patient care information
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5s
January 01, 2023 - Implementing this tool can provide numerous benefits including increased productivity, improved quality, error
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
January 01, 2023 - developed, allowing the problems to either be avoided or a contingency plan to be in place should the error
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digital.ahrq.gov/sites/default/files/docs/activity/assessment_of_pediatric_look_alike__sound_alike__lasa__substitution_errors_2010pdf_2.pdf
March 01, 2012 - The error rates of these 200 medication pairs will then
be estimated by reviewing patient medication … After estimation of the error
rate, the positive predictive value will be identified for the screening … To measure the error rates of the final list of medication pairs, the team will review patient medication
-
digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - If error rates vary greatly between systems, there are potential policy implications for more stringent … The research team found that error rates were highest at baseline and lowest at 2 years. … Other error types increased and remained elevated at 1-year post implementation, suggesting that transitioning … drugs, non-narcotic analgesics, and anti-coagulants were the classes of medications with the highest error
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digital.ahrq.gov/sites/default/files/docs/activity/r03hs018841-basco-annual-summary-2012.pdf
January 01, 2012 - The error rates of these medication pairs were
estimated by reviewing patient medication histories and … After estimation of the error rate,
the positive predictive value will be identified for the screening … Even if the percentage of error
in these new prescriptions is 10 percent, the fact that 3 percent of
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-controlled-infusion
October 01, 1995 - Evaluation Method: Measures of pain scores, number of valid demands, median performance error (MDPE) … , and median absolute performance error (MDAPE).
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017029_kaushal_pdf_3.pdf
January 01, 2011 - If error rates vary greatly between systems, there are potential policy implications for more stringent … The research team found that error rates were
highest at baseline and lowest at 2 years. … Other error types increased and remained elevated at 1-year post implementation,
suggesting that transitioning … drugs, non-narcotic analgesics, and anti-coagulants were
the classes of medications with the highest error
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/six-sigma
January 01, 2022 - Description
Six sigma is an organizationwide error reduction technique that relies on statistical analysis