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1021. Kawamoto K et al. 2005 "Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kawamoto-k-et-al-2005
      January 01, 2005 - consistency and reliability of the clinical decision support system by minimising labour intensive and error

1022. Microsoft PowerPoint - Health IT Implementation.ppt (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
      December 01, 2005 - or augment workflows – Root Cause Analysis • Retrospective systematic evaluation of the cause of an error … Failure Mode and Effect Analysis • Prospective look at current practices and how they may lead to an error … duplicate paper-electronic transcription followed. – Solution – an electronic billing module to bypass error-prone

1023. Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
      January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…

1024. Tools for Optimizing Medication Safety (TOP-MEDS) - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
      January 01, 2011 - Tools for Optimizing Medication Safety (TOP-MEDS) - 2011 Project Name Tools for Optimizing Medication Safety (TOP-MEDS) Principal Investigator Lambert, Bruce Organization University of Illinois at Chicago Funding Mechanism RFA: HS11-004: Centers for Education and Re…

1025. Connecting Healthcare in Central Appalachia - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
      January 01, 2008 - Because of Better Safeguards and Precautions in Place Due to the Electronic Based System Human error … four different members of the hospital staff before they reach the physician, the likelihood that an error … physician may very well treat the patient based on wrong information, which could lead to a medical error

1026. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
      January 01, 2011 - , and other complications.(20) Most of the literature on in-ED ADEs has focused on strategies for error … unintended, and which occurs at doses used in man for prophylaxis, diagnosis and therapy; ” excludes dosage error-related … The requirement for weight-based dosing in most instances introduces an important opportunity for error … assessments which included a Naranjo causality score and National Coordinating Council for Medication Error

1027. The Discharge Assistant: Facilitating Information Transfer at Hospital Discharge (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Nace_051811comp.pdf
      January 01, 2001 - which would contain all pertinent information necessary for follow-up care Use of prompts and basic error

1028. Industrial and Systems Engineering and Health Care: Critical Areas of Research (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
      May 01, 2010 - the country’s safety net hospitals (Johnson, 2009) Wall Street Journal: A child died from a medical error … A fight against fatal error. Wall Street Journal September 7, 2009.

1029. Improving Management of Test Results that Return After Hospital Discharge - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2011
      January 01, 2011 - Improving Management of Test Results that Return After Hospital Discharge - 2011 Project Name Improving Management of Test Results that Return After Hospital Discharge Principal Investigator Were, Martin Organization Indiana University Funding Mechanism PAR: HS09-08…

1030. Improving Management of Test Results That Return After Hospital Discharge - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2012
      January 01, 2012 - Improving Management of Test Results That Return After Hospital Discharge - 2012 Project Name Improving Management of Test Results that Return After Hospital Discharge Principal Investigator Were, Martin Organization Indiana University Funding Mechanism PAR: HS09-08…

1031. Ambulatory Clinic Exam Room Design with Respect to Computing Devices to Enhance Patient Centeredness - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r03hs024488-saleem-final-report-2018.pdf
      January 01, 2018 - Ambulatory Clinic Exam Room Design with Respect to Computing Devices to Enhance Patient Centeredness - Final Report Ambulatory Clinic Exam Room Design with respect to Computing Devices to Enhance Patient Cen…

1032. Enabling Sleep Apnea Patient-Centered Care Via an Internet Intervention - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enabling-sleep-apnea-patient-centered-care-internet-intervention/annual-summary/2010
      January 01, 2010 - A final important finding is that previously, diagnostic error in primary care has focused on cancer.

1033. Electronic Medication Management - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
      January 01, 2010 - Electronic Medication Management - 2010 Project Name Electronic Medication Management Principal Investigator Vawdrey, David Kent Organization Columbia University Funding Mechanism PAR: HS08-268: Small Research Grant to Improve Health Care Quality Through Health Info…

1034. Pilot Testing of Initial Electronic Prescribing Standards (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/eRxReport.pdf
      April 01, 2008 - In hospitals, the average nt is subject to at least one medication error per day.4 This study also … Mis-translations and contradictions in dosage/timing directions leave room for misinterpretation and error … This indicates there was either an error in matching to the correct 2 4 … RxNorm concept, or an error with RxNorm itself, with more than one term being available for the same … Medication Error: Any error occurring in the medication use process (Bates et al., 1995)11 Includes

1035. Pilot Testing of Initial Electronic Prescribing Standards (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/eRxReport_041607_1.pdf
      April 01, 2008 - In hospitals, the average nt is subject to at least one medication error per day.4 This study also … Mis-translations and contradictions in dosage/timing directions leave room for misinterpretation and error … This indicates there was either an error in matching to the correct 2 4 … RxNorm concept, or an error with RxNorm itself, with more than one term being available for the same … Medication Error: Any error occurring in the medication use process (Bates et al., 1995)11 Includes

1036. Electronic Records to Improve Care for Children (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
      January 01, 2007 - linkages, (2) performed a retrospective record review to define baseline continuity of information error

1037. AHRQ Training Web Conference on the Clinical Decision Support Authoring Tool - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/cds-authoring-tool-slides-020719.pdf
      February 07, 2019 - AHRQ Training Web Conference on the Clinical Decision Support Authoring Tool - Slides AHRQ Training Webinar on the Clinical Decision Support Authoring Tool Presented by: Sharon Sebastian, CDS Connect Project Lead, MITRE Chris Moesel, CDS Connect Technical Lead, MITRE Moderated by: E…

1038. Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medicaid/NY_CaseStudy.pdf
      July 01, 2010 - Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid Case Study Developing an Electronic Prescribing Incentive Program: Lessons Learned From New York Medicaid Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

1039. Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/NY_CaseStudy_0.pdf
      July 01, 2010 - Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid Case Study Developing an Electronic Prescribing Incentive Program: Lessons Learned From New York Medicaid Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

1040. Long Term Care e-Prescribing Standards Pilot Study - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
      August 01, 2007 - integrated, computer-to-computer, electronic prescribing process eliminating the need for the manual, error … Total % errors 0.2% 3.4% 0.5% 0.1% 4.2% Type Of Error New Rx's Cancels … 6 8 0 0 0 0 0 14 Total 36 203 55 2 3 102 9 410 Percentage in Error Error descriptions are noted … Script Format The recipient received a Sender would get a This was an early issue with Error Script … Like error screens- hard to match screen with hand book instructions.”