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121. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
     January 01, 2010 - A final important finding is that previously, diagnostic error in primary care has focused on cancer.

122. Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs023708-senathirajah-final-report-2021.pdf
     January 01, 2021 - Measure Error detection Definition Proportion of errors user was able to identify. … the interface to address an error or omission. … Measure Error detection Definition Proportion of errors user was able to identify. … the interface to address an error or omission. … Boring RL, editor Advances in Human Error, Reliability, Resilience, and Performance.

123. Comprehensive Information Technology Solution for Quality and Patient Safety - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
     January 01, 2008 - The combination of phases attacks the entire medication error problem. … Medication error and ADE rates at each stage of the implementation were analyzed. … Overall error rates (including low severity) dropped to almost zero at T4 and T5. … While overall medication error rates started low, the trend in overall medication error rates declined … The Impact of Computerized Physician Order Entry on Medication Error Prevention.

124. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/using_electronic_records_to_detect_and_learn_from_ambulatory_diagnostic_errors_2010_pdf__2.pdf
     January 01, 2010 - A final important finding is that previously, diagnostic error in primary care has focused on cancer

125. AHRQ National Webinar on Medication Without Harm – How Digital Healthcare Tools Can Support Providers and Improve Patient Safety - Q&As (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
     July 24, 2024 - Safety QUESTION: When you placed your call to the prescriber to ask them about the type of drug error … , what were common explanations from them whereby you did not count it as an error? … It is more like the art of medicine than an error. … Pretty much any order that can be placed can be placed as an error. … When we see it canceled, it is a good sign that it was an error and if we see what happens next we may

126. Teamwork behaviours and errors during neonatal resuscitation. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-2
     January 01, 2023 - Teamwork behaviours and errors during neonatal resuscitation. Citation Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care 2010 Feb;19(1):60-4. Link Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours an…

127. Nanji, Karen C. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/nanji-karen-c
     January 01, 2023 - Nanji, Karen C. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report Citation Nanji K. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Fi…

128. Section 10 - References | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-10-references
     December 12, 2008 - National Coordinating Council for Medication Error Reporting and Prevention ; accessed 9/30/2008. … National Coordinating Council for Medication Error Reporting and Prevention.  … National Coordinating Council for Medication Error Reporting and Prevention. … The impact of computerized physician order entry on medication error prevention.

129. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/final-report
     January 01, 2023 - 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 HS018841). Rockville, MD: Agency for Health…

130. Preventing provider errors: online total parenteral nutrition calculator | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/preventing-provider-errors
     April 01, 2004 - the effectiveness of the system (total parenteral nutrition order entry system Ð TPN-Calculator) in error

131. Lambert, Bruce | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/lambert-bruce
     January 01, 2023 - Lambert, Bruce Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems - Final Report Citation Lambert B. Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. (Prepared by Northwestern University un…

132. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/final-report
     January 01, 2023 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report Citation Thomas E. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report. (Prepared by University of Texas Health Science Center - Houston under Grant No. R18 HS017244…

133. Detecting Med Errors in Rural Hospitals Using Technology - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/final-report
     January 01, 2023 - Detecting Med Errors in Rural Hospitals Using Technology - Final Report Citation Brown A. Detecting Med Errors in Rural Hospitals Using Technology -Final Report. (Prepared by the University of Mississippi Medical Center under Grant No. UC1 HS015400). Rockville, MD: Agency for Healthcare Research and Q…

134. AHRQ National Web Conference on Clinical Decision Support Efforts That Assist Clinical Cognitive Processes - Slides (pdf file)
     digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
     October 19, 2021 - 28 Summary • Brief primer on human factors in healthcare • Cognitive support and potential for error … PMID:26262532 Conventional • Omission by user in search > error • Cognitive load due to need to retain … • Shared omission > Dx momentum error? • Cognitive load due to UI change? … /Omission Detection • Default layouts, deliberate error, omission, confusing/contradictory note • No … Design Patterns Flowsheet Navigation Info transmission + Error/Omission Detection Crossover Study

135. Medication Safety | Digital Healthcare Research
     digital.ahrq.gov/health-care-theme/medication-safety
     January 01, 2023 - broad range of errors that may occur in practice that may be missed by using traditional retrospective error … epidemiology of order errors and to test the effectiveness of proposed system improvements on order error

136. Chalil Madathil, Kapil | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/chalil-madathil-kapil
     January 01, 2023 - Telemedicine-Integrated Ambulance-Based Environments for Stroke Care Task, usability, and error … McElligott (2021) Task, usability, and error analyses of ambulance-based telemedicine for stroke care

137. Failure Mode and Effects Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
     January 01, 2023 - For error forecasting. For mistake prevention. … , whether they are changes that diminish severity or occurrence, or are extra controls that improve error … Can prepare for and remove possible error causes.

138. Impact of automation on pharmacist interventions and medication errors in a correctional health care system | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-automation-pharmacist
     January 01, 2001 - The reliability of the automated system was evidenced by a dispensing error rate of 0.6 per 100,000 orders

139. Northwestern University | Digital Healthcare Research
     digital.ahrq.gov/organization/northwestern-university
     January 01, 2023 - significant increase in problem placement rates, a modest increase in order abandonment (when a wrong patient error … was detected), and a slight increase in order retractions (when a wrong drug error was detected).

140. A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health
     January 01, 2023 - Medication Safety with Clinician Use of Health IT Document Type: Logging Tool Primary Care Visual Error … Reporting Tool Description: The Primary Care Visual Medication Error Reporting Tool is a tool … Link: Primary Care Visual Error Reporting Tool Project Name: A Systems Engineering Approach: