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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2011
January 01, 2011 - information transfer processes, this stratification of care can lead to information loss and medical error
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digital.ahrq.gov/national-webinars/improving-health-it-safety-through-use-natural-language-processing
January 01, 2023 - Explain the need for an automated error detection system using NLP for improving the accuracy and quality
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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/principal-investigator/abraham-joanna
January 01, 2024 - 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/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2012
January 01, 2012 - verbal communication increases the potential for data loss, delayed time to treatment, and medical error
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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 - Uses
To determine the cause of an error.
How do I use this tool?
1.
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-71-timeline-stand-alone-e-prescribing-implementation
January 01, 2023 - conversion
Provide data design document to practice, carbon copying implementation manager
Provide error
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - Successfully deploy a fully integrated EMR system using proven HIT practices to reduce
medical error … procedures and processes are being
established, creating an environment in which change can beget error … It should be noted that some hospital leaders thing medication error reporting is too low,
and thus … Medication error rates fluctuate widely month-by-month, ranging from zero in several months to
over … After Patient Care Documentation was shut down, medication error rates returned
to normal.
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safetyquality-health-information-technology-implementation
January 01, 2023 - "By using technology in lieu of human intervention, error rates will be lower, if the technology is done … on Epic as well, creating an integrated system across the organization to lower the risks of human error
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
April 30, 2024 - , Physician
A text mining approach to categorize patient safety event reports by medication error … A text mining approach to categorize patient safety event reports by medication error type.
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digital.ahrq.gov/ahrq-funded-projects/meeting-information-needs-referrals-electronically
January 01, 2023 - Each successive redesign prototype will incrementally decrease the potential for error in the clinical
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digital.ahrq.gov/organization/columbia-university-health-sciences
January 01, 2023 - epidemiology of order errors and to test the effectiveness of proposed system improvements on order error
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2011
January 01, 2011 - transition from hospital to home-based care they are at high risk for adverse events, including medical error
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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/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
January 01, 2012 - When discrepancies were found, it was noted as to whether it was due to patient error, a conscious decision … by the patient to change how s/he took the medication, or a reconciliation error.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
January 01, 2008 - goals of the system, including mindfulness; heedful interrelating; and a culture of safety, trust, and error … survey of the culture of safety, while other analytic tools were deployed after go-live, including error
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digital.ahrq.gov/ahrq-funded-projects/development-and-assessment-artificial-intelligence-ai-enhanced-pretreatment
April 01, 2024 - aims to strengthen and automate the peer-review process using AI and machine learning (ML) to improve error
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2010
January 01, 2010 - period, where the patient is at high risk for adverse events, including the experience of a medical error … to one another were moved to provide a less cluttered visual presentation and to minimize potential error
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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…
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - rather than user error) would note the errant action, rather
than blaming the user for erring. … Human Error. Cambridge, UK: Cambridge
University Press; 1990.
5. … The Use of Failure Mode Effect
and Criticality Analysis in a Medication Error
Subcommittee. … Available at: National Coordinating Council for
Medication Error Reporting and Prevention. … Comprehensive
analysis of a medication dosing error related to CPOE.