-
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.
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/hierarchical-task-analysis
January 01, 2023 - An extended hierarchical task analysis for error prediction in medical devices.
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - If they are unable to arrive upon the appropriate decision, determine which questions produced the error
-
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…
-
digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - in U.S.
50%
25%
UK GER NZ AUS CAN US
22%
0%
23%
25%
27% 30%
34%
Any medical mistake, medical error … or test error in last 2 years
C Shoen et al, “Taking the Pulse of Health Care Systems: Experience
-
digital.ahrq.gov/sites/default/files/docs/page/building-foundation-for-health-information-exchange-to-improve-poison-control.pdf
April 01, 2014 - multi-tasking, shift changes,
and patient hand-offs, complicating workflow and
creating opportunities for error … to
support electronic health information exchange (HIE)
between PCCs and EDs could reduce medical error
-
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…
-
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…
-
digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents/citation/incidence
January 01, 2023 - Incidence of speech recognition errors in the emergency department.
Citation
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform 2016 Sep;93:70-3. PMID: 27435949.
Link
https://www.ncbi.nlm.nih.gov/pubmed/27435949
Principal Inv…
-
digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/citation/computer
January 01, 2023 - EHR-related medication errors in two ICUs.
Citation
Carayon P, Du S, Brown R, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag 2017 Jan;36(3):6-15. PMID: 28099789.
Link
https://www.ncbi.nlm.nih.gov/pubmed/28099789
Principal Investigator
Carayon, Pascale
…
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/errors
January 01, 2023 - Errors associated with outpatient computerized prescribing systems.
Citation
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc 2011 Nov-Dec;18(6):767-73.
Link
Nanji KC, Rothschild JM, Salzberg C, et al. Error…
-
digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems/citation/risk
January 01, 2023 - Risk factors associated with medication ordering errors.
Citation
Abraham J, Galanter WL, Touchette D, Xia Y, Holzer KJ, Leung V, Kannampallil T. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021 Jan 15;28(1):86-94. doi: 10.1093/jamia/ocaa264. PMID: 33221852; PMCID:…
-
digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/automated
January 01, 2023 - Automated detection of wrong-drug prescribing errors.
Citation
Lambert BL, Galanter W, Liu KL, Falck S, Schiff G, Rash-Foanio C, Schmidt K, Shrestha N, Vaida AJ, Gaunt MJ. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019 Aug 7. pii: bmjqs-2019-009420. doi: 10.1136/bmjqs-2019-0…
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/characterization
January 01, 2023 - Characterization of prescribing errors in an internal medicine clinic.
Citation
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm 2007 May 15;64(10):1062-70.
Link
Devine EB, Wilson-Norton JL, Lawless NM…
-
digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/finding
January 01, 2023 - Finding diagnostic errors in children admitted to the PICU.
Citation
Davalos MC, Samuels K, Meyer AN, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med 2017 Mar;18(3):265-71. PMID: 28125548.
Link
https://www.ncbi.nlm.nih.gov/pubmed/28125548
Principa…
-
digital.ahrq.gov/ahrq-funded-projects/exploring-clinically-relevant-image-retrieval-diabetic-retinopathy-diagnosis/annual-summary/2012
January 01, 2012 - quickly become an alternative to traditional face-to-face evaluation, it is laborious and prone to error
-
digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
January 01, 2023 - saves many of the thousands of dollars that are spent in repairing the damage done by each medication error
-
digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
January 01, 2023 - to reverse an adverse event and determine whether the event should have been reported as a potential error … The data also show that physicians rarely generate potential error reports; most come from nurses or
-
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…
-
digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
June 16, 2021 - How Capable of Using Information Technology is the Average Patient?
Amy L. Friedman MD, Stefania Santinon, Richard N. Formica Jr.
MD
Yale University School of Medicine
Why should
surgeons care about
medication errors?
•Impact the health of our patients
•Impact the cost of care for our patients
•Impact the o…