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181. Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/final-report
     January 01, 2023 - 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 under Grant No. R01 HS024945). Rockville, …

182. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy | 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/medication-dispensing-errors-and
     September 19, 2006 - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy Authors:  Poon, E. G., Cina, J. L., Churchill, W., Patel, N., Featherstone, E., Rothschild, J. M., Keohane, C. A., Whittemore, A. D., Bates, D. W., Gandhi, T. K. Journal:  Ann Inter…

183. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/final-report
     January 01, 2023 - 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 - Final Report. (Prepared by Massachusetts Ge…

184. Evaluating the capability of information technology to prevent adverse drug events: A computer simulation approach | 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/evaluating-capability
     January 01, 2002 - System:  Hypothetical medication delivery systems in a hospital Clinical Outcomes:  Baseline medication error

185. A Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/controlled-trial-smart-infusion
     June 14, 2021 - A Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients Errors associated with medications administrated through intravenous infusion pumps to critically ill patients can result in adverse drug events (ADEs). The prospective, randomized time-series study sought to ass…

186. Conducting Measurement Activities for Health Information Technology Initiative | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative
     January 01, 2023 - Conducting Measurement Activities for Health Information Technology Initiative Project Description Annual Summaries Publications Project Details - Completed Contract Number PSC 233-02-00008, TO: 233-07-00008T Funding Mechanism(s…

187. Improving use of prehospital 12-lead ECG for early identification and treatment of acute coronary syndrome and ST-elevation myocardial infarction. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ems-based-tipi-cardiac-care-qi-error-reduction-system/citation/improving-use
     January 01, 2023 - Principal Investigator Selker, Harry Project Name EMS Based TIPI-IS Cardiac Care QI-Error

188. Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/final-report
     January 01, 2023 - Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report Citation Adelman J. Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report. (Prepared by Columbia University under Grant No. R21 HS023704). Rockville, MD: Agency for H…

189. An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems/final-report
     January 01, 2023 - An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report Citation Abraham J. An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report. (Prepared by the University of Illinois at Chicago under Grant No. R21 HS02…

190. Ash JS et al. 2007 "Categorizing the unintended sociotechnical consequences of computerized provider order entry." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ash-js-et-al-2007
     January 01, 2007 - The undesirable consequences include error and security concerns and issues related to alerts, workflow … A patient found an error in the medication list.

191. Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients | 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/prioritizing-strategies
     April 01, 2003 - Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients Authors:  Fortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D., Federico, F., Goldmann, D. A., Bates, D. W. Journal:  Pediatrics Publication Date:  2003 Apr Volume:  111 Issue:  4 …

192. USA, MS, Jackson | Digital Healthcare Research
     digital.ahrq.gov/location/usa-ms-jackson
     January 01, 2023 - USA, MS, Jackson The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology Description This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…

193. Book Publication | Digital Healthcare Research
     digital.ahrq.gov/document-type/book-publication
     January 01, 2023 - Interaction Design Approaches to Health IT Safety Towards a usability and error … Towards a usability and error "Safety net": A multi-phased multi-method approach to ensuring system usability

194. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2011 | Digital Healthcare Research
     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

195. Sullivan, Sean | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/sullivan-sean
     January 01, 2023 - Sullivan, Sean Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. Citation Devine EB, Williams EC, Martin DP, et al. Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative…

196. A National Web Conference on Reducing Provider Burden through Better Health IT Design - Slides (pdf file)
     digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
     January 25, 2018 - Built-in redundancy/error recovery 6. Structure-rounds-shift change 7. Organizational culture 8. … Built-in redundancy/error recovery 6. Structure-rounds-shift change 7. Organizational culture 8. … Built-in redundancy/error r covery 6. Structure-rounds-shift change 7. Organizational culture 8. … Built-in redundancy/error r ecovery 6. Structure-rounds-shift change 7. … Built-in redundancy/error r ecovery 6. Structure-rounds-shift change 7.

197. Columbia University Health Sciences | Digital Healthcare Research
     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

198. Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
     January 01, 2023 - Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety Theme: Supporting Health Systems in Advancing Care Delivery Subtheme: Optimizing Patient Safety Using Digital Healthcare Solutions Patient photos displayed in the electronic health record significantly red…

199. Singh, Hardeep | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/singh-hardeep
     January 01, 2023 - Settings Payment innovations to improve diagnostic accuracy and reduce diagnostic error … Payment innovations to improve diagnostic accuracy and reduce diagnostic error.

200. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
     January 01, 2010 - The team further developed a medication error and adverse drug event tool. … The research team found that error rates were highest at baseline and lowest at 1 year. … Other error types increased and remained elevated at 1 year post-implementation suggesting that transitioning