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digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
January 01, 2023 - Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes
Project Final Report ( PDF , 290.96 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do …
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/learning-errors-analysis
January 01, 2023 - Learning from errors: analysis of medication order voiding in CPOE systems.
Citation
Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc 2017 Feb 19. doi: 10.1093/jamia/ocw187. PMID: 28339698.
Link
h…
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/helping
January 01, 2023 - Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis.
Citation
Singh H. Editorial: Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis. Jt Comm J Qual Patient Saf 2014;40(3):99-101.
Link
http://www.ncb…
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digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/citation/creating-large
January 01, 2023 - Creating a large database test bed with typographical errors for record linkage evaluation.
Citation
Theera-Ampornpunt N, Kijsanayotin B, Speedie SM. Creating a large database test bed with typographical errors for record linkage evaluation. AMIA Annu Symp Proc 2008 Nov 6:1153.
Link
http://www…
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/indication-alerts
January 01, 2023 - Indication alerts intercept drug name confusion errors during computerized entry of medication orders.
Citation
Galanter WL, Bryson ML, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One 2014;9(7):e101977. PMID: 25025346.
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digital.ahrq.gov/ahrq-funded-projects/decision-making-and-clinical-work-test-result-followup-health-information/citation/learning
January 01, 2023 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Citation
Giardina TD, Haskell H, Menon S, et al. Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Health Aff (Millwood). 2018 Nov;3…
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digital.ahrq.gov/principal-investigator/friedman-amy
January 01, 2023 - Friedman, Amy
Web-based Renal Transplant Patient Medication System - Final Report
Citation
Friedman A. Web-based Renal Transplant Patient Medication System - Final Report. (Prepared by Yale University under Grant No. R01 HS015038). Rockville, MD: Agency for Healthcare Research…
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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
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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…
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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…
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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…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/enhancing
January 01, 2023 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Citation
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf 2017 Oct;…
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/indication-based
January 01, 2023 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).
Citation
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). J Am Med Inform Assoc 2013…
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digital.ahrq.gov/sites/default/files/docs/activity/u18hs016970-bates-annual-summary-2012.pdf
January 01, 2012 - Project 5: This project found no difference in prescription error rates 3 months after implementation … Relatively
low error rates were found, both during implementation and during sustained use among practices
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digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - Source
Statewide Implementation of Electronic Health Records
Medication Error
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - We used independent sample t-tests for difference of
means to assess the change in error rates pre and … Error reduction has been a hallmark of the patient safety effort at
SVMC, so the introduction of this … “Transcription
errors” were reported when BOTH nurses missed the error, and somewhere down the line … Our evaluation team
(patient safety, IT, nursing, pharmacy) spent months trying to decipher the error … We wanted to know what type of error was prevented by the warning and
how serious it might have been
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/citation/understanding-0
January 01, 2023 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system.
Citation
Cho I, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One 2014;9(12):e114243. PMID: 25526059.
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digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/citation/can
January 01, 2023 - Can prospective usability evaluation predict data errors?
Citation
Johnson CM, Nahm M, Shaw RJ, et al. Can prospective usability evaluation predict data errors? AMIA Annu Symp Proc 2010 Nov 13;2010:346-50.
Link
Johnson CM, Nahm M, Shaw RJ, et al. Can prospective usability evaluation predic…
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digital.ahrq.gov/ahrq-funded-projects/meaningful-drug-interaction-alerts/citation/colchicine
January 01, 2023 - Colchicine drug interaction errors and misunderstandings: Recommendations for improved evidence-based management.
Citation
Hansten PD, Tan MS, Horn JR, Gomez-Lumbreras A, Villa-Zapata L, Boyce RD, Subbian V, Romero A, Gephart S, Malone DC. Colchicine drug interaction errors and misunderstandings: Reco…
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digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative-0
January 01, 2023 - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.
Citation
Radley DC, Wasserman MR, Olsho LEW, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inform Assoc 2013 May 1;20(3)…