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digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children/citation/impact-patient-0
January 01, 2023 - Impact of a patient-centered technology on medication errors during pediatric emergency care.
Citation
Porter SC, Kaushal R, Forbes PW, et al. Impact of a patient-centered technology on medication errors during pediatric emergency care. Ambul Pediatr 2008 Sep-Oct;8(5):329-35.
Link
http://www.n…
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/dropping-baton
January 01, 2023 - Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.
Citation
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009 Sep…
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/automated-detection-look
January 01, 2023 - Automated detection of look-alike/sound-alike medication errors.
Citation
Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm 2017 Apr 1;74(7):521-527. PMID: 28336762.
Link
https://www.ncbi.nlm.nih.gov/pubmed/2833…
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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/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/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/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/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
January 31, 2007 - A
near miss or potential adverse drug event (PADE) is a medication error that has the
potential to … – the medication was dispensed as written within
30 days of prescribing; Prescribing Error Corrected … pharmacist;
Dispensing Error – dispensing data differed from prescribing data in either the product … 497(94.7) 539(92.3) 4371(95.9) 608 (96.1) 875 (91.8)
Prescribing error corrected 6 (1.1) 8 (1.3) … 42 (0.9) 6 (0.9) 20 (2.1)
Dispensing error 22 (4.1) 37(6.3) 1 190 (4.1) 19 (3.0)2 58 (6.1) 2
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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/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/virtual-continuity-and-its-impact-complex-hospitalized-patients-care
January 01, 2023 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care
Project Final Report ( PDF , 159.53 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
January 01, 2009 - Medication Errors
Results of the medication error and ADE study revealed that the frequency of errors
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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)…
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/citation/are-physicians
January 01, 2023 - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?
Citation
Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with elect…
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-11
January 01, 2023 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc 2011; 18(6): 774-82.
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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/evaluating-impact-acpoecds-system-outcomes/citation/impact-computerized
January 01, 2023 - The impact of computerized provider order entry on medication errors in a multispecialty group practice.
Citation
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med Inform Assoc 2010 Jan-Feb;1…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
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