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Showing results for "error".
Users also searched for: medication errors

  1. digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/citation/dropping-baton-during-handoff
    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;…
  2. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdf
    January 01, 2017 - -10- 1.2 Error analysis We performed a detailed analysis of the errors we encountered … Error Analysis and Categorization Error type Specific Error No. of errors Ability to address … With incremental development and error resolution we achieved 100% accuracy. … Validation of the CDSS in the clinical setting 1.2 Error analysis Table 3. … Error Analysis and Categorization 2.
  3. digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
    January 01, 2013 - Key Words: medical error; hospitalization; medication reconciliation The authors of this report … <0.001 None 1,836 (53) 1,650 (58) Medically indicated variance 1,009 (29) 814 (29) Medication error … 645 (18) 359 (13) Clinically important medication error 9 (1.4) 11 (3.1) 0.10 30-day Follow-up … Interestingly, our clinically important medication error rates were much lower than typically reported … Low and unchanged medication error rates suggest that patient outcomes would be no different with or
  4. digital.ahrq.gov/sites/default/files/docs/activity/r18hs018151-smith-annual-summary-2012.pdf
    January 01, 2012 - information transfer processes, this stratification of care can lead to information loss and medical error
  5. digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
    January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children Poor EHR design can harm patients. Dr. Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues, regardless of vendor. “If we don’t focus on EHR technolog…
  6. digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
    January 01, 2023 - The team hypothesized that the new system would significantly improve ordering speed, error rate, and
  7. digital.ahrq.gov/program-overview/impact-stories/supporting-clinicians
    January 01, 2019 - Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error
  8. 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.
  9. digital.ahrq.gov/sites/default/files/docs/implementation/Bellamy.ppt
    April 01, 2005 - Feedback and Communication About Error 1. … Nonpunitive Response to Error R1. Staff feel like their mistakes are held against them. … improvement Teamwork Within Hospital Units Communication Openness Feedback and Communication About Error … Nonpunitive Response To Error Staffing Hospital Management Support for Patient Safety Teamwork Across
  10. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/steele-aw-et
    January 01, 2023 - Steele AW et al. 2005 "The effect of automated alerts on provider ordering behavior in an outpatient setting." Reference Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med 2005;2(9):864-870. [Link] Abstract "B…
  11. digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_and_improving_medication_use_2010pdf_2.pdf
    August 01, 2011 - Project 3: Preliminary results have characterized the types of errors, error rates across different e-prescribing … systems, differences in errors between systems, and range in error rates in areas such as inappropriate
  12. digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
    January 01, 2023 - Medication Management: A Closed Computerized Loop Project Description Other Resources Project Details - Completed Grant Number UC1 HS015231 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQIT…
  13. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
    January 01, 2023 - medications and most providers believed that associated activities were unpredictable, redundant, and error-prone
  14. digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records
    January 01, 2023 - the effectiveness of EHR implementation strategies, correlates of EHR adoption, impact on medication error … Statewide Implementation of Electronic Health Records Document Type: Data Collection Form Medication Error … Link: Medication Error and Near Miss Classification Form Project Name: Statewide Implementation
  15. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
    January 01, 2023 - safety threats early after transitioning to a new e-Prescribing system, and leads to sustained low error … Record , Electronic Prescribing , Health Information Exchange , Voice Recognition Medical error … Medical error: a 60-year-old man with delayed care for a renal mass.
  16. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/will-electronic-order-entry
    April 01, 2002 - averted 75% reduction 6613 33,064 Net savings, $ 0.3 hr/error
  17. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-bar-code-technology
    January 01, 2005 - Effect of bar-code technology on the incidence of medication dispensing errors and potential adverse drug events in a hospital pharmacy Authors:  Poon, E. G., Cina, J. L., Churchill, W. W., Mitton, P., McCrea, M. L., Featherstone, E., Keohane, C. A., Rothschild, J. M., Bates, D. W., Gandhi, T. K. Journal:  AM…
  18. digital.ahrq.gov/sites/default/files/docs/activity/2011_016970_bates_pdf_3.pdf
    January 01, 2011 - Relatively low error rates were found, both during implementation and during sustained use among practices
  19. digital.ahrq.gov/sites/default/files/docs/citation/r01hs024713-adelman-final-report-2023.pdf
    January 01, 2023 - Since all patients are at risk for an order error, all patients for whom at least 1 order was placed … the order session, rather than each order, represents an independent opportunity for a wrong-patient error … For all analyses, the effect was estimated using odds ratio (OR), standard error (SE), and Wald test … The impact of computerized physician order entry on medication error prevention.
  20. Parisetal Hfes2008 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
    January 01, 2008 - research team reviewed all medication safety events to adjudicate the occurrence of a medication error … Pharmacist clarification of an ordering error and pharmacist consults on the dose to be administered

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