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

  1. 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.
  2. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
    January 01, 2011 - Relatively low error rates were found, both during implementation and during sustained use among practices
  3. digital.ahrq.gov/research-method/delphi-method
    January 01, 2023 - Delphi Method 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 - Fina…
  4. digital.ahrq.gov/research-method/chart-review
    January 01, 2023 - Chart Review The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: A pilot study. Citation Pitts SI, Yang Y, Woodroof T, Mollenkopf NL, Wang NY, Thomas BA, Chen AR. The impact of electronic communication of medication discontinua…
  5. 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…
  6. digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
    January 01, 2024 - Advancing Health Information Exchange During Inter-Hospital Transfer to Improve Patient Outcomes Project Description Publications Research Story An enhanced health information exchange platform that improves workflow, interoperability, and visualization of data for …
  7. 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.
  8. digital.ahrq.gov/principal-investigator/pitts-samantha
    July 24, 2024 - Pitts, Samantha Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety Event Date July 24, 2024 - 2:30pm - July 24, 2024 - 4:00pm Medication errors are a leading cause of injury and avoidable harm in healthcare, with an…
  9. 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…
  10. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/zind-b-2009-response
    January 01, 2009 - There is not enough flexibility with suspensions and so sometimes the prescription is in error.
  11. 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
  12. digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
    January 01, 2018 - Design is the study of human behavior, the environment, and technology with the goals of reducing human error
  13. digital.ahrq.gov/ahrq-funded-projects/opportunistic-decision-making-information-needs-and-workflow-emergency-care/annual-summary/2012
    January 01, 2012 - decisionmaking in the ED and develop interventions to reduce cognitive burden, improve communication, and reduce error
  14. digital.ahrq.gov/sites/default/files/docs/citation/r01hs023694-schiff-final-report-2018.pdf
    January 01, 2018 - test the hypothesis that this new system will demonstrate significant improvements in ordering speed, error … Medication Safety)1,2 and the other by the National Patient Safety Foundation (MedMarx CPOE Medical Error … For example, to attempt to provoke a common LASA error-mixing hydroxyzine and hydralazine, one test … Usability Metrics/Analysis We recorded the medications ordered with each task and calculated an error … vendor 2 were classified as inappropriate for the patient and indication. <1% of orders had an LASA error
  15. digital.ahrq.gov/decisionmaker-brief-computerized-provider-order-entry-cpoe
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  16. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
    January 01, 2008 - A safety survey was instituted at the go-live as a means of anonymously monitoring error rates in our … Respondents were allowed to pick more than one of the error categories but only one response was allowed … Additionally, if an error option was checked, the RN could provide more details by selecting “willing … Though there were no significant differences in error rates across time, the trend was downward.1.688% … Though reported error rates were very small and not significantly different over time and across units
  17. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
    January 01, 2011 - This included review of error definitions and review of test and actual cases. … Methodology included error classifications and identification of ADE trigger drugs. … Excluding the most common type of error, inappropriate abbreviation errors, we found that error rates
  18. digital.ahrq.gov/sites/default/files/docs/citation/r21hs022670-patel-final-report-2019.pdf
    January 01, 2019 - Team communication also allowed for any error checks, making sure safety was not compromised. … There is less chance of an error being caught, given that there are no team safety checks, which may … technology in the ED to increase efficiency without compromising safety (within a given margin of error … How can we offset this issue of “error check”? … ISMMS’ team-based model of error detection and correction may outweigh the capacity for recovery of
  19. digital.ahrq.gov/sites/default/files/docs/page/johnson-success-story.pdf
    June 16, 2021 - STEPStools not only reduces the margin of error for dosing, its drop-down dosage menus can save provid
  20. digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
    June 16, 2021 - percent of correctly processed claims, the percent of prescriptions written by physicians containing an error … clinical staff- hospital administration) More tightly link physicians to community Risk management (error

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