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digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children
January 01, 2023 - ParentLink: Better and Safer Emergency Care for Children
Project Final Report ( PDF , 84.92 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 the views of AHR…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
January 01, 2008 - In 1987, Folli et al. studied two academic pediatric hospitals demonstrating a
medication error rate … Kaushal’s ongoing pediatric medication error study to perform
a controlled trial that determined the … Medication
error prevention by clinical pharmacists in two
children's hospitals. Pediatrics.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lobach-df-et-al-1997
January 01, 1997 - Lobach DF et al. 1997 "Computerized decision support based on a clinical practice guideline improves compliance with care standards."
Reference
Lobach DF, Hammond WE. Computerized decision support based on a clinical practice guideline improves compliance with care standards. Am J Med 1997;102(1):89-9…
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digital.ahrq.gov/principal-investigator/johnson-constance
January 01, 2023 - Johnson, Constance
EHR toolkit: a background report on usability and electronic health records
Citation
Johnson CM, Johnston D, Crowley PK, et al. EHR usability toolkit: a background report on usability and electronic health records (Prepared by Westat under Contract No. 290-0…
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - opinion, how soon will patients have access to their progress notes for informed choice
making and error … QUESTION:
How can we avoid proliferating multi-varied error checking, as we have many EHRs?
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digital.ahrq.gov/research-method/time-series
January 01, 2023 - Time Series
Advancing health information during interhospital transfer: An interrupted time series.
Citation
Mueller SK, Garabedian P, Goralnick E, Bates DW, Samal L. Advancing health information during interhospital transfer: An interrupted time series. J Hosp Med. 2023 Dec;…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - the impact of a stand-alone electronic prescribing
system with clinical decision support on these error … For the group of exclusively paper-based prescribers, we found that
baseline error rates were similar … For the group of providers who
adopted electronic prescribing, we found that there was a decrease in error … rates from baseline to
error rates after electronic prescribing adoption. … The decreased in error rates was highly
statistically significant.
Study 2 Conclusion.
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018183-weiner-annual-summary-2012.pdf
January 01, 2012 - This significant source of error can cause injury or even fatalities and happens in all
types of health
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018183_weiner_pdf_3.pdf
January 01, 2011 - This significant source of error can cause injury or even fatalities and happens in all types of health
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - The National Coordinating Council for
Medication Error Reporting and Prevention (NCC
MERP)
http:/ … Pediatric
medication order error rates related to the mode
of order transmission.
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digital.ahrq.gov/location/usa-sc-charleston
January 01, 2023 - USA, SC, Charleston
Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
Description
This research aims to examine a health system’s four telehealt…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/errors-associated-applying
January 01, 2006 - Errors associated with applying decision support by suggesting default doses for aminoglycosides
Authors: Eslami, S., Abu-Hanna, A., de Keizer, N. F., de Jonge, E. Journal: Drug Saf Publication Date: 2006 Volume: 29 Issue: 9 Pages: 803-9 HIT Description: Computerized physician order entry (CPOE) with…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/ethical-and-legal-issues
September 20, 2021 - Ethical and legal issues in the use of health information technology to improve patient safety
The Institute of Medicine reports, To Err is Human and the subsequent Crossing the Quality Chasm spurred an increased attention nationally to problems in patient safety, in particular medication errors. Health infor…
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2010
January 01, 2010 - This significant source of error can cause injury or even fatalities and can occur in all types of health
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digital.ahrq.gov/project-background
January 01, 2023 - of crucial information, automating labor-intensive and inefficient processes, and minimizing human error
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digital.ahrq.gov/health-care-theme/care-planning
January 01, 2023 - Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Source: To Err is Human, Institute of Medicine
Active Failures
An error that occurs at the level … precarious events:
Medication
Observation
•Direct observation
during med prep &
administration
Med Error
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/decisionmaker-brief-computerized-provider-order-entry-cpoe
August 01, 2008 - Decisionmaker Brief: Computerized Provider Order Entry (CPOE)
For a printable, PDF version of this document, click here .
AHRQ's Health IT Portfolio. AHRQ's health information technology (health IT) initiative is part of the Nation's strategy to put information technology to work in health care. By develop…
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digital.ahrq.gov/sites/default/files/docs/page/2006Lee_051711comp.pdf
May 01, 2006 - Value may be understood as return on investment (ROI),
quality improvement and error reduction, improved … exchanged
demographic claims results delivery deep
clinical
Value
ROI quality improvement/error
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digital.ahrq.gov/sites/default/files/docs/implementation/U%20of%20MN%209-17-05.ppt
November 24, 2003 - Forward
21st Annual Institute
Background - IOM Report
The risk of dying as a result of medical error