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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/transitions-care/promoting-effective
About half of adults experience a medical error after hospital discharge, and 19%-23% suffer an adverse
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digital.ahrq.gov/national-webinars/improving-health-it-safety-through-use-natural-language-processing
January 01, 2023 - Explain the need for an automated error detection system using NLP for improving the accuracy and quality
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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
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level
January 01, 2020 - and team at the University of Illinois at Chicago examined the use of a void alert tool (VAT), an error
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digital.ahrq.gov/sites/default/files/docs/activity/medication_reconciliation_to_improve_quality_of_transitional_care_2010_pdf__2.pdf
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/sites/default/files/docs/page/johnson-success-story.pdf
August 29, 2013 - STEPStools not only reduces the margin of error for
dosing, its drop-down dosage menus can save provid
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digital.ahrq.gov/sites/default/files/docs/activity/taconic_health_information_2009_update_2.pdf
January 01, 2009 - significantly
reduced the rate of errors and is an important tool for reducing ambulatory medication error … At the end of the grant period, data
from the e-prescribing system/prescription error study were still
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digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - Lessons Learned
• Complex, multi-step processes are frequent sources of error. … Module III describes strategies for error reporting. … Identify the preceding cause(s), not the human error. … Focus on systemic vulnerabilities,
not human error.
4. … Module III describes strategies for error reporting.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
January 01, 2018 - We expanded a previously developed EHR-related error taxonomy to
categorize types of EHR-related safety … The
most common error was “EHR technology working incorrectly” (41.6%), followed by issues with
the … Analysis of diagnostic error in
paid malpractice claims with substandard care in a large healthcare … Diagnostic Error in
Medicine: Analysis of 583 Physician-Reported Errors.
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digital.ahrq.gov/sites/default/files/docs/activity/medication_monitoring_for_vulnerable_populations_via_information_technology__mmiti__2010_pdf__2.pdf
January 01, 2010 - Medication Monitoring for Vulnerable Populations via Information Technology
1 | Medication Monitoring for Vulnerable PoPulations Via
inforMation technology
2010 Grant Summary
Medication Monitoring for Vulnerable Populations via
Information Technology
Principal Investigator: Lehmann, Christoph, M.D.
Organiz…
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digital.ahrq.gov/sites/default/files/docs/page/08-0093_cpoe.pdf
August 01, 2008 - Layout 1
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
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 developing
secure and privat…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computerized-physician
October 21, 1998 - Effect of computerized physician order entry and a team intervention on prevention of serious medication errors
Authors: Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, Burdick E, Hickey M, Kleefield S, Shea B, VanderVliet M, Seger DL Journal: JAMA Publication Date: 10/21/1998 Volume: 280 I…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/nursing-home-telehealth-system
telehealth systems in long-term care can include Internet connectivity problems, software glitches, operator error
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/usability/heuristic-evaluation-clinical
violations, with heuristics consistency and standards, match between system and the real world, and error
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digital.ahrq.gov/ahrq-funded-projects/improving-direct-notification-abnormal-test-results-patient-portals
January 01, 2023 - Electronic Medical Record Population: Researcher
Primary care pediatricians' interest in diagnostic error … Primary care pediatricians' interest in diagnostic error reduction.
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digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2019 - Supporting Clinicians to Improve Decision Making and Patients' Care
Research funded by AHRQ’s Digital Healthcare Research Program aims to support clinicians and other healthcare professionals in providing health services. In 2019, total program investment in research to support clinical …
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/assessment-potential-impact
January 01, 2006 - Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study
Authors: Ramnarayan, P., Roberts, G. C., Coren, M., Nanduri, V., Tomlinson, A., Taylor, P. M., Wyatt, J. C., Britto, J. F. Journal: BMC Med Inform Decis Mak Publication Date: 2006 Volum…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/high-rates-adverse-drug-events
July 19, 2021 - High Rates of Adverse Drug Events in a Highly Computerized Hospital
Numerous studies have shown that specific computerized interventions may reduce medication errors, but few have examined adverse drug events (ADEs) across all stages of the computerized medication process. We describe the frequency and type of…
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - At the time of error 1
“How was the hazard discovered?” … computer disconnect 1
“Data Quality” Data coded incorrectly or confusingly 4
“Data Quality” Human error
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digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children
January 01, 2023 - linkages; (2) performed a retrospective record review to define baseline continuity of information error