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441. Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/r18hs017864-ciemins-annual-summary-2012.pdf
     January 01, 2012 - When discrepancies were found, it was noted as to whether it was due to patient error, a conscious decision … by the patient to change how s/he took the medication, or a reconciliation error.

442. AHRQ-Funded Researchers Disseminate Findings in High-Impact Journals | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-dissemination/ahrq-funded-researchers-disseminate-findings-high-impact-journals
     January 01, 2020 - AHRQ-Funded Researchers Disseminate Findings in High-Impact Journals In 2020, AHRQ-funded researchers published over 100 research articles in peer-reviewed journals and book chapters, including the following: Displaying Patient Photos in Electronic Health Records Reduces Hospital O…

443. Task Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/task-analysis
     January 01, 2023 - Task Analysis Tabular Task Analysis Description A tabular task analysis (TTA) is conducted to evaluate a task or scenario with regard to the necessary task steps and the interface used. The analysis evaluates specific elements of the bottom-level task steps within a hierarch…

444. Vandenberg, Ann E. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/vandenberg-ann-e
     July 24, 2024 - Vandenberg, Ann E. 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…

445. Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
     January 01, 2020 - track of their health and care, increasing the potential for improved health outcomes and medical error

446. Taconic Health Information Network and Community (THINC) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc
     January 01, 2023 - Taconic Health Information Network and Community (THINC) Project Final Report ( PDF , 53.59 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…

447. Improving Management of Test Results that Return After Hospital Discharge | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge
     January 01, 2023 - Improving Management of Test Results that Return After Hospital Discharge Project Final Report ( PDF , 311.76 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 represen…

448. AHRQ-Funded Research at the 2018 AMIA Annual Symposium | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
     January 01, 2018 - AHRQ-Funded Research at the 2018 AMIA Annual Symposium Investigator Name AHRQ Research Profile AMIA Title Type Abraham, Joanna An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems Clinician Perspectives on Duplicate Medication Ordering…

449. Decision Action Diagram | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-action-diagram
     January 01, 2023 - Advantages Potential ramifications for error prediction.

450. Improving Laboratory Monitoring in Community Practices: A Randomized Trial (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/improving_laboratory_monitoring_in_community_practices__a_randomized_trial_2010_pdf__2.pdf
     January 01, 2010 - Most believed they commit few laboratory monitoring errors and were surprised at the error rates reported

451. Electronic Records to Improve Care for Children (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/electronic_records_to_improve_2009_update_2.pdf
     January 01, 2009 - reviewed; 2) a retrospective record review was performed to define baseline continuity of information error

452. Section 1 - Introduction | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-1-introduction
     Section 1 - Introduction Tasks Begin by developing a clear picture of central processes and concepts, such as the medication management cycle, CDS intervention types, and challenges and opportunities related to medication management. Consider how the “CDS Five Rights” apply to improving processes related …

453. Comparison of voice-automated transcription and human transcription in generating pathology reports | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/comparison-voice-automated
     June 01, 2003 - Comparison of voice-automated transcription and human transcription in generating pathology reports Authors:  Al-Aynati MM, Chorneyko KA Journal:  Arch Pathol Lab Med Publication Date:  2003 Jun Volume:  127 Issue:  6 Pages:  721-5 HIT Description:  Continuous speech recognition system.  More info... Purpo…

454. Wogen S et al. 2003 "Improving the efficiency of the prescription process and promoting plan adherence." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wogen-s-et
     January 01, 2023 - quality of care, helped the pharmacists and physicians work better together, reduced the potential for error

455. USA, MD, Rockville | Digital Healthcare Research
     digital.ahrq.gov/location/usa-md-rockville
     January 01, 2023 - USA, MD, Rockville Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology Description The project conducted an environmental scan and grey literature review, and key informant interviews to identify consumer prod…

456. Department of Health and Human Services Program Support Center (PSC) | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/department-health-and-human-services-program-support-center-psc
     January 01, 2023 - Department of Health and Human Services Program Support Center (PSC) 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…

457. Electronic Prescribing Using A Community Utility - The ePrescribing Gateway (pdf file)
     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

458. A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs017020-singh-final-report-2010.pdf
     January 01, 2010 - under-reporting; according to IOM’s 1999 report, only 5% of known errors are typically reported.3 Error

459. Inpatient Computerized Provider Order Entry (CPOE) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
     January 01, 2023 - e.g., blank fields that allow the clinician to type unstructured narrative) provide opportunities for error … also can reduce clinicians’ sensitivity to the alerts, increasing the opportunity for patient safety error … The impact of computerized physician order entry on medication error prevention.

460. A National Web Conference on Electronic Prescribing (e-RX) and the Medicare Modernization Act e-RX Pilot Evaluation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/eRx_MMA_Pilot_Slides_A%20(3).pdf
     April 01, 2008 - A National Web Conference on Electronic Prescribing (e-RX) and the Medicare Modernization Act e-RX Pilot Evaluation Electronic Prescribing (e-RX) and the Medicare Modernization Act e-RX Pilot Evaluation August 13, 2007 Presenters: Tony Trenkle, Director, Office of eHealth Standards and ServicesTony Trenkle, Dire…