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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-usability-toolkit/annual-summary/2010
January 01, 2010 - Electronic Health Record Usability Toolkit - 2010
Project Name
Electronic Health Record Information Design and Usability Toolkit
Principal Investigator
Johnson, Constance
Organization
Westat
Contract Number
290-09-00023I-7
Project Period
August 2010 – Februa…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/rose
January 01, 2023 - A rose by any other name would smell as sweet: Defining patient safety-related terminology.
Citation
Wahr JA, Nanji KC, Merry AF. A rose by any other name would smell as sweet: Defining patient safety-related terminology. Br J Anaesth. 2022 Apr;128(4):605-607. doi: 10.1016/j.bja.2022.01.028. Epub 2022…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/patient
January 01, 2023 - Patient harm in cataract surgery: A series of adverse events in Massachusetts.
Citation
Roberto SA, Bayes J, Karner PE, Morley MG, Nanji KC. Patient harm in cataract surgery: A series of adverse events in Massachusetts. Anesth Analg. 2018 May;126(5):1548-1550. doi: 10.1213/ANE.0000000000002526. PMID: …
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - Computerized alerts may
decrease error rates and improve therapy.15 Computerized clinical reminders … There is evidence that alert CDS may decrease error
rates and improve therapy.15 On the other hand, … Size and place of buttons should be logical, ensuring speed and error reduction
23. … Toward a theoretical approach to medical error 90. … The frequency and nature of
2000;15(3):149-54. medical error in primary care: understanding the
79
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - when clinicians realize they’ve ordered the wrong
dose or frequency for a drug, are caught before the error … This allowed the
researchers to classify whether the event was a true error or not, and to
better understand … epidemiology
of order errors and to test the effectiveness of proposed EHR
improvements on order error
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citation-0
January 01, 2023 - Improving patient safety through information technology.
Citation
Brown CA, Bailey JH, Miller Davis ME, et al. Improving patient safety through information technology. Perspect Health Inf Manag 2005 Sep 27;2:5.
Link
https://www.ncbi.nlm.nih.gov/pubmed/18066373
Principal Investigator
…
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digital.ahrq.gov/ahrq-funded-projects/rxsafe-shared-medication-management-and-decision-support-rural-clinicians/annual-summary/2010
January 01, 2010 - The prototype for the identifier module underwent trial-and-error testing.
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digital.ahrq.gov/ahrq-funded-projects/ehealth-bp-control-program/annual-summary/2012
January 01, 2012 - In some instances, the BP cuff did not properly fit patients, which led to an error message.
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digital.ahrq.gov/organization/upper-peninsula-health-care-network
January 01, 2023 - Upper Peninsula Health Care Network
Critical Access Hospital Partnership Health Information Technology Implementation - 2009
Principal Investigator
Wheeler, Donald
Project Name
Critical Access Hospital Partnership Health Information Technology Implementation
…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citation
January 01, 2023 - Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?
Citation
Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical re…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/ocular
January 01, 2023 - Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018.
Citation
Morley M, Menke AM, Nanji KC. Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018. Ophthalmology. 2020 Jul;127(7):852-858. doi: 10.1016/j.ophtha.2019.12.019. Epub…
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/assess
January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am Med Inform Assoc 2017 Sep …
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citation-1
January 01, 2023 - Identifying barriers to the adoption of new technology in rural hospitals: a case report.
Citation
Garrett P, Brown CA, Hart-Hester S, et al. Identifying barriers to the adoption of new technology in rural hospitals: a case report. Perspect Health Inf Manag 2006 Oct 25;3:9.
Link
https://www.nc…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018288-zhou-final-report-2011.pdf
January 01, 2011 - Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts - Final Report
Grant Final Report
Grant ID: 1R03HS018288
Improving Outpatient Medication Lists Using
Temporal Reasoning and Clinical Texts
Inclusive Project Dates: 09/30/09 – 09/29/11
Principal Investigator: …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - When research team members identified an error or wanted to suggest an
edit, they could click a button … Preventable ADEs are those that are due
to medical error (i.e. they could have been avoided). … each ADE as: adverse drug event,
procedure-related injury, nosocomial infection, fall, therapeutic error … , diagnostic error, or other. … Event (if alert rated as a potential problem or problem needing
timely response) n=13: Therapeutic-error
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digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - environment to expeditiously problem
solve on limited information
Emergency Department Errors
Medical error
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digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
January 01, 2009 - E-Prescribing Impact on Patient Safety, Use, and Cost - 2009
Project Name
E-Prescribing Impact on Patient Safety, Use, and Cost
Principal Investigator
Weissman, Joel
Organization
Massachusetts General Hospital
Funding Mechanism
RFA: HS04-012: Demonstrating the Value…
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digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2010
January 01, 2010 - Improving Management of Test Results that Return After Hospital Discharge - 2010
Project Name
Improving Management of Test Results that Return After Hospital Discharge
Principal Investigator
Were, Martin
Organization
Indiana University
Funding Mechanism
PAR: HS09-08…
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digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care/annual-summary/2011
January 01, 2011 - The more general metric of creating a clinical note also contains the potential for error.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shojania-k-et-al-2009
January 01, 2009 - larger improvements in provider behaviour if computer reminders are to succeed on more than a trial and error