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

61. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/annual-summary/2012
    January 01, 2012 - The error rates of these medication pairs were estimated by reviewing patient medication histories and … After estimation of the error rate, the positive predictive value will be identified for the screening … Even if the percentage of error in these new prescriptions is 10 percent, the fact that 3 percent of

62. Kaushal R et al. 2003 "Effects of computerized physician order entry and clinical decision support systems on medication safety - a systematic review." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
    January 01, 2003 - Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication error … Of the CPOE studies, 2 demonstrated a marked decrease in the serious medication error rate, 1 an improvement … Conclusions: Use of CPOE and isolated CDSSs can substantially reduce medication error rates, but most … pharmacists must manually reenter orders into the pharmacy system, with a resultant increase in chance of error

63. 5S | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5s
    January 01, 2023 - Implementing this tool can provide numerous benefits including increased productivity, improved quality, error

64. Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
    January 01, 2023 - rate of self-intercepted wrong-drug and wrong-patient CPOE errors and 2) on the rate of each type of error

65. National Web-Based Teleconference on Health IT and Safety - Using Health IT to Prevent Adverse Events (pdf file)
    digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
    July 13, 2010 - 6.Classification 7.Feedback to improve queries Target errors • Explicit voluntary error … reporting – ―error,‖ ―unexpected,‖ ―inadvertent‖ • Learning from reported errors – New York State … Self reporting in the EHR • Accident • Active Error • Adverse • Adverse Drug Event • Adverse Drug … • Drug Toxicity • Error • Error of Comission • Error of Omission • Harm • Human Error • Iatrogenic … Luckily, his pharmacist caught the error.

66. Brown, Andrew | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/brown-andrew
    January 01, 2023 - The impact of a Web-based reporting system on the collection of medication error … The impact of a Web-based reporting system on the collection of medication error occurrence data.

67. Automated Retract-and-Reorder Measures to Improve Medication Safety | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
    January 01, 2023 - 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 … the epidemiology of order errors and to test the effectiveness of proposed EHR improvements on order error

68. Medication Errors | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/medication-errors
    January 01, 2023 - Medication Errors Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction Description This research will use artificial intelligence and machine learning to create prediction tools i…

69. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2010
    January 01, 2010 - The error rates of these 200 medication pairs will then be estimated by reviewing patient medication … After estimation of the error rate, the positive predictive value will be identified for the screening … To measure the error rates of the final list of medication pairs, the team will review patient medication

70. Process Decision Program Chart | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
    January 01, 2023 - developed, allowing the problems to either be avoided or a contingency plan to be in place should the error

71. Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
    January 01, 2009 - to weight-based dosing, off-label drug usage and preparation, limited ability to withstand a dosing error … , and a limited ability to communicate with health care professionals when an error might occur or has … It changes the culture of the organization gradually and whittles away at the medication error and other … phased EMR implementation and these other initiatives have contributed to the changes in medication error … Overall error rates, including low-severity errors, dropped to almost zero by late 2007.

72. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
    January 01, 2007 - Each prescription was evaluated for the presence of an error. … The first outcome of interest was whether an error (or potential error) occurred. … Human Error. Cambridge, England: Cambridge University Press; 1990. 7. Leape LL. … National Coordinating Council for Medication Error and Reporting and Prevention. … The impact of computerized physician order entry on medication error prevention.

73. University of Illinois at Chicago | Digital Healthcare Research
    digital.ahrq.gov/organization/university-illinois-chicago
    January 01, 2023 - Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error … broad range of errors that may occur in practice that may be missed by using traditional retrospective error

74. Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs023708-senathirajah-final-report-2021.pdf
    January 01, 2021 - Measure Error detection Definition Proportion of errors user was able to identify. … the interface to address an error or omission. … Measure Error detection Definition Proportion of errors user was able to identify. … the interface to address an error or omission. … Boring RL, editor Advances in Human Error, Reliability, Resilience, and Performance.

75. AHRQ National Webinar on Medication Without Harm – How Digital Healthcare Tools Can Support Providers and Improve Patient Safety - Q&As (pdf file)
    digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
    July 24, 2024 - Safety QUESTION: When you placed your call to the prescriber to ask them about the type of drug error … , what were common explanations from them whereby you did not count it as an error? … It is more like the art of medicine than an error. … Pretty much any order that can be placed can be placed as an error. … When we see it canceled, it is a good sign that it was an error and if we see what happens next we may

76. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
    January 01, 2011 - If error rates vary greatly between systems, there are potential policy implications for more stringent … The research team found that error rates were highest at baseline and lowest at 2 years. … Other error types increased and remained elevated at 1-year post implementation, suggesting that transitioning … drugs, non-narcotic analgesics, and anti-coagulants were the classes of medications with the highest error

77. Comprehensive Information Technology Solution for Quality and Patient Safety - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
    January 01, 2008 - The combination of phases attacks the entire medication error problem. … Medication error and ADE rates at each stage of the implementation were analyzed. … Overall error rates (including low severity) dropped to almost zero at T4 and T5. … While overall medication error rates started low, the trend in overall medication error rates declined … The Impact of Computerized Physician Order Entry on Medication Error Prevention.

78. AHRQ National Web Conference on Clinical Decision Support Efforts That Assist Clinical Cognitive Processes - Slides (pdf file)
    digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
    October 19, 2021 - 28 Summary • Brief primer on human factors in healthcare • Cognitive support and potential for error … PMID:26262532 Conventional • Omission by user in search > error • Cognitive load due to need to retain … • Shared omission > Dx momentum error? • Cognitive load due to UI change? … /Omission Detection • Default layouts, deliberate error, omission, confusing/contradictory note • No … Design Patterns Flowsheet Navigation Info transmission + Error/Omission Detection Crossover Study

79. Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
    January 01, 2019 - Error analysis The Local Interpretable Model-Agnostic Explanations (LIME) approach was applied to the … best- performing machine learning classifier, with optimal parameters, for error analysis. … An overview of the error interpretation generated by the LIME algorithm is displayed in Fig. 3 with … Heatmap visualization of error analysis for all-causes cancellation for the Burnet campus dataset. … Error analysis, limitations and future work An error analysis was performed on predictions of all-cause

80. Failure Mode and Effects Analysis | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
    January 01, 2023 - For error forecasting. For mistake prevention. … , whether they are changes that diminish severity or occurrence, or are extra controls that improve error … Can prepare for and remove possible error causes.