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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/annual-summary/2010
January 01, 2010 - Medication Safety in Primary Care Practice - Translating Research Into Practice - 2010
Project Name
Medication Safety in Primary Care Practice - Translating Research into Practice
Principal Investigator
Ornstein, Steven
Organization
Medical University of South Carolina
…
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - The impact of
computerized physician order entry on medication
error prevention.
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - by both studies could be used to support health IT implementation to mitigate
issues of medication error … identification and time of medication administration potentially
resulting in medical error.
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digital.ahrq.gov/sites/default/files/docs/page/telemedicine-in-prevention-and-chronic-disease-management.pdf
June 03, 2010 - -25
0
25
50
50 100 150 200
Mean Systolic BP (mmHg)
BP
D
iff
er
en
ce
(m
m
Hg
)
Percent Error … 0
10
20
40 60 80 100 120
Mean Diastolic BP (mmHg)
BP
D
iff
er
en
ce
(m
m
Hg
)
Percent Error
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018288_zhou_pdf_3.pdf
January 01, 2011 - Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts
1 | ImprovIng outpatIent medIcatIon LIsts usIng temporaL reasonIng and
cLInIcaL texts
Small ReSeaRch GRant to ImpRove health caRe QualIty thRouGh health
InfoRmatIon technoloGy (It) (R03)
Improving Outpatient Medication Lists Using T…
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
May 23, 2011 - Key Insights
Will report error when safeguards are in place and
system is viewed as useful
Adoption
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - Our error analysis identified several general error reasons. … One source of error was due to
the lack of inclusion of the medication names in our lexicon. … Another main source of error involved the assignment of the
wrong medication status.
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digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
December 27, 2004 - Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey
Employee and Staff Pre Go-Live Expectations and Perceptions
Clinical Information Systems Survey: Physician Only
University of Iowa, Iowa City IA
This is a questionnaire designed to be completed by physicians in an inpatient…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018773-cummins-final-report-2013.pdf
January 01, 2013 - deserves closer examination because verbal communication is a known and
frequent source of medical error … seminal report “To Err is Human” attributed an estimated 44,000–98,000 deaths
each year to medical error … it becomes easier for things to go wrong”. ((18) ,p.
1-2) Both system and human factors influence error … , and system interventions can be used to decrease the
likelihood of human error. (19)
Interoperability … This
creates opportunity for error because information and recommendations could easily become confused
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
January 01, 2010 - Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes - 2010
Project Name
Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes
Principal Investigator
Fischer, Michael
Organization
Brigham and Women's Hospital
Funding Mechanis…
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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - ., 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.
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - , 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.
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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
September 21, 2009 - Could you have a simulation model where parameters
included opportunities for error and interaction
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digital.ahrq.gov/sites/default/files/docs/page/the_role_of_master_patient_index__mpi__and_record_locator_services__rls__on_the_implementation_of_hies_for_medicaid_schip_5.pdf
December 17, 2008 - in Linking
Mickey Mouse
DOB: 11/18/28
Mickey Mouse
DOB: 11/18/28
Records seem to match
Resulting error … : false positive (overlay)
2 records linked under 1 MRN
Records should match
Resulting error: false
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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/sites/default/files/docs/activity/r18hs017201-simon-annual-summary-2012.pdf
January 01, 2012 - Most believed they commit few laboratory monitoring errors and
were surprised at the error rates reported
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digital.ahrq.gov/sites/default/files/docs/activity/medication_safety_in_primary_care_practice_translating_2010_pdf__2.pdf
January 01, 2010 - Medication Safety in Primary Care Practice -- Translating Research into Practice
1 | Medication Safety in PriMary care Practice—tranSlating
reSearch into Practice
2010 Grant Summary
Medication Safety in Primary Care Practice—Translating
Research into Practice
Principal Investigator: Ornstein, Steven, M.D. …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024349-mcalearney-final-report-2017.pdf
January 01, 2017 - Portals in Inpatient Care: Evaluating the Usability, Use, and Patient Experience Associated With Patient Portal Technology at the Bedside - Final Report
Portals in inpatient care (PIC): Evaluating the usability, use an…
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digital.ahrq.gov/sites/default/files/docs/activity/ehr_usability_toolkit_2010_pdf__2.pdf
January 01, 2010 - Electronic Health Record Usability Toolkit
1 | ElEctronic HEaltH rEcord Usability toolkit
2010 ContraCt Summary
Electronic Health Record Usability Toolkit
Principal Investigator: Johnson, Constance, R.N., B.S.N., M.S., Ph.D.
Organization: Westat
Contract Number: 290-09-00023I-7
Project Period: August 2010 …
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digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
January 26, 2006 - that are inefficient, ineffective, or
unusable,8,12,13 and that may become independent sources of error … .”34(p4)
Usable may be measured by learnability, efficiency, and error tolerance … – Error tolerance refers to the ability of the system to help users avoid and recover
from error. … Examples of error measurement include frequency of errors and
recovery rate of errors. … Technology induced error and usability: The relationship
between usability problems and prescription