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cdsic.ahrq.gov/cdsic/Karen-Nanji
Nanji’s research focuses on patient safety and using technology to prevent medication errors. … Her current study examines the effects of a CDS application on the rate of perioperative medication errors
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cdsic.ahrq.gov/sites/default/files/2024-07/Final%20IAS_AI%20Landscape%20Assessment%206.24.24%20(003).pdf
January 01, 2024 - Clinicians and patients should continuously and thoroughly review
AI-generated content to detect errors … AI can generate errors when providing diagnoses, risk prediction, or
treatment recommendations, especially … Clinicians and patients should continuously and thoroughly review
AI-generated content to detect errors … awareness *
• Lack of clinician education *
• Deskilling of clinicians *
• Potentially harmful errors … Importantly, a key informant noted standards
should be stricter for avoiding errors or hallucinations
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cdsic.ahrq.gov/cdsic/AI-viewpoint
February 25, 2025 - Additionally, human involvement will help catch errors caused by AI confabulations that deliver incorrect … will be critical to building trust in using AI-supported PC CDS tools and catching potentially harmful errors … pursuing related to AI, including implications for patient safety (e.g., by reducing AI confabulations and errors
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
January 01, 2023 - - CDS makes lots of errors.
- I rarely, if ever, use CDS.
- CDS tends to slow down the clinic. … compliance Healthcare process outcomes Medication prescribing error rate or number of prescription errors … making in recognizing, diagnosing, and treating problems (e.g., number of correct answers, number of errors … Applying human factors principles to alert design increases efficiency and reduces prescribing errors … Results Usability Effectiveness Errors and safety (i.e., rate of usability errors) of CDS (Per Van Welie
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cdsic.ahrq.gov/sites/default/files/2024-09/Quartz%20Assessment%20Report_Public%20Version_0.pdf
January 01, 2024 - Quartz App to Support Medication Adherence: Usability and Feasibility Assessment
Quartz App to Support
Medication Adherence:
Usability and Feasibility
Assessment
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
Nikk…
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cdsic.ahrq.gov/sites/default/files/2023-05/InnovationCenterQ4ProgressReportFinalForDTPFINAL.pdf
January 01, 2023 - efficiency of use; 8) Aesthetic and minimalist design; 9) Help users
recognize, diagnose, and recover from errors
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cdsic.ahrq.gov/sites/default/files/2023-06/InnovationCenterQ12023ProgressReportDraft.pdf
January 01, 2023 - efficiency of use; 8)
Aesthetic and minimalist design; 9) Help users recognize, diagnose, and recover from errors
-
cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory%20User%20Guide_FINAL_9.19.23.pdf
January 01, 2023 - enable or impede use.13 Addressing these
issues through design improvements can reduce the number of errors … Measures to
assess CDS tool effectiveness examined the rate of errors. … EHR data and chart
review to ascertain the number and proportion of ADEs and other safety-related errors … Algorithmic Detection of Boolean Logic Errors in Clinical
Decision Support Statements.
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cdsic.ahrq.gov/sites/default/files/2024-10/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
January 01, 2024 - study team
assessed the 10-year net cost savings of a hospital-wide CPOE system to reduce medication errors … Error quantification refers to preventable patient safety events, such as
medication errors, adverse
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cdsic.ahrq.gov/sites/default/files/2024-02/IAS%20Workgroup%20Charter_Final.pdf
January 01, 2024 - Implementation, Adoption, and Scaling: Final Workgroup Charter
Implementation, Adoption, and
Scaling:
Final Workgroup Charter
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago …
-
cdsic.ahrq.gov/sites/default/files/2024-02/MO%20Workgroup%20Charter_Final.pdf
January 01, 2024 - Measurement and Outcomes: Final Workgroup Charter
Measurement and Outcomes:
Final Workgroup Charter
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
Novembe…
-
cdsic.ahrq.gov/sites/default/files/2022-05/Final%20Operations%20Center%20Charter.pdf
January 01, 2022 - Final Operations Center Charter
FINAL OPERATIONS CENTER CHARTER
A p r i l 6 , 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the University of Chicago
4350 East-West Highway Suite 800
Bethesda, MD 20814
Presented t…
-
cdsic.ahrq.gov/sites/default/files/2025-03/Operations%20Center%20OY2%20Charter_508.pdf
January 01, 2025 - Operations Center: Charter – Option Year 2
Operations Center:
Charter – Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chicago
Nove…
-
cdsic.ahrq.gov/sites/default/files/2025-03/Operations%20Center%20OY2%20Operational%20Framework_508.pdf
January 01, 2025 - Operations Center: Operational Framework – Option Year 2
Operations Center:
Operational Framework –
Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC…
-
cdsic.ahrq.gov/sites/default/files/2024-05/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202024.pdf
January 01, 2024 - CDSiC Stakeholder Center Progress Report
STAKEHOLDER CENTER PROGRESS REPORT
M A R C H 2 0 2 4
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared…
-
cdsic.ahrq.gov/sites/default/files/2024-02/Innovation%20Center%20Q3%202023%20Progress%20Report_100523_FINAL.pdf
January 01, 2024 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
S E P T E M B E R 2 0 2 3
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the…
-
cdsic.ahrq.gov/sites/default/files/2024-09/AHRQ%20Final%20TPC%20SDOH%20Action%20Plan.pdf
January 01, 2024 - into the CDS knowledge
base to help clinicians pick up on contextual red flags and prevent contextual errors
-
cdsic.ahrq.gov/sites/default/files/2025-03/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q1%202025.pdf
January 01, 2025 - CDSiC Stakeholder Center Progress Report
STAKEHOLDER CENTER PROGRESS REPORT
M A R C H 2 0 2 5
CDSiC Stakeholder
Community and Outreach
Center: Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018…
-
cdsic.ahrq.gov/sites/default/files/2023-08/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
January 01, 2023 - certifications.7 For example, if a PC CDS
tool repeatedly fails to work due to software bugs or encoding errors … clinician-facing PC CDS,
feedback loops should allow clinicians receiving alerts or recommendations to report errors
-
cdsic.ahrq.gov/sites/default/files/2023-08/Exec%20Sum_SMD%20Workflow%20Measurement%20Approaches%20Report%20to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Scaling, Measurement, and Dissemination of CDS Workgroup: Approaches to Measuring Patient-Centered CDS Workflow and Lifeflow Impact Executive Summary
Scaling, Measurement, and
Dissemination of CDS
Workgroup: Approaches to
Measuring Patient-Centered CDS
Workflow and Lifeflow Impact
Executive Summary
…