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1. Medication Errors | Digital Healthcare Research
   digital.ahrq.gov/health-care-theme/medication-errors
   January 01, 2023 - Medication Errors Artificial Intelligence-Based Health Information Technology … research developed strategies to optimize CancelRx implementation and measured its impact on dispensing errors … displaying patient photos and alerts in the electronic health record for preventing wrong-patient order errors … , finding rigorous evidence that these interventions significantly decrease such errors.

2. Errors in Paramedic Endotracheal Intubation (pdf file)
   digital.ahrq.gov/sites/default/files/docs/page/2006Wang_051611comp.pdf
   January 01, 2006 - Errors in Paramedic Endotracheal Intubation Errors in Paramedic Endotracheal Intubation Henry E. … Objectives  Highlight results of AHRQ-funded effort to evaluate paramedic endotracheal intubation (ETI) errors …  Highlight how studies of ETI errors have lead to broader questions regarding the structure, nature … “Is Poor Outcome Due to Adverse Events and Errors?” … 230 McKee Place, Suite 400 Pittsburgh, PA 15213 (412)-647-4925 wanghe@upmc.edu Document title: Errors

3. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors
   January 01, 2023 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors Project Final … is known about the potential severity of look-alike, sound-alike (LASA) drug substitution errors and … errors in pediatric prescriptions is not documented or well understood. … population and estimated the frequencies of potential LASA substitution errors. … Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report.

4. Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box | Digital Healthcare Research
   digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
   January 01, 2019 - These flaws may result in adverse events or other medical errors that can harm patients. … , and then put in systems to capture the context around errors. … were retrospectively analyzed to understand factors that led to those errors. … they cause and may not appreciate the role of the interface in causing the errors. … , was errors related to the intake form for children versus for adults.

5. An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems
   January 01, 2023 - An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems … Identify medication ordering errors from voided orders and their clinical impact.  … Risk factors associated with medication ordering errors. … Risk factors associated with medication ordering errors. … Predicting self-intercepted medication ordering errors using machine learning.

6. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors
   January 01, 2023 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Project … Most errors involved conditions commonly seen in primary care. … Types and origins of diagnostic errors in primary care settings. … Electronic health record-based surveillance of diagnostic errors in primary care. … Teamwork behaviours and errors during neonatal resuscitation.

7. Detecting Med (Medication) Errors in Rural Hospitals Using Technology | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology
   January 01, 2023 - Detecting Med (Medication) Errors in Rural Hospitals Using Technology Project Final … Type of Care Acute Care Health Care Theme Adverse Events Medication Errors … Detecting Med (Medication) Errors in Rural Hospitals Using Technology - 2008 × Disclaimer … Disclaimer details Close Detecting Med Errors in Rural Hospitals … Detecting Med Errors in Rural Hospitals Using Technology -Final Report.

8. Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
   January 01, 2023 - Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open Project … Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report. … Principal Investigator: Adelman, Jason Stuart Project Name: Assess Risk of Wrong-Patient Errors in … It will likely take a multi-pronged health IT approach to prevent these types of errors.” - Dr. … Use of photographs to prevent errors.

9. Teamwork behaviours and errors during neonatal resuscitation. | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-2
   January 01, 2023 - Teamwork behaviours and errors during neonatal resuscitation. … Teamwork behaviours and errors during neonatal resuscitation. … Teamwork behaviours and errors du… Principal Investigator Thomas, Eric Project Name … Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Document

10. 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 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - 2012 Project Name … Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors Principal Investigator … While medication errors have been studied in the pediatric population, the frequency of LASA-specific … errors in pediatric prescriptions is not well documented or understood. … and is refining a method for flagging individual prescriptions as potential errors and creating screening

11. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/final-report
    January 01, 2023 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report … Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report. … PDF Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report … Eric Project Name Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors

12. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/final-report
    January 01, 2023 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report Citation … Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report. … PDF Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report … Basco, William Project Name Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors

13. Detecting Med Errors in Rural Hospitals Using Technology - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/final-report
    January 01, 2023 - Detecting Med Errors in Rural Hospitals Using Technology - Final Report Citation Brown … Detecting Med Errors in Rural Hospitals Using Technology -Final Report. … PDF Detecting Med Errors in Rural Hospitals Using Technology - Final Report. … Principal Investigator Brown, Andrew Project Name Detecting Med (Medication) Errors in

14. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
    January 01, 2011 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011 Project … Name Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors Principal Investigator … While medication errors have been studied in the pediatric population, the frequency of LASA-specific … errors in pediatric prescriptions is not documented or understood well. … and refining a method for "flagging" individual prescriptions as potential errors and creating screening

15. Develop and Validate Health IT Safety Measures To Capture Violations of the Five Rights of Medication Safety | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
    January 01, 2023 - Yet efforts to prevent these errors have been hampered by lack of standardized measures. … You can't study errors and improve systems when there are only six events.” … Adelman wanted to expand RAR measures to medication and other types of order errors. … Are there differences in frequency by type of errors, for example, wrong-patient versus wrong-dose errors … Use of photographs to prevent errors.

16. 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 - Yet efforts to prevent these errors have been hampered by lack of standardized measures. … These near-miss errors are self-caught by the clinician before they reach the patient. … You can't study errors and improve systems when there are only six events.” … Adelman wanted to expand RAR measures to medication and other types of order errors. … Are there differences in frequency by type of errors, for example, wrong-patient versus wrong-dose errors

17. NLP to Improve Accuracy and Quality of Dictated Medical Documents | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
    January 01, 2023 - While easy to use and efficient, SR is prone to errors, including spelling errors and “real-word” errors … Spell check functionality catches spelling errors, but real-word errors are more difficult to automatically … and classification of the errors. … Develop automated, robust methods to detect SR errors in medical documents.  … Incidence of speech recognition errors in the emergency department.

18. Electronic health record-based surveillance of diagnostic errors in primary care. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-3
    January 01, 2023 - Electronic health record-based surveillance of diagnostic errors in primary care. … Electronic health record-based surveillance of diagnostic errors in primary care. … Eric Project Name Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors

19. Types and origins of diagnostic errors in primary care settings. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-4
    January 01, 2023 - Types and origins of diagnostic errors in primary care settings. … Types and origins of diagnostic errors in primary care settings. … Eric Project Name Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors

20. Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/beyond
    January 01, 2023 - Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Principal Investigator Lambert, Bruce Project Name Preventing Wrong-Drug and Wrong-Patient Errors