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Users also searched for: medication errors
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digital.ahrq.gov/sites/default/files/docs/activity/assessment_of_pediatric_look_alike__sound_alike__lasa__substitution_errors_2010pdf_2.pdfMarch 01, 2012 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors 1 | Assessment of PediAtric Look-ALike … , sound-ALike substitution errors 2010 GrAnt summAry Assessment of Pediatric Look-Alike, Sound-Alike … Substitution Errors Principal Investigator: Basco, William, M.D. … errors in pediatric prescriptions is not well documented or understood. … and refine a method for “flagging” individual prescriptions as potential errors.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-automation-pharmacistJanuary 01, 2001 - Impact of automation on pharmacist interventions and medication errors in a correctional health care … Evaluate the impact of an automated check-and-sortation system on pharmacist interventions and medication errors … Evaluation Method: Measures of clinical interventions, and dispensing errors. … Quality of Care and Patient Safety Outcome: Dispensing errors decreased from 6.3 to 4.1 per 100,000 … Identified filling errors increased from 224 to 256 per 100,000 orders.
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digital.ahrq.gov/organization/university-mississippi-medical-centerJanuary 01, 2023 - University of Mississippi Medical Center Detecting Med (Medication) Errors … Principal Investigator Brown, Andrew Project Name Detecting Med (Medication) Errors … in Rural Hospitals Using Technology Detecting Med (Medication) Errors in Rural … Technology Description Implemented and evaluated a voluntary system for reporting medical errors … rural hospitals; identified barriers to technology, described the epidemiology and root causes of the errors
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-physician-order-1January 01, 2004 - Computerized physician order entry and medication errors in a pediatric critical care unit … Purpose of Study: evaluate the impact of computerized provider order entry (CPOE) on the frequency of errors … multidisciplinary pediatric ICU at an academic institution in a large city Intervention: compare occurrences of errors … process before and after implementation of the CPOE system Evaluation Method: pharmacist review for errors … and Patient Safety Outcome: Rates of potential adverse drug events (ADEs), medication prescribing errors
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-careJanuary 01, 2023 - Care Acute Care Health Care Theme Medication Reconciliation Medication errors … account for approximately 20 percent of all medical errors in the U.S. … the resulting system altered the rate of medication reconciliation and the incidence of medication errors … Determine whether electronic facilitation alters medical reconciliation and the incidence of medication errors … Process definition and tool provision can improve outcomes including usefulness, perceived benefits, errors
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digital.ahrq.gov/technology/computerized-provider-order-entry-systemJanuary 01, 2023 - Photographs in Electronic Health Records Preventing Wrong-Drug and Wrong-Patient Errors … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … in CPOE Systems Beyond mixed case lettering: Reducing the risk of wrong drug errors … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Risk factors associated with medication ordering errors.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdfJanuary 01, 2008 - The goal is to increase the number of medication errors reported. … (4) Electronic reporting of medical errors can reduce future errors in four important ways: 1) … for 234/805 discovered errors (29%). … Figure 1. 805 total errors reported Figure 1a. … Laird Hospital: 115 total errors reported Figure 3a.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/steele-aw-etJanuary 01, 2023 - Abstract "Background: Computerized order entry systems have the potential to prevent medication errors … prescribed in the outpatient setting, few studies have assessed the impact of automated alerts on medication errors … Implementation of rules technology to prevent medication errors could be an effective tool for reducing … medication errors in an outpatient setting." … Objective To assess "the impact of automated alerts on medication errors related to [missing or abnormal
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digital.ahrq.gov/principal-investigator/thomas-ericJanuary 01, 2023 - Remote Intensive Care Unit (ICU) Monitoring Types and origins of diagnostic errors … Types and origins of diagnostic errors in primary care settings. … Eric Project Name Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors … Teamwork behaviours and errors during neonatal resuscitation. … Teamwork behaviours and errors during neonatal resuscitation.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prioritizing-strategiesApril 01, 2003 - Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients … Purpose of Study: To classify the major types of medication errors in pediatrics and to determine which … study: 2003 Study Design: Hypothetical experiment Outcomes: Rates of harmful and all medication errors … Outcome: Basic computerized physician order entry (CPOE) would capture 60% of potentially harmful errors … CPOE with clinical decision-support systems (CPOE +CDSS) would increased the prevention of harmful errors
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/role-computerized-physicianMarch 09, 2005 - Role of computerized physician order entry systems in facilitating medication errors Authors … Outcomes: Medication errors. … These were grouped by the authors as 1) Information errors generated by fragmentation of data and failure … Within the first category, identified errors include the assumed dose information, meaning that the CPOE … A second example of the first group of errors was antibiotic renewal failure which occurred because of
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digital.ahrq.gov/principal-investigator/adelman-jason-stuartJuly 24, 2024 - Patient Safety Event Date July 24, 2024 - 2:30pm - July 24, 2024 - 4:00pm Medication errors … Preventable medication errors cost the nation more than $21 billion annually across all care settings … Principal Investigator Adelman, Jason Stuart Project Name Assess Risk of Wrong-Patient Errors … Project Name Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open Develop … Principal Investigator Adelman, Jason Stuart Project Name Assess Risk of Wrong-Patient Errors
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdfJanuary 01, 2022 - Evaluation of Perioperative Medication Errors and Adverse Drug Events. … Medication errors observed in 36 health care facilities. … Medication errors and adverse drug events in pediatric inpatients. … Errors associated with outpatient computerized prescribing systems. … Observation method of detecting medication errors.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medication-errors-prospectiveOctober 05, 2005 - Medication errors: a prospective cohort study of hand-written and computerised physician order entry … decision support to with hand-written prescribing on the frequency, type and outcome of medication errors … Introduction of CPOE without decision support Evaluation Method: ICU pharmacist-identified medical errors … Penetration: mandatory utilization Quality of Care and Patient Safety Outcome: Proportion of medical errors
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digital.ahrq.gov/sites/default/files/docs/better-medication-management-transcript-021611.pdfMay 10, 2016 - PREVENTING ERRORS AND PROMOTING SAFETY THROUGH BETTER MEDICATION MANAGEMENT 1 PREVENTING ERRORS … We also have drug administration errors. … about the errors to medical practices. … Errors occur all the time. You know that. None of us is safe from making errors. … It's hard to capture errors at a pharmacy about prescribing errors, because there isn't a lot known
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/controlled-trial-smart-infusionJune 14, 2021 - Controlled Trial of Smart Infusion Pumps to Improve Medication Safety in Critically Ill Patients Errors … of smart pumps with integrated decision support software on the incidence and nature of medication errors … Serious medication errors included both near-misses and preventable ADEs. … We found a total of 180 serious medication errors, including 14 and 11 preventable ADEs and 73 and 82 … In conclusion, intravenous medication errors and ADEs were frequent and could be detected using smart
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Webinar - A National Web Conference on Assessing Safety Risks Associated With EHRs - August 29 (pdf file)
digital.ahrq.gov/sites/default/files/docs/safety-risks-ehr-slides-082916.pdfAugust 29, 2016 - • Voluntary reporting of errors • Automated detection of errors • Research on detecting wrong patient … errors • Research on preventing wrong patient errors • Future Health IT Safety Measures • Summary 45 … errors • Future Health IT Safety Measures • Summary 53 Wrong Patient Errors: An Old Problem 54 … • Voluntary reporting of errors • Automated detection of errors • Research on detecting wrong patient … errors • Research on preventing wrong patient errors • Future Health IT Safety Measures • Summary 56 -
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-hospitalwide-computerizedJanuary 01, 2005 - The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital … Purpose of Study: To assess whether CPOE in a pediatric hospital would decrease medication errors Years … patient safety Summary: Settings: University pediatric hospital Intervention: Compare medication errors … Changes in efficiency and productivity: Transcription errors were eliminated.
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digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiativeJanuary 01, 2023 - Ambulatory Setting Hospital Health Care Theme Clinical Decision Making Medication Errors … Reduction of medication errors due to the adoption of electronic prescribing (e-prescribing). … The use of e-prescribing systems was estimated to avert approximately 14.3 million medication errors … Further, it was estimated that as many as 86 million medication errors could have been averted in 2008 … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems
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digital.ahrq.gov/principal-investigator/sullivan-seanJanuary 01, 2023 - Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication errors … Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication errors … the Impact of an ACPOE/CDS System on Outcomes Characterization of prescribing errors … Characterization of prescribing errors in an internal medicine clinic. … The impact of computerized provider order entry on medication errors in a multispecialty group practice
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