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Showing results for "errors".
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101. Murphy Diagram | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
     January 01, 2023 - They are similar to other analysis methods such as fault trees as they analyze errors based on the … potential causes of those errors.

102. Decreasing ADEs in Montana Frontier Critical Access Hospitals through HIT | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/decreasing-ades-montana-frontier-critical-access-hospitals-through-hit
     January 01, 2023 - Type of Care Acute Care Health Care Theme Adverse Events Medication Errors … appears to have improved the overall reporting of prescription, transcription, and dispensing process errors

103. Primary Care Visual Error Reporting Tool | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/primary-care-visual-error
     January 01, 2023 - Visual Medication Error Reporting Tool is a tool using pictures/diagrams to be used in the reporting of errors

104. Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual
     January 01, 2023 - Contextual errors occur when a care plan is inappropriate because of inattention to patient context. … Contextual errors can lead to diminished healthcare outcomes and an increase in healthcare costs related … decision support (CDS) can be used to alert clinicians to both red flags and factors to avoid contextual errors

105. Medication Reconciliation to Improve Quality of Transitional Care - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
     January 01, 2012 - Period September 2009 – July 2013 AHRQ Funding Amount $1,181,628 Summary: Medication errors … account for approximately 20 percent of all medical errors in the United States each year. … facilitation of inpatient MR improves completion of MR and decreases the incidence of drug-related medical errors … Determine whether electronic facilitation alters medication reconciliation and the incidence of medication errors

106. Electronic Health Record Information Design and Usability Toolkit | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-information-design-and-usability-toolkit
     January 01, 2023 - While health information technology (IT) systems are expected to significantly reduce medication errors … , studies have found that issues with usability and information design can actually facilitate errors

107. AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix D (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-d.pdf
     June 16, 2021 - an outpatient practice, the office manager believed they were making a large number of prescription errors … On the other hand, if you observe the following data… Before After Number of Errors in 100 Sampled … the e-prescribing system, the errors may have shown up in the sampled prescriptions by chance. … Random events might even result in one or two fewer errors before implementation, giving the impression … that the system was causing errors rather than preventing them.

108. Computerized Provider Order Entry System | Digital Healthcare Research
     digital.ahrq.gov/technology/computerized-provider-order-entry-system
     January 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.

109. Adelman, Jason Stuart | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/adelman-jason-stuart
     July 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

110. University of Mississippi Medical Center | Digital Healthcare Research
     digital.ahrq.gov/organization/university-mississippi-medical-center
     January 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

111. Thomas, Eric | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/thomas-eric
     January 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.

112. AHRQ-Funded Research at the 2018 AMIA Annual Symposium | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
     January 01, 2018 - AHRQ Research Profile AMIA Title Type Abraham, Joanna An Etiology for Medication Ordering Errors … Computerized Provider Order Entry Systems Clinician Perspectives on Duplicate Medication Ordering Errors … Measures To Capture Violations of the Five Rights of Medication Safety ; Assess Risk of Wrong-Patient Errors

113. Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
     January 01, 2019 - to determine why these errors occur and how to make informed changes to improve the EHR. … for approximately 34 errors. … Potential solutions for these errors include 1. … quickly and easily EHR errors can occur. … Role of computerized physician order entry systems in facilitating medication errors.

114. Partnering to Improve Patient Safety in Rural WV | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
     January 01, 2023 - small, rural hospitals across the state in an online patient safety network designed to prevent medical errors … catalogued more than 24,000 "events," information that WVMI and hospital staff have used to identify errors … and determine how to prevent future errors. … cases, the data are used to increase hospitals' attention to problems that might be rooted in medical errors

115. Role of IT in Improving Patient Safety (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
     June 16, 2021 - Review of IT Structures of PennMedicine CCEB Improving Patient Safety by Reducing Medication Errors … psychometric personality inventory CCEB Project 4 Outcomes • The “near misses” for medication errors … CCEB Project Four Qualitative Summary Outcomes • An emerging theme focused on the errors created … by technological solutions designed to reduce errors • Several examples illustrate the unintended … :�Overall Organization Project 4: Medication Errors�Related to Workplace Stressors�(Ross Koppel, PhD

116. A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation - Slides (pdf file)
     digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
     February 07, 2017 - • ~5 million errors per year are tied to wrong medications; 1 in 4 medication errors involves a … ; 1.3 errors per note; 9 errors per 1000 words … ; % = number of errors of a specific type divided by the total number of errors 58 Clinical … Across Note Stages Total Errors Clinical Information Errors n (%) General English … Figure Errors by Semantic Type. Clinical Informat ion Errors in SR Notes. .

117. Conducting Measurement Activities for Health Information Technology Initiative | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative
     January 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

118. Sullivan, Sean | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/sullivan-sean
     January 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

119. Medication Without Harm: How Digital Healthcare Tools Can Support Providers and Improve Patient Safety (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
     January 12, 2025 - as the Wrong-Patient Retract-and-Reorder measure, can be developed and used to detect medication errors … medication discontinuation to pharmacies, we can improve patient safety by reducing medication errors … Technical errors 4. Memory-based (lapses) Aronson JK, Ferner RE. … • The first RAR measure identified wrong-patient errors. … New RAR measures identify wrong dose, wrong frequency, and wrong route medication errors.

120. Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
     September 01, 2024 - Despite the risks, healthcare systems lack standardized tools to measure and track VTE diagnostic errors … automate the detection of missed and delayed VTE diagnoses, identify factors contributing to these errors … electronic clinical quality measure (eCQM) evaluation to include delayed and missed VTE diagnostic errors … Identify the costs associated with VTE diagnostic errors and the cost benefit of timely VTE diagnosis … will develop prediction models using ML to estimate the extra costs associated with these diagnostic errors