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1061. Knowledge Creation | Digital Healthcare Research
      digital.ahrq.gov/goal/knowledge-creation
      January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems Description

1062. Technology Exchange for Cancer Health Network (Tech-Net) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015437-waters-final-report-2008.pdf
      January 01, 2008 - Table 3: Study Measurements Study Measure Notes Data Source Medical errors Structured implicit expert … review Medical record Medication errors Structured implicit expert review (process component) Medical … 1.6 2.4 Month 5 3.7 1.8 2.1 Month 6 4.1 2.6 1.6 Analysis of other study measures (medical errors … , medication errors, treatment success/failure, adverse outcomes, use of investigational protocols,

1063. Mohr T et al. 2008 "The second time around." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/mohr-t-et-al-2008
      January 01, 2008 - "Our group was now able to address any new workflow issues and eliminate administrative errors via a

1064. Advancing Population and Public health Reporting and Outcomes with Vaccination data Exchange (APPROVE) – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r03hs028693-rajamani-final-report-2023.pdf
      January 01, 2023 - vaccination data from MIIC and entering data into MEDSS 50 clicks 4 clicks Estimate of data entry errors … ~300 errors to fix annually Eliminates data entry and imports MIIC data Estimated staff time per … saved time from separate log-ins and eliminated the burden of duplicate data entries and data entry errors … of processes/clicks to retrieve data along with elimination of manual data entry and resultant data errors … with increasing bidirectional data exchange across EHRs and MIIC with potential for duplicates and errors

1065. Pilot Testing of Initial Electronic Prescribing Standards (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/eRxReport.pdf
      April 01, 2008 - Because of e-prescribing’s potential to reduce errors and costs, Congress mandated the establishment … 1999, nstitute of Medicine (IOM) estimated that as many as 7,000 people died each year medication errors … • Assessed standards’ impact on medication errors. 1 5 C. … Preliminary data from this group have demonstrated a potential decrease in medication errors that are … Preventing Medication Errors: Quality Chasm Series.

1066. Pilot Testing of Initial Electronic Prescribing Standards (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/eRxReport_041607_1.pdf
      April 01, 2008 - Because of e-prescribing’s potential to reduce errors and costs, Congress mandated the establishment … 1999, nstitute of Medicine (IOM) estimated that as many as 7,000 people died each year medication errors … • Assessed standards’ impact on medication errors. 1 5 C. … Preliminary data from this group have demonstrated a potential decrease in medication errors that are … Preventing Medication Errors: Quality Chasm Series.

1067. Adoption of electronic prescribing in community-based practices (pdf file)
      digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
      January 01, 2009 - Increasing safety - pitfalls • Limited quantitative outpatient data • E-prescribing alone may not reduce errors … Arch Int Med 2009; Weingart, Arch Int Med 2003; LaPane, J Gen Int Med 2008) • Possibility of new errors … coordination of care • Better decision support • Clinician workflow improvement • Prevention of medication errors

1068. Guide to Reducing Unintended Consequences of Electronic Health Records (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
      August 01, 2011 - Module IV focuses on the remediation of EHR-related errors. … All problems—even problems that are clearly "user errors"— have consequences. … IT vulnerabilities highlighted by errors, malfunctions at Veterans' Medical Centers. … The goal of RCA is to identify both active errors (errors occurring at the point of interface between … Module IV focuses on the remediation of EHR-related errors. Auditing the Use of Copy and Paste.

1069. Network of Rural Hospitals in Iowa Redesign Patient Care Workflow to Use Electronic Health Records (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesCrandall2010.pdf
      December 01, 2009 - medication dosing and drug alerts for critical access hospitals in their network, helping to avoid medical errors

1070. Using Electronic Data to Improve Care of Patients with Known or Suspected Cancer - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017820-singh-final-report-2013.pdf
      January 01, 2013 - for possible safety events.[47] Thus far, they have been used primarily to retrospectively identify errors … drug events and nosocomial infections.[48-54] Although we have applied triggers to detect diagnostic errors … Singh H, Sethi S, Raber M, Petersen LA: Errors in cancer diagnosis: current understanding and future … Singh H, Giardina TD, Meyer AN, Forjuoh SN, Reis MD, Thomas EJ: Types and Origins of Diagnostic Errors … Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM: Cognitive errors and logistical breakdowns

1071. Ambulatory Computerized Provider Order Entry (CPOE) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
      May 01, 2008 - Institute of Medicine estimates 98,000 deaths per year and many more injuries resulting from medical errors … treatment-related information and tools aimed at improving patient care and reducing medical errors … A randomized trial of "corollary orders" to prevent errors of omission. … Outpatient prescribing errors and the impact of computerized prescribing. … Relationship between medication errors and adverse drug events.

1072. 2019 Year in Review | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review
      January 01, 2019 - for Risks and Protective Factors for Pregnant Women Using Aviation Technology to Prevent Healthcare Errors

1073. Research Summary | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary
      January 01, 2019 - Minority Patients Improves Vaccination Rates Using Aviation Technology to Prevent Healthcare Errors

1074. Clinical Decision Support Systems: State of the Art (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
      June 01, 2009 - The spell checker in a word processing application can both provide advice and correct errors, and can … The grammar checker, often accessed on demand, not only corrects obvious grammatical errors, but also … The major issue involved in correcting errors or making suggestions that users change what they had … Preventing medication errors. … Role of computerized physician order entry systems in facilitating medication errors.

1075. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 1 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
      September 21, 2009 - How would an implementation model to capture medical errors?

1076. Supporting Continuity of Care for Poisonings with Electronic Information Exchange - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange/annual-summary/2010
      January 01, 2010 - of information can improve continuity of care for poisonings, reduce time-to-treatment and medical errors

1077. Partnering to Improve Patient Safety in Rural WV - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
      January 01, 2007 - Near miss events were used as a proxy for medical errors to estimate potential cost savings to the health … Of these “near miss” occurrences, the majority (73.6%) were classified as medication errors. 5 … An estimate of cost savings for medication errors was drawn from the literature, along with associated … Because of this estimation, and the fact that cost information for non-medication errors could not be … For example, for medication errors the ORM data helped them to be better able to track and analyze the

1078. Ensuring Safe Performance of Electronic Health Records - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023696-bates-final-report-2019.pdf
      January 01, 2019 - assess their operational EHR’s ability to aid prescribers in avoiding common and serious prescriber errors … of laboratory and diagnostic tests, and procedures SubAim 3: To add testing for EHR enabled new errors … Fatal errors are ones that have killed a patient previously, and we include preferentially those which … hospitals with valuable insight on how their systems perform against common and serious prescriber errors … of computerized physician order entry and a team intervention on prevention of serious medication errors

1079. Transforming Healthcare Quality through Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
      January 01, 2007 - The information we have available shows that the reported category B and C errors are on average down … the standardization of patient care practice, reduced adverse drug events, and reduced medication errors … 0.8 no data 2004 1.5 0.6 no data 2005 1.3 1.2 2.4 2006 2.1 0.3 1.7 2007 1.1 0 0 The number of errors … Our analysis showed that the average level of the category B errors has dropped from 6.08 to 2.01 per … Change in the number of errors reported The overview of unsigned orders shows that the EMR technology

1080. Improving Management of Test Results that Return After Hospital Discharge - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/k08hs018539-were-final-report-2014.pdf
      January 01, 2014 - Nearly half of patients discharged from the hospital with pending test results experience medical errors … These errors occur because pending tests are often not communicated to the follow-up provider, and systems … Without effective interventions, medical errors will persist (despite well- motivated providers) and … recognition that informatics-based interventions have the potential to improve patient safety by reducing errors … the delivery of the results returning after hospital discharge improved quality of care, decreased errors