-
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
-
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.
-
digital.ahrq.gov/2019-year-review
January 01, 2019 - for Risks and Protective Factors for Pregnant Women
Using Aviation Technology to Prevent Healthcare Errors
-
digital.ahrq.gov/2019-year-review/research-summary
January 01, 2019 - Minority Patients Improves Vaccination Rates
Using Aviation Technology to Prevent Healthcare Errors
-
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.
-
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?
-
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
-
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
-
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
-
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
-
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