-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/transitions-care/role-information-technology
We describe where errors are known to occur in ambulatory care and their known prevalence, and review
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_021093_lambert_pdf_3.pdf
January 01, 2011 - prescribing and dosing for acute pain; 3) methods for preventing and
detecting drug name confusion errors … screening of drug names, and develop and test
methods for preventing and detecting drug name confusion errors
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_018539_were_pdf_3.pdf
January 01, 2011 - $577,880
Summary: Hospital patients discharged with pending test results are at risk for medical errors … These errors may arise from poor methods of managing test results and poor
communication with followup
-
digital.ahrq.gov/sites/default/files/docs/activity/k08hs018539-were-annual-summary-2012.pdf
January 01, 2012 - $577,880
Summary: Hospital patients discharged with pending test results are at risk for medical errors … These errors may arise from poor methods of managing test results and
poor communication with followup
-
digital.ahrq.gov/sites/default/files/docs/page/2005_AHRQ%20Final%20Steele.ppt
January 01, 2005 - Improved Patient Care
Patient Safety (medication errors)
Improved Efficiency and Quality of Care
Support … Leanord from Kaiser
# of errors, comprehensive of programs
accuracy with handwriting
peri-operative antibiotics
-
digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - measure, the definition of what is meant
by recommended action must be considered to
decrease potential errors … computerized physician order entry and a team
intervention on prevention of serious medication
errors … Medication errors
in United States hospitals. Pharmacotherapy
2001;21:1023 36.
3. … A randomized trial of ‘‘corollary orders’’ to
prevent errors of omission.
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs024488-saleem-final-report-2018.pdf
January 01, 2018 - We measured efficiency, errors, workload, patient-centeredness (proportion of
time the provider was … there were no statistically significant differences
between the exam room layouts for efficiency, errors … Time to complete test scenarios
Errors Deviations or omissions from the given clinical
scenarios. … There were no significant differences
between layouts for measures of efficiency, errors, or patient … Results for Efficiency, Errors, Patient Centeredness, Screen Sharing, and Situation Awareness
(n=27)
-
digital.ahrq.gov/sites/default/files/docs/publication/r13hs021825-kuperman-final-report-2015.pdf
January 01, 2015 - Errors in medical records present significant barriers to delivering personalized medicine and to
the … Under current legal guidelines,
medical record data cannot be altered to remove errors. … Many providers are unwilling/unable to correct errors in documentation created by
other providers, or … Under current legal guidelines, however, medical record data cannot
be changed and errors cannot be … Methods that help to prevent the introduction of errors in medical record data should be
identified,
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/time-and-motion-studies-database
September 01, 2006 - PhD, RPh
This grant is examining the impact of electronic prescribing (e-prescribing) on medication errors … an ambulatory computerized provider order entry (ACPOE) system, reduces the incidence of medication errors
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - improve patients' health, the process of prescribing them is complex and error prone, and medication errors … default lists for medication doses and frequencies) researchers found a 55% decrease in serious dosing errors
-
digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Summary: When patients transfer to new health care settings, there is an increased risk of medication errors … To decrease such errors, in 2006 The Joint Commission created a National Patient Safety Goal requiring
-
digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2011
January 01, 2011 - by the PCP in the care of hospitalized patients should decrease medication, diagnostic, and followup errors … the impact of Virtual Continuity, a pre-post study will compare the frequency of discharge medication errors
-
digital.ahrq.gov/principal-investigator/carayon-pascale
January 25, 2018 - (CPOE) Implementation in Intensive Care Units (ICUs)
EHR-related medication errors … EHR-related medication errors in two ICUs. J Healthc Risk Manag 2017 Jan;36(3):6-15.
-
digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - Process-related medication errors and adverse drug events (ADEs) are still too
common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute
of Medicine. 2007.
2. … Preventing medication errors. … Committee on
Identifying and Preventing Medication Errors, Institute of Medicine. … A randomized trial of "corollary orders" to
prevent errors of omission.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - SCOPE
Adverse drug events and medication errors are estimated to cost the US health care system
$177 … Recognizing our vulnerability with regard to medication errors, numerous efforts are
underway to … The intent is to avoid errors, such as omission,
duplication, incorrect doses or timing, and … Other errors were due to allergies, drug classes, multiple ingredient
medications, inpatient drugs, … Medication reconciliation: a practical tool to reduce the risk of medication errors.
-
digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - Process-related medication errors and adverse drug events (ADEs) are still too
common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute
of Medicine. 2007.
2. … Preventing medication errors. … Committee on
Identifying and Preventing Medication Errors, Institute of Medicine. … A randomized trial of "corollary orders" to
prevent errors of omission.
-
digital.ahrq.gov/sites/default/files/docs/activity/electronic_medication_management_2010_pdf__2.pdf
January 01, 2010 - Summary: When patients transfer to new health care settings, there is an increased risk of medication
errors … To decrease such errors, in 2006 The Joint Commission
created a National Patient Safety Goal requiring
-
digital.ahrq.gov/sites/default/files/docs/activity/value_of_technology_to_transfer_discharge_information_2009_update_2.pdf
January 01, 2009 - Business Goal: Implementation and Use
Summary: Errors in discharge communication between inpatient … The research intervention
did not show further reduction in medication errors and adverse drug events
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Prescribing errors occur frequently in the ambulatory setting. … Interventions
such as electronic prescribing hold promise for reducing the frequency of errors but research … Our objective was to assess the rates and types of
outpatient prescribing errors and understand the … Prescription and chart review was conducted to identify medication errors at baseline and one
year. … Prescribing errors occurred at a much higher rate than previously
reported.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015397-bates-final-report-2008.pdf
January 01, 2008 - A quasi-experimental pre-post study evaluated the effect of EHR
implementation on medication errors. … Aim 2: Electronic Health Records Effect on Medication Errors and Quality of Care had two
components: … Our study
pharmacist evaluated each prescription for potential errors and then conducted chart reviews … to two physician
reviewers who will independently classify them as ADEs, potential ADEs, medication errors … Aim 2: Electronic Health Records Effect on Medication Errors and
Quality of Care
Upon completion of