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Showing results for "errors".
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141. Medical University of South Carolina | Digital Healthcare Research
     digital.ahrq.gov/organization/medical-university-south-carolina
     January 01, 2023 - Information Technology Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors … Basco, William Project Name Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors … Technology Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors … Basco, William Project Name Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors

142. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
     January 01, 2007 - We posited that few errors would result in ADEs. … ; that is, whether errors caused harm. … The majority of errors were potential errors only (25.1% pre- and 6.9% post-implementation: Level A, … or potential errors; however 92% (25.1% / 27.4%) of these errors were not actual errors, but potential … Surprisingly, errors involving Beers ). 6.9% of the errors reached the patient.

143. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
     January 01, 2010 - The first is a multi-center before-and-after study measuring the impact on medication errors of switching … with this new e-prescribing system and how user patterns or system features may influence medication errors … If rates of errors vary greatly between commercial systems there are potential policy implications for … severity of the medication errors and ADEs. … Improvements were primarily attributed to reducing inappropriate abbreviation errors.

144. Friedman, Amy | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/friedman-amy
     January 01, 2023 - Project Name Web-based Renal Transplant Patient Medication System Medication errors … Medication errors in the outpatient setting: classification and root cause analysis. … Web-enabled education tools in hospitals and homes for renal transplant patients to reduce medication errors

145. Improving Laboratory Monitoring in Community Practices: A Randomized Trial - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2011
     January 01, 2011 - Period September 2007 - February 2012 AHRQ Funding Amount $990,640 Summary: Medication errors … study includes a pre-implementation analysis that will look at correlates of laboratory monitoring errors … Most believed they commit few laboratory monitoring errors and were surprised at the error rates reported

146. Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error, Improve Outcomes, and Reduce Misuse, Overuse, and Underuse of Outpatient Primary Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs025374-weiner-final-report-2022.pdf
     January 01, 2022 - are medical errors caused by inattention to patient context. … Preventing contextual errors: Given that contextual errors are frequent, harmful and costly, preventing … Contextual Errors in Medical Decision Making: Overlooked and Understudied. … Listening for what matters : avoiding contextual errors in health care. … Contextual Errors in Medical Decision Making: Overlooked and Understudied.

147. Columbia University Health Sciences | Digital Healthcare Research
     digital.ahrq.gov/organization/columbia-university-health-sciences
     January 01, 2023 - displaying patient photos and alerts in the electronic health record for preventing wrong-patient order errors … , finding rigorous evidence that these interventions significantly decrease such errors. … Medication Safety Description This research showed that automated measurement of electronic order errors … can be readily integrated into electronic health records to study the epidemiology of order errors and

148. Delphi Method | Digital Healthcare Research
     digital.ahrq.gov/research-method/delphi-method
     January 01, 2023 - Delphi Method Preventing Perioperative Medication Errors and Adverse … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors … communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors

149. EHR Solutions for Accurate Reporting of Data on Interprofessional ICU Rounds - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
     January 01, 2021 - , and the role the EHR and clinical users play in the genesis of these errors. … These extra elements of verbal communication can actually further compound errors. … Indeed, cognitive errors and errors in medical decision making are believed to be the largest class … of medical errors for non-procedural areas. … This implying less frequently ordered labs were more likely to experience reporting errors.

150. Risk Assessment | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
     January 01, 2023 - all possible failures that can occur within a system and then determines what the effects of those errors … Description The process decision program chart (PDPC) provides a systematic means of finding errors … They are similar to other analysis methods such as fault trees as they analyze errors based on the … potential causes of those errors.

151. Medication Management: A Closed Computerized Loop | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
     January 01, 2023 - Population Rural Populations Health Care Theme Adverse Events Medication Errors … reduction in the number of reported unexpected adverse drug reactions and a 10 percent decrease in errors … Observations of medication administration yielded a 45 percent reduction in observed medication errors … project resulted in heightened awareness of patient safety and a loss of complacency about the sources of errors

152. Chart Review | Digital Healthcare Research
     digital.ahrq.gov/research-method/chart-review
     January 01, 2023 - Decisionmaking & Problem Solving in Acute Care An Etiology for Medication Ordering Errors … An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report … Principal Investigator Abraham, Joanna Project Name An Etiology for Medication Ordering Errors … About Epilepsy Surgery Patients Automated detection of wrong-drug prescribing errors … Automated detection of wrong-drug prescribing errors.

153. HIT for Medication Safety in Critical Access Hospitals - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
     January 01, 2005 - Sources of Medication Errors § Prescribing Errors § Transcribing Errors § Dispensing Errors § … Administration errors II. … Medication Errors and HIT § Prescribing Errors: Pharmacy Management System § with Clinical Decision … For example, it can be argued that medication administration errors such as IV administration errors … Many of these errors go unreported.

154. Health Information Technology and Improving Medication Use - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
     January 01, 2012 - Medication Errors and Adverse Drug Events Medical errors and problems in patient safety are as common … errors per script. … to describe these errors. … For example, the proportion of omitted duration errors ranged from 7.7% to 63.2%, omitted dose errors … Scope Background/context: Medication errors are defined as errors in drug ordering, transcribing,

155. Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
     January 01, 2009 - would bring greater magnitude of benefits in pediatrics than in adult medicine to prevent potential errors … Specific Aims Improve pediatric patient safety by reducing medication errors. ( Achieved ) Improve … During August 2005, smart pump technology for syringes was implemented to prevent medication errors at … the bedside by catching any miskeys and/or pump programming errors. … Overall error rates, including low-severity errors, dropped to almost zero by late 2007.

156. Human Factors | Digital Healthcare Research
     digital.ahrq.gov/health-care-theme/human-factors
     January 01, 2023 - Investigator(s) Hettinger, Aaron Zachary An Etiology for Medication Ordering Errors … Order Entry Systems Description This research assessed the etiology of medication ordering errors … , finding that errors stemmed from multi-level risk factors and showing the utility of a void alert tool … to prospectively capture the broad range of errors that may occur in practice that may be missed by

157. Improving EHR Design Increases Patient Safety—Especially for Children | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
     January 01, 2018 - research team identified pervasive problems with EHR systems that regularly lead to patient safety errors … lower body weight and less developed immune systems make children less able to tolerate even small errors … “Poor interface design and poor technology implementations can lead to errors that may result in patient … Improving EHR design and usability will reduce errors that can lead to patient harm. … functionality of CDS and other EHR functionality can help increase the safety of EHR systems, which will reduce errors

158. Health Information Technology and Improving Medication Use - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
     January 01, 2012 - 2007, recognizing that health information technology (IT) has great potential to reduce medication errors … (Achieved) Evaluate errors arising from implementation of electronic prescribing. … Recommendations for minimizing e-prescribing errors and their unintended consequences were developed. … , indicating that most errors are amenable to modification of systems. … Although primary care providers are in the best position to identify and correct errors, the results

159. Pitts, Samantha | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/pitts-samantha
     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 … research developed strategies to optimize CancelRx implementation and measured its impact on dispensing errors

160. Enhancing Medication CPOE Safety and Quality by Indications-Based Prescribing | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
     January 01, 2023 - notation of a medication’s purpose-–into the prescribing process has the potential to prevent medication errors … Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. … Mistakes made by patients and providers can lead to medication errors. … Including medical indications in the prescribing process can reduce medication errors. … Specifying the indication during the prescribing process can help avoid medication errors; however, the