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Showing results for "errors".
Users also searched for: medication errors

141. A Three-pronged Approach to Monitoring the Effect of an EMR Implementation on Medication-related Events in a Pediatric Hospital (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
     June 05, 2006 - , Medication Errors, ADEs Medication Administration Observational Study Administration Errors Self-Reporting … System (ONS) Medication Errors including ‘near misses’ 8 Medication Error Assessment Plan 2004 … , Medication Errors, ADEs Medication Administration Observational Study Administration Errors Self-Reporting … Computerized Physician Order Entry and Medication Errors in a Pediatric Critical Care Unit. … Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors.

142. Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
     January 01, 2009 - Record (EMR) system; to reveal the underlying cognitive elements involved in EMR use, possible resulting errors … Automaticity of EMR use contributed to efficiency, but sometimes resulted in errors, such as the selection … "EMR use provoked new types of medical errors. … Typical errors reported by most study participants (>60%) were typos, adding information to the wrong … "The findings indicate that study participants were aware of these potential errors.

143. Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/potential-benefits-and-problems
     February 15, 2006 - Outcomes:  Impact on patient safety Summary: Settings:  Over 500 US hospitals which reported medication errors … system, vendor, length of use, of sophistication of clinical support Barriers:  Despite use of CPOE, errors … Many errors were due to provider distraction Quality of Care and Patient Safety Outcome:  Facilities … with CPOE reported fewer inpatient medication errors and more outpatient medication errors than facilities … Facilities with CPOE less frequently reported errors that actually reached patients or harmed patients

144. A National Web Conference on Preventing Errors and Promoting Safety Through Better Medication Management | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/events/national-web-conference-preventing-errors-and-promoting-safety-through-better-medication
     February 16, 2011 - A National Web Conference on Preventing Errors and Promoting Safety Through Better Medication Management … She developed an indicator for monitoring prescription errors and a program for disseminating feedback … about the errors to medical practices.

145. 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
     November 14, 2014 - 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.

146. Evaluating the capability of information technology to prevent adverse drug events: A computer simulation approach | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluating-capability
     January 01, 2002 - estimate the effectiveness of information system applications designed to detect and prevent medication errors … Computer simulation of effectiveness and benefit analysis Outcomes:  Predicted number of medication errors … The five prevention strategies can reduce the medication errors by 5.2%, 12.7%, 7.5%, 5.6%, and 26.3% … The simulation results are sensitive to the distribution of errors in the hospital, costs of an ADE, … and the proportion of medication errors resulting in ADEs.

147. Electronic Health Record Solutions for Accurate Reporting of Data on Interprofessional Intensive Care Unit Rounds | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-solutions-accurate-reporting-data-interprofessional
     January 01, 2023 - Project Description Publications The issue of communication errors … (IP) rounds–that include participation by the entire care team--improves communication and reduces errors … This research identified the data domains at greatest risk for communication errors during ICU rounds … and the role that the EHR and clinical users have in the genesis of these errors. … of the research were: Determine frequency of and the factors responsible for data communication errors

148. National Web-Based Teleconference on Health IT and Safety - Using Health IT to Prevent Adverse Events (pdf file)
     digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
     July 13, 2010 - rules 5.Verification of events 6.Classification 7.Feedback to improve queries Target errors … in hospitals are common and can have serious consequences – Errors can occur at any stage … (49%) Dispensing Errors (14%) Administration Errors (26%) Transcription Errors (11%) Transcription … errors – Electronic medication administration records (eMAR) • Dispensing errors – Bar-coding … (49%) Dispensing Errors (14%) Administration Errors (26%) Transcription Errors (11%) Order

149. Track 6: Using Reporting Systems for Safety and Quality Improvement | Digital Healthcare Research
     digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
     January 01, 2023 - Presenters will share experiences tracking various types of errors in a range of health care settings … cases (using the National Surgical Quality Improvement Program) in Non-VA hospitals, and near miss errors … Track Adverse Drug Events (ADEs) This session will describe methods to detect and track medication errors … in hospitalization among the Elderly, evaluating ADEs in primary care settings, comparing medication errors … between specialties for errors related to antibiotics and cancer chemotherapy and examining the National

150. 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

151. 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

152. Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
     January 01, 2018 - Wachter, Murray, and Adler-Milstein 4 Wrong-patient errors can affect any patient in any healthcare … While capturing the instance of retracting and reordering mistakes does not correct or prevent errors … It will likely take a multi-pronged health IT approach to prevent these types of errors.” - Dr. … The rate of wrong-patient order errors was lowest in outpatient settings, where physicians may care for … Use of photographs to prevent errors.

153. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care
     January 01, 2023 - Physician Type of Care Acute Care Health Care Theme Medication Errors … study was conducted utilizing data from the EMR to evaluate the primary outcome of discharge medication errors … There was a statistically significant decrease in medication errors even when adjusted for age, sex, … However, errors that were considered clinically significant—those leading to death, permanent or temporary … identifying PCP preferences for needed communication tools and demonstrating that discharge medication errors

154. A National Web Conference on the Use of Health IT To Reduce Medication Errors and Improve Patient Safety (pdf file)
     digital.ahrq.gov/sites/default/files/docs/reduce-medication-errors-qas-082614.pdf
     August 26, 2014 - A National Web Conference on the Use of Health IT To Reduce Medication Errors and Improve Patient Safety … Q&A Follow-Up for A National Web Conference on the Use of Health IT to Reduce Medication Errors and

155. 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

156. Slide 1 (ppt file)
     digital.ahrq.gov/sites/default/files/docs/page/Strom.ppt
     May 28, 2005 - Slide 1 CCEB IMPROVING PATIENT SAFETY BY REDUCING MEDICATION ERRORS Brian L. Strom, M.D., M.P.H. … University of Pennsylvania School of Medicine CCEB IMPROVING PATIENT SAFETY BY REDUCING MEDICATION ERRORS … in the Medication Use Process PRIME: Program for Reduction In Medication Errors CCEB OVERALL APPROACH … Focus - the occurrence of errors anywhere along the entire pathway of medication use Drugs with … Pursue errors’ “second stories.”

157. Measuring the benefit of performance improvement and decision support | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/measuring-benefit-performance
     January 01, 1999 - Intervention:  Give hypothetical interventions in the system designed to prevent medication errors: 1 … Evaluation Method:  A dynamic computer simulation model was constructed to model hospital medication errors … The five prevention strategies can reduce the medication errors by 5.2%, 12.7%, 7.5%, 5.6%, and 26.3% … The simulation results are sensitive to the distribution of errors in the hospital, costs of an ADE, … and the proportion of medication errors resulting gin ADEs.

158. Evaluating the Impact of an ACPOE/CDS System on Outcomes - 2009 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
     January 01, 2009 - Use Summary: Computerized provider order entry (CPOE) has emerged as a viable option for reducing errors … It also evaluated the impact of the system on medication errors and downstream preventable adverse drug … Medication Errors Results of the medication error and ADE study revealed that the frequency of errors … , perhaps due to few errors in this category. … Characterization of prescribing errors in an internal medicine clinic.

159. 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.

160. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/2011_017029_kaushal_pdf_3.pdf
     January 01, 2011 - The first was a multi-center pre-post study measuring the impact on medication errors when switching … of the errors and ADEs. … Impact and Findings: For the first study, the rates and types of prescribing errors made by physicians … Improvements were primarily attributed to reducing inappropriate abbreviation errors. … The results also provide important information on the most common types of medication errors.