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

161. Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs024713-adelman-final-report-2023.pdf
     January 01, 2023 - Keywords: computerized provider order entry, patient photo, wrong-patient errors. 2. … Wrong-Patient Retract-and-Reorder Measure for identifying wrong-patient errors. … Other types of unmeasured wrong-patient errors may have been prevented by the intervention. … Does computerized provider order entry reduce prescribing errors for hospital inpatients? … Role of computerized physician order entry systems in facilitating medication errors.

162. Advancing Health Information Exchange During Inter-Hospital Transfer to Improve Patient Outcomes | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
     January 01, 2024 - This gap in information can lead to patient harm, such as therapeutic errors and delays in care, and … Evaluate the impact of this intervention on clinician-reported medical errors, medical errors attributable … Researchers will evaluate the impact of this intervention on patient safety outcomes, including medical errors … While critical to meeting the needs of patients, inter-hospital transfers can result in errors that reduce … An evaluation of the platform will examine its impact on patient safety outcomes, such as medical errors

163. Comprehensive Information Technology Solution for Quality and Patient Safety - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
     January 01, 2008 - Scope Background Medical Errors. … Medication errors can be classified into three groups – adverse drug events (ADEs), medication errors … This grant examined ADEs and medication errors. … In a study in two academic pediatric hospitals, it was found that errors occurred at a rate of 5.7 errors … Usability errors can lead to the commission of errors by users while using the system to perform their

164. Cost-of-Poor-Quality Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/cost-of-poor-quality-analysis
     January 01, 2023 - If there appears to be a minimal number of steps with red circles, attempt to determine what errors can … occur, how to determine when errors have occurred, and what is in place in the process to control these … errors.

165. Virtual Continuity and its Impact on Complex Hospitalized Patients’ Care - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
     January 01, 2012 - by the PCP in the care of hospitalized patients should decrease medication, diagnostic, and followup errors … A pre-post study compared the frequency of discharge medication errors before and after initiation of … Differences in medication errors remained statistically significant on multivariable analysis adjusting … No significant differences were seen between groups in clinically important medication errors or in 30 … Clinically significant medication errors were rare and not significantly different between groups.

166. Centers for Education and Research on Therapeutics (CERTs) (U19) | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/centers-education-and-research-therapeutics-certs-u19
     January 01, 2023 - Research on Therapeutics Automated detection of look-alike/sound-alike medication errors … Automated detection of look-alike/sound-alike medication errors. … Project Name Tools for Optimizing Medication Safety (TOP-MEDS) Learning from errors … Learning from errors: analysis of medication order voiding in CPOE systems.

167. Human Factors Considerations in the Design and Implementation of Telemedicine Integrated Ambulance-Based Environments for Stroke Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r03hs026809-madathil-final-report-2022.pdf
     January 01, 2022 - errors, 35% action errors, 10% retrieval errors, 6% selection errors and 0% checking errors. … Most errors were found to occur at medium probability, and overall, most errors were considered of medium … probability errors were considered low criticality. … This works well to mediate errors and address heuristic violations. … Telemedicine consultations and medication errors in rural emergency departments.

168. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
     January 01, 2023 - Management Protected Health Information Data Sharing In the ambulatory setting, medication errors … Evidence indicates that health information technology (IT) decreases medication errors in the inpatient … The first was a multi-site, pre-post study measuring the effects of health IT on medication errors when … The specific aims of the study were to: Measure the effects on medication errors of transitioning … Finally, the cohort controlled study did not find a reduction in the incidence of medication errors.

169. Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
     January 01, 2017 - Predicting and Detecting Drug Name Confusion Errors 3.A. … Automated detection of look-alike/sound-alike medication errors. … Both studies nonetheless found scores of potential errors. … Does Tall Man lettering prevent drug name confusion errors? … How many hospital pharmacy medication dispensing errors go undetected?

170. Health Information Technology and Improving Medication Use - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
     January 01, 2011 - 2007, recognizing that health information technology (IT) has great potential to reduce medication errors … (Ongoing) Evaluate errors arising from implementation of electronic prescribing. … for preventing these errors and other unintended consequences. … Project 3 : Informatics strategies can be used to minimize errors, including the following: 1) CDS with … maximum dose checkers; 2) automating amount to be dispensed to prevent inconsistent quantity errors

171. Grant Final Report: Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
     January 01, 2013 - The primary outcome was discharge medication errors. … Medication errors were retrospectively ascertained by 2 reviewing pharmacists. … Medication errors were ascertained using a 2-stage process (13). … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Classifying and predicting errors of inpatient medication reconciliation.

172. Health Information Technology and Improving Medication Use | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
     January 01, 2023 - Evaluate errors arising from implementation of electronic prescribing. … They noted an average of 1.03 errors per prescription, of which 35 percent were classified as ADEs. … systems are associated with unique patterns of errors. … Low rates of errors were noted during implementation and after sustained use. … Errors associated with outpatient computerized prescribing systems.

173. Primary Care Visual Error Reporting Tool (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdf
     September 01, 2009 - Primary Care Visual Error Reporting Tool Reports on errors … Errors reported in this way have been used by us to populate a “visual database,” (Figure 2) providing … settings Third Party Payer Caregiver G and R Singh 2001 Lab Home Cascade Consequences Errors … Imaging Third Party Payer 2 1 5 3 6 37 39 1 11 64 16 23 Contributors Cascade Errors

174. Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments | Digital Healthcare Research
     digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
     January 01, 2019 - research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors … centers and emergency departments is based on phone communication, which is inefficient and can lead to errors

175. Improving Management of Test Results That Return After Hospital Discharge - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2012
     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

176. Medication Safety in Primary Care Practice - Translating Research into Practice | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice
     January 01, 2023 - Care Theme Medication Safety Quality Improvement Quality Measurement Medication errors … morbidity; therefore, work is needed to specify relevant measures and conduct interventions to reduce these errors … medication refill protocols, and using performance reports to identify patients with potential prescribing errors … System , Electronic Health Record/Electronic Medical Record Medication prescribing and monitoring errors … Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research

177. Supporting Health Systems in Advancing Care Delivery | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/supporting-health-systems-advancing-care-delivery
     January 01, 2023 - Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety Patient photos … displayed in the electronic health record significantly reduce wrong-patient order errors and improve … Retract-and-Reorder Measures to Improve Medication Safety New measures to identify near-miss medication errors

178. EnhanCed HandOffs (ECHO) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo
     January 01, 2024 - However, these handoffs result in about 35 percent of medical errors in the United States. … This leads to communication errors and care continuity failures. … Currently, nearly one-third of medical errors and adverse events in healthcare can be tied to miscommunication … approach to support smart precision handoffs that enhance the care team’s resilience to communication errors … teams for promoting effective and efficient handoffs, while providing a safety net against handoff errors

179. Rural Iowa Redesign of Care Delivery with EHR Functions | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions
     January 01, 2023 - Care Primary Care Specialty Care Health Care Theme Clinical Workflow Medication Errors … A time-series design was used to evaluate effect on reported errors (medication errors); CMS/ Joint Commission

180. Time Series | Digital Healthcare Research
     digital.ahrq.gov/research-method/time-series
     January 01, 2023 - Safety Risks, and Patient Outcomes Preventing Wrong-Drug and Wrong-Patient Errors … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … Principal Investigator Lambert, Bruce Project Name Preventing Wrong-Drug and Wrong-Patient Errors … Principal Investigator Lambert, Bruce Project Name Preventing Wrong-Drug and Wrong-Patient Errors