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Showing results for "errors".
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181. Parisetal Hfes2008 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
     January 01, 2008 - However, errors in the medication use process may result in harm to the patient. … When errors are not caught, attention is usually focused on people involved, e.g. … Some system errors may go unreported because latent errors, such as communication failures, are not … thought of as errors by healthcare providers (Henneman, 2007). … Unreported errors in the Intensive Care Unit. Crit Care Med, 27(5): 27-34. 10.

182. Health Information Technology and Improving Medication Use - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
     January 01, 2010 - In 2007, recognizing that information technology (IT) has great potential to reduce medication errors … This project reviewed prescriptions from commercial pharmacies to identify e-prescription errors. … for preventing these errors and other unintended consequences. … Project 3: Preliminary results have characterized the types of errors, error rates across different … e-prescribing systems, differences in errors between systems, and range in error rates in areas such

183. Decisionmaker Brief: Computerized Provider Order Entry (CPOE) | Digital Healthcare Research
     digital.ahrq.gov/decisionmaker-brief-computerized-provider-order-entry-cpoe
     January 01, 2023 - improve the safety and efficiency of medication and test ordering processes by reducing order entry errors … Order entry errors can occur, for example, when providers order medications that adversely interact with … CPOE, if implemented and used correctly, can automatically check for many such potential errors, helping … processes, without systematic integration of patients' medical information, may result in order entry errors … deliveries from vendors, but several projects reported problems integrating products with other systems and errors

184. CPOE Implementation in ICUs - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
     January 01, 2009 - Nearly half of m edication errors are preventable (Leape, et al., 1995). … CPOE may reduce medication errors, but may also introduce new types of errors (Koppel, et al., … Medication errors observed in 36 health care facilities. … Using information technology to reduce rates of medication errors in hospitals. … A randomized trial of "corollary orders" to prevent errors of omission.

185. Title Page (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
     January 01, 2008 - Attitudes Toward Medical Errors. … Through this study we examined two types of medication errors: a) transcription errors and b) administration … and the medication administration record, there is the potential for transcription errors. … Administration errors: Administration errors are those that happen during the process of giving the … warning was not set up properly to capture these errors.

186. Improving Management of Test Results that Return After Hospital Discharge - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2011
     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

187. Task Decomposition | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/task-decomposition
     January 01, 2023 - decomposes it to describe the task's features, such as devices and interface components used, duration, errors

188. Spranca, Mark | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/spranca-mark
     January 01, 2023 - Spranca, Mark Reduction in medication errors in hospitals due to adoption … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems

189. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
     January 01, 2011 - We limited review to 3 prescriptions per patient to minimize clustering of errors. … Measures (Study 1) The main outcome measures were rates and types of prescribing errors. … errors per 100 prescriptions at baseline versus 3.7 errors per 100 prescriptions at 2 years, p<0.001 … 6.7, versus 3.9 errors per 100 prescriptions at baseline, CI 2.8-5.4, p =0.34). … Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med.

190. USA, SC, Charleston | Digital Healthcare Research
     digital.ahrq.gov/location/usa-sc-charleston
     January 01, 2023 - Nemeth, Lynne Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors … project evaluated the potential severity of specific look-alike, sound-alike drug name substitution errors … pediatric population and estimated the frequencies of potential look-alike, sound-alike (LASA) substitution errors

191. ParentLink: Better and Safer Emergency Care for Children | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children
     January 01, 2023 - Acute Care Pediatrics Health Care Theme Clinical Decision Making Medication Errors … Minimal impact on medication errors and incorrect actions was found during the intervention. … Impact of a patient-centered technology on medication errors during pediatric emergency care. … And yet, due to the nature of that care, information errors and gaps are common in the ED. … The impact of these data on the quality of ED decisions for testing and treatment, medication errors,

192. Johnson, Constance | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/johnson-constance
     January 01, 2023 - While health information technology (IT) systems are expected to significantly reduce medication errors … , studies have found that issues with usability and information design can actually facilitate errors

193. Medication Reconciliation Technology to Improve Quality of Transitional Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
     January 01, 2013 - system, conduct a trial of MR, and determine whether this alters MR and the incidence of medication errors … Determine whether electronic facilitation of MR alters MR and the incidence of medication errors in … Scope Background Medical errors are common and dangerous. … Approximately 20% of medical errors are related to prescription of medications. … Significance Medication errors are common and dangerous.

194. Tabular Task Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/tabular-task-analysis
     January 01, 2023 - hierarchical task analysis (HTA), looking for information such as displays and controls used, possible errors

195. AHRQ National Webinar on Medication Without Harm – How Digital Healthcare Tools Can Support Providers and Improve Patient Safety - Q&As (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
     July 24, 2024 - Most were errors, but if new information happened to present itself right after the order was placed … Using a combination of those things, we came up with a 30-minute cutoff, although it may be that errors … Sometimes, the further you go out the more errors you can capture, but the positive predictor value … QUESTION: What other types of measures could help to identify electronic ordering errors? … But healthcare is still ninety-nine percent of humans and humans make errors.

196. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
     April 30, 2024 - Project Description Publications Technology-related medication errors … Ambulatory Care Health Care Theme Clinical Workflow Human Factors Medication Errors … patient safety event reports revealed that most technology-related issues associated with medication errors … Physician Identifying health information technology usability issues contributing to medication errors … Identifying health information technology usability issues contributing to medication errors across medication

197. ED Information Systems: Kentucky & Indiana Hospitals | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ed-information-systems-kentucky-indiana-hospitals
     January 01, 2023 - four hospitals and three physician groups during three years; 2) evaluate the reduction in medical errors

198. Conducting Measurement Activities for Health Information Technology Initiative - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative/annual-summary/2010
     January 01, 2010 - performance on the adoption, use, and outcomes of health IT in four areas: 1) reduction in medication errors … measures and national estimates for four key measures of health IT progress: Reduction in medication errors … The project team completed data analysis on the reduction in medication errors due to CPOE, the adoption … ASHP to estimate that the use of e-prescribing systems averted approximately 14.3 million medication errors … Further, it was estimated that as many as 86 million medication errors could have been averted in 2008

199. Improving Patient Safety/Quality with HIT Implementation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
     January 01, 2008 - Incidence and Prevalence Medication-related errors are one of the most common types of errors occurring … Medication errors, near misses, and preventable adverse drug events. … Medication errors, near misses, and preventable adverse events. a. … Medication errors and near misses. At St. … 18 to 11 errors or a 38.9% decline.

200. Improving Patient Safety and Clinician Cognitive Support through eMAR Redesign - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs025136-ratwani-final-report-2024.pdf
     January 01, 2024 - Incidence Medication errors occur across healthcare settings and can have a significant impact on … Prevalence Medication errors are one of the most frequent types of error impacting patients. … Improper dose errors were frequent (1214 of 1508, 80.5%) with most errors during ordering (673 of 1508 … for reducing errors. … Nearly half of health IT related medication errors are reaching the patient.