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201. Lobach DF et al. 1997 "Computerized decision support based on a clinical practice guideline improves compliance with care standards." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lobach-df-et-al-1997
     January 01, 1997 - functioning following the introduction of a new version of [the EMR] one month into the study (ie, systems errors … : 86.8% of total errors) or from the presence of data in the paper chart which had not been captured … electronically (ie, recording errors: 13.2% of total errors). … More than 70% of the system errors were false positive recommendations in which the performance of studies

202. EMS Based TIPI-IS Cardiac Care QI-Error Reduction System | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ems-based-tipi-cardiac-care-qi-error-reduction-system
     January 01, 2023 - EMS Based TIPI-IS Cardiac Care QI-Error Reduction System Project Final Report ( PDF , 1.05 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ…

203. Research Spotlights | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-spotlights
     January 01, 2018 - technologies present increasing opportunities for improving and transforming healthcare by reducing human errors … However, some research suggests that the introduction of health IT can also potentially cause new errors … Safety—Especially for Children A Prototype Computerized Provider Order Entry System Reduced Medication Errors

204. NLP-enabled decision support for cervical cancer screening and surveillance (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdf
     January 01, 2017 - We then further enhanced the CDSS to address the errors before implementation in the practice. … The errors can be broadly categorized into four broad categories: (1) data source errors; (2) modeling … errors (include two sub- categories); (3) programming errors; and (4) evaluation errors. … Solution Data Source errors Errors in coded problem list 5 No Feed back to the data sources … in this paper has the potential to eliminate such manual errors 2.

205. Improving Safety in Postoperative Handoff Communication with Telemedicine and Machine Learning | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
     January 01, 2023 - 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

206. Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
     January 01, 2023 - [Link] Abstract Errors associated with medication documentation account for a substantial fraction … of preventable medical errors. … Although studies suggest that reconciliation tools can reduce errors, it remains unclear how best to

207. Pediatric Medication Prescribing Made Simpler and Safer (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/johnson-success-story.pdf
     June 16, 2021 - Medication Prescribing Made Simpler and Safer Children are particularly vulnerable to medication errors … Medication errors pose a greater threat to children than to adults for a number of reasons. … In an effort to reduce outpatient pediatric medication errors and to save time calculating doses, Dr … Electronic Prescribing (PedSTEP) project, which looked at the impact of e-prescribing on medication errors

208. Health Information Exchange | Digital Healthcare Research
     digital.ahrq.gov/health-information-exchange-1
     January 01, 2023 - Medication errors pose a significant threat to patients undergoing transitions (Forster, Murff, Peterson … adequately monitor the entire regimen, much less intervene to reduce discrepancies, duplications, or errors

209. Improving Pediatric Quality and Safety with Health Care Information Technology (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
     January 01, 2008 - The reduction in dosing errors was partially offset by errors resulting from improper use of the CDS … Rates for dosing errors fell 37% overall in the intervention group. … No dosing errors occurred when the active form of CDS was employed. … Errors by paediatric residents in calculating drug doses. Arch Dis Child. … Medication errors and adverse drug events in pediatric inpatients. Jama.

210. Improving Healthcare Quality via Information Technology - 2008 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
     January 01, 2008 - Goal: Knowledge Creation Summary: The purpose of this completed project was to reduce medical errors … shift organizational culture from one that discouraged disclosure and blamed individuals for medical errors … events submitted through SVMC’s internal reporting system, based on self-report, and identified actual errors … in transcription, administration, and near misses for the four types of medication errors: ordering, … medication verification and electronic medication administration records, and assess their value in reducing errors

211. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
     January 01, 2010 - communication with and involvement by the PCP in the care of hospitalized patients should decrease medication errors … , diagnostic errors, and follow up errors, thereby improving medical care quality and safety as well … the impact of Virtual Continuity, a pre-post study will compare the frequency of discharge medication errors

212. Layout 1 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/08-0093_cpoe.pdf
     August 01, 2008 - 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

213. Surgeon | Digital Healthcare Research
     digital.ahrq.gov/population/surgeon
     January 01, 2024 - Delivery through Health Information Technology Preventing Perioperative Medication Errors … 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

214. Process Decision Program Chart | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
     January 01, 2023 - Description The process decision program chart (PDPC) provides a systematic means of finding errors

215. Understanding Clinical Information Needs and health Care Decision Making Processes in the Context of Health Information Technology - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
     January 01, 2018 - (18/28) and by “data entry errors” (10/28). … Errors in cancer diagnosis: current understanding and future directions. … Understanding diagnostic errors in medicine: a lesson from aviation. … Electronic health record-based surveillance of diagnostic errors in primary care. … Diagnostic Error in Medicine: Analysis of 583 Physician-Reported Errors.

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

217. Smith, Kenneth J. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/smith-kenneth-j
     January 01, 2023 - 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

218. Electronic Prescribing Using A Community Utility: The ePrescribing Gateway | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-using-community-utility-eprescribing-gateway
     January 01, 2023 - Ambulatory Setting Pharmacy Health Care Theme Adverse Events Medication Medication Errors … Physicians reviewed and rated suspected adverse drug events and medication errors.

219. Layout 1 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/08-0085_bcma.pdf
     August 01, 2008 - Medication errors pose a serious threat to patient safety. … Each year in the United States, nearly 7,000 deaths are linked to medication errors. … These errors can occur at any stage in the process of medication use (e.g., prescribing, dispensing, … administration record) in conjunction with bar-coding equipment and software to avert medication administration errors … Better information, available more quickly, led to reductions in medication errors.

220. Improving the Delivery of Health Services at the Health Systems Level | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level
     January 01, 2020 - While errors may happen at all stages of the medication process, different tools have been developed … Digital healthcare tools can reduce medication dosing errors and preventable adverse events such as drug-drug … hospital inpatient computerized provider order entry (CPOE) system, to identify medication ordering errors … The research team found that all reported ordering errors were due to a combination of associated risk