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digital.ahrq.gov/sites/default/files/docs/activity/comprehensive_information_tech_2009_update_2.pdf
January 01, 2009 - Children are more susceptible to serious medication errors than adults due to weight-based dosing, off … would bring greater magnitude of benefits in pediatrics
than in adult medicine to prevent potential errors … 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.
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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
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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
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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
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digital.ahrq.gov/sites/default/files/docs/activity/u18hs016970-bates-annual-summary-2012.pdf
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. … Informatics strategies can
be used to minimize errors, including the following: 1) CDS with maximum
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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
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digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
January 01, 2018 - AHRQ Research Profile
AMIA Title
Type
Abraham, Joanna
An Etiology for Medication Ordering Errors … Computerized Provider Order Entry Systems
Clinician Perspectives on Duplicate Medication Ordering Errors … Measures To Capture Violations of the Five Rights of Medication Safety ; Assess Risk of Wrong-Patient Errors
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-information-design-and-usability-toolkit
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
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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?
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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.
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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
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/improving-safety-information
Information technology can reduce the rate of errors in three ways: by preventing errors and adverse … Information technology can substantially improve the safety of medical care by structuring actions, catching errors
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018151-smith-annual-summary-2012.pdf
January 01, 2012 - 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 … Clinically significant medication
errors were rare and not significantly different between groups.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/will-electronic-order-entry
April 01, 2002 - of computerized order entry in several categories: costs of adverse drug events, costs of medication errors … experts in the field, the authors estimated the savings that might be accrued from fewer medication errors … , $
$2000
per event
$124,000
$621,000
Costs
of serious medication errors …
Before
electronic order entry
142/1000
pt-days
8817
44,086
Errors
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digital.ahrq.gov/sites/default/files/docs/activity/2011_016970_bates_pdf_3.pdf
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
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/role-computerized-physician-0
March 09, 2005 - Role of computerized physician order entry systems in facilitating medication errors
Authors … unexplored medication-error sources facilitated by CPOE that fall into the categories of 1) information errors
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/primary-care-visual-error
January 01, 2023 - Visual Medication Error Reporting Tool is a tool using pictures/diagrams to be used in the reporting of errors
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/errors-associated-applying
January 01, 2006 - Errors associated with applying decision support by suggesting default doses for aminoglycosides … default suggestions for initial dosing of aminoglycoside antibiotics is associated with prescribing errors
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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.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computerized-physician
October 21, 1998 - Effect of computerized physician order entry and a team intervention on prevention of serious medication errors … Clinical Outcomes: The rate of serious medication errors fell 55% after implementation of computerized