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  1. digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_and_improving_medication_use_2010pdf_2.pdf
    August 01, 2011 - In 2007, recognizing that information technology (IT) has great potential to reduce medication errors … (Ongoing) •   Evaluate errors arising from implementation of electronic prescribing. … This project reviewed prescriptions from commercial pharmacies to identify e-prescription errors. … The reviews were analyzed to determine the frequency and character of errors and develop recommendations … for preventing these errors and other unintended consequences.
  2. 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.
  3. digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual
    January 01, 2023 - Contextual errors occur when a care plan is inappropriate because of inattention to patient context. … Contextual errors can lead to diminished healthcare outcomes and an increase in healthcare costs related … decision support (CDS) can be used to alert clinicians to both red flags and factors to avoid contextual errors
  4. 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.
  5. 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
  6. 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.
  7. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/assessment-potential-impact
    January 01, 2006 - Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental … Interoperability:  Internet based Quality of Care and Patient Safety Outcome:  Diagnostic errors of omission
  8. digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
    January 01, 2023 - small, rural hospitals across the state in an online patient safety network designed to prevent medical errors … catalogued more than 24,000 "events," information that WVMI and hospital staff have used to identify errors … and determine how to prevent future errors. … cases, the data are used to increase hospitals' attention to problems that might be rooted in medical errors
  9. 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
  10. 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.
  11. digital.ahrq.gov/sites/default/files/docs/library/NEJMsa1102519.html
    June 16, 2021 - MMS: Error Our apologies. An error occurred while setting your user cookie. Please set your browser to accept cookies to continue. NEJM.org uses cookies to improve performance by remembering your session ID when you navigate fr…
  12. digital.ahrq.gov/sites/default/files/docs/library/NEJMsa1102519_0.html
    June 16, 2021 - MMS: Error Our apologies. An error occurred while setting your user cookie. Please set your browser to accept cookies to continue. NEJM.org uses cookies to improve performance by remembering your session ID when you navigate fr…
  13. digital.ahrq.gov/sites/default/files/docs/library/NEJMsb1103659.html
    June 16, 2021 - MMS: Error Our apologies. An error occurred while setting your user cookie. Please set your browser to accept cookies to continue. NEJM.org uses cookies to improve performance by remembering your session ID when you navigate fr…
  14. digital.ahrq.gov/sites/default/files/docs/page/visual-diagnostic-system-to-reduce-diagnostic-errors-and-improve-clinical-outcomes.pdf
    July 02, 2015 - Template Clinical Decision Support at Point-of-Care: Visual Diagnostic System to Reduce Diagnostic Errors … Cutaneous anthrax African Tick Bite fever Cutaneous amebiasis Leishmaniasis Leading medical errors … Since the publication of the IOM “To Err is Human” report, order entry and surgical errors have been … non-expert Clinical Decision Support at Point-of-Care: Visual Diagnostic System to Reduce Diagnostic Errors … 4 Slide Number 5 Slide Number 6 Slide Number 7 Slide Number 8 Slide Number 9 Leading medical errors
  15. 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
  16. digital.ahrq.gov/sites/default/files/docs/activity/conducting_measurement_activities_for_health_information_technology_initiative_2010_pdf__2.pdf
    January 01, 2010 - performance on the adoption, use, and outcomes of health IT in four areas: 1) reduction in medication errors … The project team completed data analysis on the reduction in medication errors due to CPOE, the adoption … Findings: The main findings are grouped into the following three categories: Reduction of medication errors … 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
  17. 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.
  18. digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/annual-summary/2011
    January 01, 2011 - patient's electronic health record (EHR) is critical to prevent medication prescribing and administration errors … information can be used by clinicians at the point of care to reduce prescription and administrative errors … these entries and allow duplication alerts or a drug interaction system to catch potential medication errors
  19. digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/decisionmaker-brief-computerized-provider-order-entry-cpoe
    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
  20. 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

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