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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022583-phillips-final-report-2018.pdf
January 01, 2018 - We assessed measure and transfer errors, choices of quality improvement
relative to quality gaps, and … There were more than 15 identified errors including data delivery, measure
modifications, and nonsensical … There were at least 20
discovered errors in data calculation or transmission errors (table 2). … It may be that if quality measures
aren’t routinely reviewed or used, errors aren’t noticed. … It may be that they aren’t believed to
begin with, errors aren’t found or fixed.
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - In doing our analysis, we found that most of the errors were general user errors or stop word
errors … We should put more effort into errors that are
related to clinical information, such as medication errors … and diagnosis errors. … ANSWER:
House staff were unfamiliar with dictation, and transcription errors were a problem. … Hopefully by studying the errors, we can find more efficient ways to
improve the accuracy.
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digital.ahrq.gov/medical-condition/ophthalmologic-eye-disease
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/principal-investigator/porter-stephen
January 01, 2023 - Porter, Stephen
Impact of a patient-centered technology on medication errors … Impact of a patient-centered technology on medication errors during pediatric emergency care.
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digital.ahrq.gov/program-overview/program-impact
January 01, 2023 - accelerates innovation to:
Make healthcare safe, effective, and efficient
Show where and when errors … Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety
Improving Access
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digital.ahrq.gov/research-method/meta-analysis
January 01, 2023 - and Decision Aid for Patients with Crohn's Disease
Reduction in medication errors … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems
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digital.ahrq.gov/location/usa-tx-houston
January 01, 2023 - Eric
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors … record-based trigger methods can enable more meaningful measurement and surveillance of diagnostic errors
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digital.ahrq.gov/principal-investigator/vandenberg-ann-e
July 24, 2024 - Patient Safety
Event Date
July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication errors … Preventable medication errors cost the nation more than $21 billion annually across all care settings
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology
January 01, 2023 - Care
Acute Care
Ambulatory Care
Health Care Theme
Adverse Events
Medication Errors … Health Care (SVHC) and five private physician practices serving a rural area wanted to reduce medical errors … goals were: 1)demonstrate an increased culture of safety that encourages and supports the reporting of errors
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citation
January 01, 2023 - Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication) Errors
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2003
January 01, 2003 - Studies have documented that CPOE can decrease costs, shorten length of stay, decrease medical errors … "Studies have shown that CPOE systems can reduce medication errors and associated costs and injuries. … application and an electronic medical administration record at one institution eliminated transcription errors … reduce many sources of error, organizations must take care as CPOE is implemented so that new kinds of errors
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - The project then measured outcomes—including dosing errors, guideline adherence, and quality of documentation—related … was designed to assess effects of an EHR with weight-based dosing decision support on rates of dosing errors … The reduction in dosing errors was partially offset by errors resulting from improper use of the CDS.
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2011
January 01, 2011 - Summary: When patients transfer to new health care settings, there is an increased risk of medication errors … To decrease such errors, policymakers such as the Joint Commission have focused on improving the quality
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-personal-health-record-empower-patients-hypertension/annual-summary/2011
January 01, 2011 - Evidence shows that PFCC improves outcomes by reducing medication errors, increasing compliance, and … positively on the ePHR in terms of patient empowerment, pre-visit preparation, recognizing medical errors
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2011
January 01, 2011 - Amount
$1,199,007
Summary: Suboptimal prescribing practices in outpatient settings can result in errors … reported a reduction in the number of calls the practice received from pharmacies about prescribing errors
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - To decrease the number of medication errors at TDH.
3. … Medication Errors. … To examine the effect of IT on
medication errors, we conducted simple comparisons over time. … We examined whether there
were apparent changes in rates of errors or types of errors after the systems … Most medication errors cause no harm to patients.
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - .............. 13
••••••••••••••••
1
Background
Errors … every year there are more than a million injuries
and almost 100,000 deaths attributed to medical errors … .2 These errors are costly; one
estimate puts the cost of adverse drug events (ADEs) at $2 billion … ,4 many errors occur in the dispensing, transcribing, and administering stages of the
medication process … Errors in drug administration by nurses. Am J Health Syst Pharm 1995 Feb 15;52(4):390-5..
7.
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digital.ahrq.gov/organization/columbia-university
January 01, 2023 - Principal Investigator(s)
Schnall, Rebecca
Assess Risk of Wrong-Patient Errors … were limited to having one patient record open at a time versus up to four and found no difference in errors
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - Scope: Medication errors in primary care practice cause morbidity but work is needed to specify
relevant … measures and conduct interventions designed to reduce these errors. … Scope
Medication errors in primary care practice are an important cause of morbidity but the extent … of these errors is largely unknown and effective interventions for reducing these errors need to be … model improved practice performance on several categories of preventable prescribing and
monitoring errors
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digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc
January 01, 2023 - Type of Care
Primary Care
Health Care Theme
Interoperability
Medication Errors … electronic data exchange, and does it actually improve the quality of health care and reduce medical errors … "We will look carefully at medical errors, adverse drug events, quality issues, and cost in all three … practitioners who can't do this on their own, to improve the quality of health care, and to reduce medical errors