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Showing results for "errors".
Users also searched for: medication errors
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Primary Care Visual Error Reporting Tool (pdf file)
digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdfSeptember 01, 2009 - Primary Care Visual Error Reporting Tool Reports on errors … Errors reported in this way have been used by us to populate a “visual database,” (Figure 2) providing … settings Third Party Payer Caregiver G and R Singh 2001 Lab Home Cascade Consequences Errors … Imaging Third Party Payer 2 1 5 3 6 37 39 1 11 64 16 23 Contributors Cascade Errors -
digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdfJanuary 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.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-7-vision-optimal-cds-enabled-medication-managementUse of TALLman lettering and predefined order strings to prevent transcription and interpretation errors … Such effective deployments produce data that demonstrate the ability of CDS to reduce medication errors … Anonymous reports of medical errors and near-misses are used to identify points at which medication-focused … Medication errors are reported and stored in databanks to monitor for error spikes that can trigger appropriate
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010January 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
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digital.ahrq.gov/sites/default/files/docs/activity/medication_monitoring_for_vulnerable_populations_via_information_technology__mmiti__2010_pdf__2.pdfJanuary 01, 2010 - Diabetes, Heart Disease, Lung Disease Summary: The Institute of Medicine report, Preventing Medication Errors … , offered some of the first broad insights into the risk of medication errors in ambulatory settings … Quality lapses and errors related to medications are some of the most prevalent risks across all care … settings, and morbidity due to these errors is costly. … http://iom.edu/reports/2006/preventing-medication-errors-quality-chasm-series.aspx 1 | Medication Monitoring
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdfJanuary 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.
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digital.ahrq.gov/sites/default/files/docs/activity/improving_healthcare_quality_2009_update_2.pdfJanuary 01, 2009 - Business 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 … verification and electronic medication administration records, and assess their value in reducing errors
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Layout 1 (pdf file)
digital.ahrq.gov/sites/default/files/docs/page/08-0093_cpoe.pdfAugust 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 -
digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2011January 01, 2011 - Period September 2007 - February 2012 AHRQ Funding Amount $990,640 Summary: Medication errors … study includes a pre-implementation analysis that will look at correlates of laboratory monitoring errors … Most believed they commit few laboratory monitoring errors and were surprised at the error rates reported
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digital.ahrq.gov/decisionmaker-brief-computerized-provider-order-entry-cpoeJanuary 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
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digital.ahrq.gov/principal-investigator/johnson-constanceJanuary 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/ahrq-funded-projects/enhanced-handoffs-echoJanuary 01, 2024 - However, these handoffs result in about 35 percent of medical errors in the United States. … This leads to communication errors and care continuity failures. … 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
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digital.ahrq.gov/location/usa-sc-charlestonJanuary 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
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digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-childrenJanuary 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,
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citationJanuary 01, 2023 - Principal Investigator Brown, Andrew Project Name Detecting Med (Medication) Errors
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digital.ahrq.gov/ahrq-funded-projects/web-based-renal-transplant-patient-medication-systemJanuary 01, 2023 - Electronic Health Record/Electronic Medical Record Population: Minority Populations Medication errors … Medication errors in the outpatient setting: classification and root cause analysis.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/ethical-and-legal-issuesSeptember 20, 2021 - Chasm spurred an increased attention nationally to problems in patient safety, in particular medication errors … seen as a key mechanism to improve patient safety and health care quality, by reducing handwriting errors
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reducing-medication-errorsJanuary 01, 2001 - Reducing medication errors Authors: Cox PMJr, D'Amato S, Tillotson DJ Journal: Am J Med Qual
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/high-rates-adverse-drug-eventsJuly 19, 2021 - Numerous studies have shown that specific computerized interventions may reduce medication errors … Medication errors associated with ADEs occurred in the following stages: 61% ordering, 25% monitoring
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-unitsJanuary 01, 2023 - Acute Care Pediatrics Specialty Care Health Care Theme Human Factors Medication Errors … aims: Determine the effect of CPOE/EHR on safety and quality of care in ICUs, including medication errors … Health Record/Electronic Medical Record , Medication Management System EHR-related medication errors … EHR-related medication errors in two ICUs. J Healthc Risk Manag 2017 Jan;36(3):6-15. … Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
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