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digital.ahrq.gov/care-setting/hospital-intensive-care-unit
January 01, 2023 - Rounds
Description
This research identified the data domains at greatest risk of communication errors … real-time simultaneous reviewing of data by all members of the rounding team to reduce communication errors
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digital.ahrq.gov/population/vulnerable-population
January 01, 2023 - Name
Health Information Technology Value in Rural Hospitals
Medication errors … Medication errors in the outpatient setting: classification and root cause analysis.
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digital.ahrq.gov/program-overview/research-stories/safer-inter-hospital-transfers-improving-access-health
January 01, 2023 - While critical to meeting the needs of patients, inter-hospital transfers can result in errors that reduce … An evaluation of the platform will examine its impact on patient safety outcomes, such as medical errors
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digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit
January 01, 2023 - to Improve Patient Safety in Rural WV
Understanding the nature of medication errors … Understanding the nature of medication errors in an ICU with a computerized physician order entry system
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digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children
January 01, 2023 - the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors … the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors
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digital.ahrq.gov/principal-investigator/smith-kipman
January 01, 2023 - through HIT
Description
Assessed opportunities to decrease adverse drug events and medication errors
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digital.ahrq.gov/topics-az/m
January 01, 2023 - Machine Learning
Meaningful Use
Medication
Medication Adherence
Medication Errors
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digital.ahrq.gov/location/usa-mt-townsend
January 01, 2023 - through HIT
Description
Assessed opportunities to decrease adverse drug events and medication errors
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - implementation; and
2) measure the impact of CancelRx on patient outcomes, including dispensing errors … Measure the impact of CancelRx on patient outcomes, including dispensing errors, documented
adverse … Scope
Background
Preventable harm due to medication errors is estimated to affect one in 30 people … functionality to medications reconciled from outside the EHR could further reduce the risk of medication
errors … Automatic Errors: A Case Series on the Errors Inherent in Electronic
Prescribing.
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digital.ahrq.gov/organization/broadwater-health-center-inc
January 01, 2023 - through HIT
Description
Assessed opportunities to decrease adverse drug events and medication errors
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digital.ahrq.gov/organization/tufts-medical-center
January 01, 2023 - emergency medical service settings and emergency departments; also evaluated its impact on reducing errors
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Joseph’s Hospital
Latent Conditions
Errors in the design, organization, training or maintenance … that lead to operator errors and whose effects typically lie
dormant in the system for lengthy periods … con’t
• Active Failures
– Operative/Post-Op Complications/Infections
– Events Relating to Medication Errors
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - become a target for hospitals
seeking to improve patient safety practices and
prevent medication errors … literature on CPOE
exists, the majority of the research examines clinical
outcomes (e.g., medication errors … and 21 months after
CPOE implementation (p=0.0001).4 A study from
1994 that focused on medication errors
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digital.ahrq.gov/organization/st-josephs-community-hospital
January 01, 2023 - Epic health IT system and diffused the system community-wide; identified the prevalence of medication errors
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digital.ahrq.gov/location/usa-wi-west-bend
January 01, 2023 - Epic health IT system and diffused the system community-wide; identified the prevalence of medication errors
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer
January 01, 2023 - Clinical Decision Support System , Electronic Health Record/Electronic Medical Record
Diagnostic errors … Diagnostic errors: moving beyond 'no respect' and getting ready for prime time. … Electronic Health Record/Electronic Medical Record
Defining health information technology-related errors … Defining health information technology-related errors: new developments since to err is human.
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digital.ahrq.gov/sites/default/files/docs/survey/triage-prenatal-patient-safety-survey.pdf
June 16, 2021 - Errors are made with the potential to harm patients because
office records are inaccessible.
1 2 3 … Errors are made with the potential to harm patients because
office records are incomplete or out-dated
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
June 16, 2021 - The high INR, the very high
INR, was due to multiple errors. … And there were many dispensing errors that occurred, there were many
administration errors that occurred … We were looking at errors. In the first study we were
looking at adverse drug events. … So once again, we looked at the stages in which the errors
occurred. … monitoring or prescribing errors.
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digital.ahrq.gov/population/clinical-staff
January 01, 2024 - goal of improving caregiver engagement in identifying and reporting safety concerns to reduce medical errors … improve patient safety by reducing variability among providers in treatment planning, minimizing clinical errors
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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/annual-summary/2010
January 01, 2010 - was made on the impact of the intervention on the incidence of preventable prescribing and monitoring errors … A paper titled, " Medication Prescribing and Monitoring Errors in Primary Care: A Report from the Practice … Change in avoidance of errors from July 1, 2008 to July 1, 2010 was analyzed as the primary outcome.