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digital.ahrq.gov/program-overview/impact-stories/supporting-clinicians
January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box Similar to the airline … This allows for a robust analysis of the root cause of EHR errors that subsequently can inform improvements
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-using-community-utility-eprescribing-gateway
January 01, 2023 - Ambulatory Setting
Pharmacy
Health Care Theme
Adverse Events
Medication
Medication Errors … Physicians reviewed and rated suspected adverse drug events and medication errors.
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digital.ahrq.gov/principal-investigator/smith-kenneth-j
January 01, 2023 - communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors … communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/west-virginia-medical
September 29, 2007 - 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
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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/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/sites/default/files/docs/activity/r18hs018183-weiner-annual-summary-2012.pdf
January 01, 2012 - Project Period: September 2009 – July 2013
AHRQ Funding Amount: $1,181,628
Summary: Medication errors … account for approximately 20 percent of all medical errors in the United
States each year. … facilitation of inpatient MR improves
completion of MR and decreases the incidence of drug-related medical errors … whether electronic facilitation alters medication reconciliation and the incidence of
medication errors
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018183_weiner_pdf_3.pdf
January 01, 2011 - Period: September 2009 – September 2012
AHRQ Funding Amount: $1,181,628
Summary: Medication errors … account for approximately 20 percent of all medical errors in the United States
each year. … facilitation of inpatient MR
improves completion of MR and decreases the incidence of drug-related medical errors … Determine whether electronic facilitation alters medical reconciliation and the incidence of medication
errors
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digital.ahrq.gov/population/surgeon
January 01, 2024 - Delivery through Health Information Technology
Preventing Perioperative Medication Errors … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-decision-support
January 01, 2005 - Safety Outcome: The study of Neodosis, which used simulated cases, showed a significant reduction in errors … Errors classified as serious were eliminated.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/application-pen-based-computer
October 01, 1995 - of study: 1994-1996 Study Design: Pre-Post Outcomes: Time spent on total activity, documentation, errors … Training- 932 hours = $19,496 Quality of Care and Patient Safety Outcome: 11.11% of RUG II calculations errors
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/population-health-case-reporting/automated
July 01, 2007 - Passive surveillance reports had a 5% rate of transcription errors, compared with no errors in ESP reports
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digital.ahrq.gov/sites/default/files/docs/page/09-0023-EF_bcma_0.pdf
December 01, 2008 - .2 These errors are costly; one
estimate puts the cost of adverse drug events (ADEs) at $2 billion a … ,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. … Medication dispensing errors and potential adverse drug
events before and after implementing bar code … Effect of bar-code technology on the incidence of medication
dispensing errors and potential adverse
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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/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/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/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/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/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.