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digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
December 27, 2004 - The ability to avoid errors by alerting staff to potential errors before they occur. [ ] [ ] [ … The ability to avoid errors by alerting staff to potential errors before they occur. [ ] [ ] [
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/ocular
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/patient
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - Complications, such as falls or
medication errors, could lead to readmissions. … These
near-miss errors are self-caught by the clinician before they reach
the patient. … You can’t study errors and
improve systems when there are only six events.” … Adelman wanted to expand
RAR measures to medication and other types of order errors. … Are there differences in frequency by type of errors, for
example, wrong-patient versus wrong-dose errors
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digital.ahrq.gov/organization/upper-peninsula-health-care-network
January 01, 2023 - access to patient data, eliminate duplicate tests and exams, deliver high-quality care, reduce medical errors
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-1
January 01, 2023 - Eric
Project Name
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citation
January 01, 2023 - Eric
Project Name
Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/preventing
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/assess
January 01, 2023 - Principal Investigator
Adelman, Jason Stuart
Project Name
Assess Risk of Wrong-Patient Errors
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digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/citation-1
January 01, 2023 - Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication) Errors
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024949-yellowlees-final-report-2022.pdf
January 01, 2022 - A bilingual
research assistant evaluated the MT output for errors to determine Word Error Rate (WER) … ; accuracy rate was used to assess for translation
errors. … when run by the Microsoft engine, and 138 errors when run by the
Google engine. … when run by the Microsoft engine and 141 errors when run by the
Google engine. … when run by the Microsoft translator and 94
errors with Google Translate.
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - engineering and potential value in
healthcare
► Appreciate the role of cognitive support and risk for errors … Simulated Patient
24
Cognitive Support – Team Communication
25
Poor Support Case Examples
26
Errors … Essential Questions: Accuracy, Errors, and User Perceptions in a Modular, User-composable Electronic … • Possibly lack of fit to task, specialty, case,
role
• No checklist
• Hard to change > potential errors … results, documents., flowsheets, patient list, summary)
► Effects of user UI sharing – omissions, errors
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digital.ahrq.gov/health-care-theme/patient-safety
January 01, 2023 - 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/technology/voice-recognition
January 01, 2023 - Improving Accuracy of Electronic Notes Using a Faster, Simpler Approach
Analysis of errors … Analysis of errors in dictated clinical documents assisted by speech recognition software and professional
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digital.ahrq.gov/funding-mechanism/mentored-clinical-scientist-research-career-development-award-k08
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/malone-daniel-c
January 01, 2023 - Implementation of QT Risk Clinical Decision Support
Colchicine drug interaction errors … Colchicine drug interaction errors and misunderstandings: Recommendations for improved evidence-based
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digital.ahrq.gov/technology/bar-coding
January 01, 2023 - Identifying health information technology usability issues contributing to medication errors … Identifying health information technology usability issues contributing to medication errors across medication
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digital.ahrq.gov/funding-mechanism/understanding-clinical-information-needs-and-health-care-decision-making-processes
January 01, 2023 - Making Information Needs and Workflow in Emergency Care
Finding diagnostic errors … Finding diagnostic errors in children admitted to the PICU.
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-usability-toolkit/annual-summary/2010
January 01, 2010 - : While health information technology (IT) systems are expected to significantly reduce medication errors … , studies have found that issues with usability can actually facilitate errors or decrease the efficiency
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute of Medicine. 2007.
2. … Preventing medication errors. … Committee on Identifying and Preventing Medication Errors, Institute of Medicine. … A randomized trial of "corollary orders" to prevent errors of omission.