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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/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-4-types-cds-interventions
June 14, 2021 - complete documentation for care quality/continuity, reimbursement, legal requirements; reduce omission errors … by displaying items for selection; reduce commission errors by ensuring critical data—such as allergies—are … typically unsolicited by patient or clinician recipient)
Benefits : Provide immediate notification of errors … Alerts to prevent potential omission/commission errors or hazards
Drug allergy alert
Drug interaction
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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/sites/default/files/ahrq-dhr-2023-year-in-review-at-a-glance.pdf
January 01, 2023 - Ward
IHC Health Services, Inc
Emerging
Displaying Patient Photos in Medical
Records Reduces Errors … Patient photos displayed in the electronic health
record significantly reduce wrong-patient order
errors … digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves … digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves … digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-dissemination
January 01, 2022 - Support Solution for Chronic Pain Management
Karen Nanji (PI)
Preventing Perioperative Medication Errors … of the American Medical Informatics Association," Risk factors associated with medication ordering errors … ,” described a study examining instances of medication ordering errors and associated risk factors. … The paper describes the team’s finding that errors were not uniquely associated with a single risk factor … , but the causal contributors of medication ordering errors were multifactorial, arising from a combination
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digital.ahrq.gov/sites/default/files/docs/cds-authoring-tool-slides-020719.pdf
February 07, 2019 - logic statements, along with features that enable users to develop
subpopulations and how to handle errors … Recommendations
104
CDS Authoring Tool:
Recommendations
105
CDS Authoring Tool: Handle
Errors … 106
CDS Authoring Tool: Handle
Errors
107
CDS Authoring Tool: Parameters
108 … CDS Authoring Tool: Recommendations
CDS Authoring Tool: Recommendations
CDS Authoring Tool: Handle Errors … CDS Authoring Tool: Handle Errors
CDS Authoring Tool: Parameters
CDS Authoring Tool: Parameters
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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/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/sites/default/files/docs/activity/u19hs021093-lambert-annual-summary-2012.pdf
January 01, 2012 - prescribing and
dosing for acute pain; 3) methods for preventing and detecting drug name confusion errors … -
and test methods for preventing and detecting drug name confusion errors … project has two aspects: 1) the preapproval
screening methods; and 2) a retrospective detection of drug 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/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/systems
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/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/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/rose
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/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