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digital.ahrq.gov/organization/jewish-hospital-st-marys-healthcare
January 01, 2023 - rural hospital, and three private primary care physician practices; evaluated the reduction in medical errors
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digital.ahrq.gov/organization/mercy-medical-center-north-iowa
January 01, 2023 - ambulatory care, primary care and specialty clinics, home health, and hospice care; also evaluated medical errors
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digital.ahrq.gov/location/usa-ia-mason-city
January 01, 2023 - ambulatory care, primary care and specialty clinics, home health, and hospice care; also evaluated medical errors
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digital.ahrq.gov/location/usa-mi-marquette
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/track-5-achieving-and-sustaining-improvements
January 01, 2023 - This session will provide insight into errors in hospital (admission and discharge) and ambulatory care … perceived workforce stress and error with two CPOE systems, lessons learned from identifying and managing errors
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digital.ahrq.gov/project-background
January 01, 2023 - One potential benefit of HIT is reduction of medical errors. … decision-making and knowledge acquisition tools into the practice of medical providers, thereby reducing errors
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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/location/usa-or-portland
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/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/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/sites/default/files/docs/activity/medication_safety_in_primary_care_practice_translating_2010_pdf__2.pdf
January 01, 2010 - 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.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018288_zhou_pdf_3.pdf
January 01, 2011 - ’s electronic health record (EHR) is
critical to prevent medication prescribing and administration errors … information can be used by clinicians at the point of care to reduce prescription
and administrative errors … these entries and
allow duplication alerts or a drug interaction system to catch potential medication errors
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024349-mcalearney-final-report-2017.pdf
January 01, 2017 - Results: Usability studies showed that errors encountered by portal users were attributable
to issues … observing the interactions between user, tool, and task, and
with measures of task completeness and errors … From Usability Track
• Usability session Think-Aloud participants frequently made operational errors … and made
the most errors in navigation and by assuming the system had common technology
functionalities … team, the top three most important outcomes were efficiency,
communication, and identification of errors
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digital.ahrq.gov/sites/default/files/docs/survey/triage-prenatal-patient-safety-survey.pdf
February 23, 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/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/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/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/sites/default/files/docs/page/HIE_Evaluation_Toolkit.pdf
November 27, 2007 - Also
17
Measure Data Source(s) Relative Cost Notes Potential Pitfalls
with the loss of errors … which
in transmitting results orally
should lead to a reduction in
occur
errors. … which occur in transmitting results
orally should lead to a reduction in
errors. … (especially dispensing and
events (“near review chart review by administration errors) … Since
the number of observed events (prescription errors) is so small, the errors may have shown up