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digital.ahrq.gov/organization/mt-ascutney-hospital-and-health-center
January 01, 2023 - The goals of the project were to reduce medical errors, improve the quality of patient care, increase
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digital.ahrq.gov/principal-investigator/weiner-saul
January 01, 2023 - Description
This research studied whether clinical decision support could reduce contextual errors
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access
January 01, 2023 - Care
Primary Care
Specialty Care
Health Care Theme
Interoperability
Medication Errors … Use computerized provider order entry and clinical decision support systems to reduce medication errors … utilize the EMR for data collection, analysis, and reporting of the number and types of medication errors
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digital.ahrq.gov/location/usa-nc-chapel-hill
January 01, 2023 - improve patient safety by reducing variability among providers in treatment planning, minimizing clinical errors
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs024488-saleem-final-report-2018.pdf
January 01, 2018 - We measured efficiency, errors, workload, patient-centeredness (proportion of
time the provider was … there were no statistically significant differences
between the exam room layouts for efficiency, errors … Time to complete test scenarios
Errors Deviations or omissions from the given clinical
scenarios. … There were no significant differences
between layouts for measures of efficiency, errors, or patient … Results for Efficiency, Errors, Patient Centeredness, Screen Sharing, and Situation Awareness
(n=27)
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digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information/annual-summary/2009
January 01, 2009 - Business Goal: Implementation and Use
Summary: Errors in discharge communication between inpatient … The research intervention did not show further reduction in medication errors and adverse drug events
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digital.ahrq.gov/sites/default/files/docs/page/Grannis.ppt
January 01, 2004 - 117 of the 127 forms (92.2%) had at least one digit that required review
58 individual recognition errors … error rate – always > 0%
7% overall error rate in numeric recognition in our sample
Higher rate of errors … Errors
Nurses: 42/689
(6%)
Physicians: 12/106
(15%)
More on Error Rate
Neither informed … physicians
These and other types of errors can likely be decreased through feedback and training
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - measure, the definition of what is meant
by recommended action must be considered to
decrease potential errors … computerized physician order entry and a team
intervention on prevention of serious medication
errors … Medication errors
in United States hospitals. Pharmacotherapy
2001;21:1023 36.
3. … A randomized trial of ‘‘corollary orders’’ to
prevent errors of omission.
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs021825-kuperman-final-report-2015.pdf
January 01, 2015 - Errors in medical records present significant barriers to delivering personalized medicine and to
the … Under current legal guidelines,
medical record data cannot be altered to remove errors. … Many providers are unwilling/unable to correct errors in documentation created by
other providers, or … Under current legal guidelines, however, medical record data cannot
be changed and errors cannot be … Methods that help to prevent the introduction of errors in medical record data should be
identified,
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digital.ahrq.gov/research-method/analysis
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/program/general-patient-safety-program-center-quality-improvement-and-patient-safety
January 01, 2023 - improve patient safety by reducing variability among providers in treatment planning, minimizing clinical errors
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-31a-goals-worksheet
January 01, 2023 - Here are some examples:
Reduce medication errors.
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digital.ahrq.gov/principal-investigator/weiner-michael
January 01, 2023 - the resulting system altered the rate of medication reconciliation and the incidence of medication errors
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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - 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.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - SCOPE
Adverse drug events and medication errors are estimated to cost the US health care system
$177 … Recognizing our vulnerability with regard to medication errors, numerous efforts are
underway to … The intent is to avoid errors, such as omission,
duplication, incorrect doses or timing, and … Other errors were due to allergies, drug classes, multiple ingredient
medications, inpatient drugs, … Medication reconciliation: a practical tool to reduce the risk of medication errors.
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - 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.
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-dissemination
January 01, 2021 - Integration
Yuyang Yang (presenter), Bruce Lambert (PI)
Preventing Wrong-Drug and Wrong-Patient Errors … CPOE Systems
Poster: Implementation of Medication Alerts to Reduce Wrong-Drug and Wrong-Patient Errors … perspective of patients and their caregivers and how it can help to ensure high-quality care and prevent errors
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digital.ahrq.gov/ahrq-funded-projects/electronic-exchange-poisoning-information
January 01, 2023 - exchange capability between a poison control center and emergency department has the potential to reduce errors … research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors … centers and emergency departments is based on phone communication, which is inefficient and can lead to errors
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digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles/citation/error-analysis
January 01, 2023 - Error analysis leading technology development.
Citation
Carstens D. Error analysis leading technology development. TIES 2006;7(6):525-49.
Link
http://www.tandfonline.com/doi/abs/10.1080/14639220600983856
Principal Investigator
Laird, Rosemary
Project Name
Promoting Patie…
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Summary: When patients transfer to new health care settings, there is an increased risk of medication errors … To decrease such errors, in 2006 The Joint Commission created a National Patient Safety Goal requiring