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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - improve patients' health, the process of prescribing them is complex and error prone, and medication errors … default lists for medication doses and frequencies) researchers found a 55% decrease in serious dosing errors
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digital.ahrq.gov/principal-investigator/carayon-pascale
January 25, 2018 - (CPOE) Implementation in Intensive Care Units (ICUs)
EHR-related medication errors … EHR-related medication errors in two ICUs. J Healthc Risk Manag 2017 Jan;36(3):6-15.
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2011
January 01, 2011 - by the PCP in the care of hospitalized patients should decrease medication, diagnostic, and followup errors … the impact of Virtual Continuity, a pre-post study will compare the frequency of discharge medication errors
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/hands-care-plan-tool-seeks
January 01, 2023 - extreme variation in the ways clinicians share information with each other causes an untold number of errors … Ackron says that having this type of information can help prevent medical errors.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking
January 01, 2023 - Care Setting
Ambulatory Setting
Health Care Theme
Adverse Events
Medication Errors … Patient Safety
Transitions in Care
Medication errors are a significant source of patient
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digital.ahrq.gov/ahrq-funded-projects/health-information-exchange-utilization-and-inter-hospital-transfer-outcomes
January 31, 2023 - These high-risk transitions result in higher mortality rates and increased vulnerability to diagnostic errors … multiple assessments within a short timeframe, making them a key opportunity to study how communication errors
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015397-bates-final-report-2008.pdf
January 01, 2008 - A quasi-experimental pre-post study evaluated the effect of EHR
implementation on medication errors. … Aim 2: Electronic Health Records Effect on Medication Errors and Quality of Care had two
components: … Our study
pharmacist evaluated each prescription for potential errors and then conducted chart reviews … to two physician
reviewers who will independently classify them as ADEs, potential ADEs, medication errors … Aim 2: Electronic Health Records Effect on Medication Errors and
Quality of Care
Upon completion of
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Prescribing errors occur frequently in the ambulatory setting. … Interventions
such as electronic prescribing hold promise for reducing the frequency of errors but research … Our objective was to assess the rates and types of
outpatient prescribing errors and understand the … Prescription and chart review was conducted to identify medication errors at baseline and one
year. … Prescribing errors occurred at a much higher rate than previously
reported.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/mississippi
January 01, 2023 - EHRs) offers a unique means of improving quality, lowering health care costs, and preventing medical errors
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digital.ahrq.gov/organization/university-north-carolina-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/page/Idaho_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/citation/r21hs024750-sherwin-final-report-2019.pdf
January 01, 2019 - Methods: The performance of SA was reviewed, and errors analyzed for opportunities to revise the model … Errors
were codified based on likely source:
Coding error – ICD codes not consistent with charted … The ISA logic was then modified accordingly as appropriate in response to the review of the errors. … Errors were again reviewed by point accruement, and patient group and adjustments made to the model … There
appeared to be no over-representation of errors within any specific patient group.
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digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
June 01, 2009 - Too much
or too little automation can lead to rejection or errors. … Clinical decision Preventing Medication Errors. … J Biomed
dispensing errors and potential adverse drug Inform 2008;41(2):387-92. … facilitating medication errors. JAMA 60. … User system-related errors.
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digital.ahrq.gov/ahrq-funded-projects/getting-same-page-leveraging-inpatient-portal-engage-families-hospitalized-children
January 01, 2024 - Engagement
Patient Safety
Hospitalized children face three times the rate of medical errors … Parents and physicians play a crucial role in exchanging care information and identifying and preventing errors
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digital.ahrq.gov/events/national-web-conference-health-it-and-safety
January 01, 2023 - AHRQ-funded study on the impact of bedside barcode/electronic medication administration on medication errors
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digital.ahrq.gov/principal-investigator/wheeler-donald
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/national-webinars/clinical-decision-support-authoring-tool
January 01, 2023 - logic statements, along with features that enable users to develop subpopulations and how to handle errors
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form
WBD
DATAFORM 3
Medication Error and Near Miss
Classification Form
1. Study ID Number: ____ ____-____ ____ ____ ____ ____
2. Reviewer ID Number: ____ ____
See below for codes
3.
Case #
4.
Script #
5.
ME o…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
January 01, 2011 - Variables associated with medication
errors in pediatric emergency medicine. … Profiles in patient safety:
medication errors in the emergency department. … Prescription writing
errors in the pediatric emergency department. … Medication errors and
adverse drug events in pediatric inpatients. … Medication errors and
adverse drug events in pediatric inpatients.
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digital.ahrq.gov/ahrq-funded-projects/connecting-healthcare-central-appalachia/annual-summary/2008
January 01, 2008 - electronically capturing and managing all patient care-related information, ARH hoped to reduce medical errors … : improvement in access to patient information, improvement in the timeliness of care, reduction in errors