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digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
May 01, 2010 - Such errors are described as
expensive to the system, resulting in rework and opportunity costs as … Multiple reasons are
8
provided for the silence that surrounds the issue of medical errors: (1 … In this report, the problem of medical errors is viewed
as a systems problem, and one that can only … Implement financial
penalties for preventable medical errors. … “Design out” problems that contribute to problems such as
medical errors.
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digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
January 26, 2006 - Examples of error measurement include frequency of errors and
recovery rate of errors. … Moreover, primary care clinicians have little tolerance for errors. … by including the
consequences of the errors. … different types
of errors. … Unintended errors with EHR-
based result management: A case series.
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digital.ahrq.gov/ahrq-funded-projects/it-systems-rural-indian-clinic-health-care
January 01, 2023 - aims to prevent unnecessary hospitalizations by improving health care quality and reducing medical errors … clinics better manage patient care and coordinate with local hospitals to help detect and track medical errors
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digital.ahrq.gov/ahrq-funded-projects/demonstration-project-assessing-significance-and-impact-utilizing-novel
January 01, 2023 - Type of Care
Hospice Care
Health Care Theme
Medication Management
Medication Errors … pandemic, the addition of a pharmacist to a CBPC team improved medication management, decreased medical errors
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digital.ahrq.gov/sites/default/files/docs/page/HITSuccessStories112910.pdf
May 02, 2014 - Factors Research to Increase the Success of a
Health Information Technology Implementation
Medication errors—errors … transcription errors (data entry errors that occur when information about a
medication order is misread … introduce new types of errors. … Overall, the number of medication errors did not change. … CPOE functionalities and medication ordering errors in the
ICU.
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2010
January 01, 2010 - successful, it is likely to be easily disseminated and could result in substantial avoidance of medical errors … data collection tool used for enrollment and capture of baseline data to minimize potential data entry errors
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digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings
January 01, 2018 - adoption, cost, and technical support; data and content knowledge management in the EHR; CDS to avoid errors … Four patients reported changing a health behavior, and two reported the possible prevention of medical errors
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/annual-summary/2008
January 01, 2008 - interfaces were initially routed through the engine, it eliminated any questions of where interface errors … The engine allows the identification and capture of errors within message feeds and can hold them until
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2010
January 01, 2010 - Summary: Use of medications by older adults living in the community is far from optimal as medication errors … While providers believe PHRs have the potential to decrease errors and increase efficiency, they are
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
January 01, 2007 - COI
errors occur when relevant information is not transmitted effectively from one health care
provider … Continuity of follow-up errors occur when a recommended visit or telephone
contact do not take place … We identified an unexpectedly high level of continuit of information errors and
continuity of followup … errors in our community. … Dropping the Baton During the
Handoff from ED to Primary Care: Pediatric Asthma
Continuity Errors
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digital.ahrq.gov/2020-year-review/research-summary/improving-medication-safety-accurate-e-prescribing-tool
January 01, 2020 - Understanding the pressure pharmacists can feel as the “last line of defense” to detect and identify errors
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digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part2.pdf
January 01, 2009 - Primary Care Visual Error Reporting Tool- Part 2
1/2
In an effort to bring some standardization and efficiency to the chart-review process, a
two-step method is used. As the first step, a set of screening criteria identifying the presence
of ce…
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digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - of care for chronically illness and elderly
Advancing
Excellence in
Health Care
More medical errors … More medical errors in U.S.
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digital.ahrq.gov/sites/default/files/docs/page/building-foundation-for-health-information-exchange-to-improve-poison-control.pdf
April 01, 2014 - This verbal and fragmented exchange of information
is prone to errors stemming from mis- and inadequate … improving efficiency and
communication between PCCs and EDs, and
reducing time-to-treatment and medical errors
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digital.ahrq.gov/principal-investigator/kelly-michelle-m
January 01, 2024 - goal of improving caregiver engagement in identifying and reporting safety concerns to reduce medical errors
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023694-schiff-final-report-2018.pdf
January 01, 2018 - Key Words: CPOE, drug safety, medication errors, user-centered design, patient safety, prescription … • Webinar 2: Role of indications in strengthening patient safety and preventing medication errors. … We also included two scenarios
designed to test common look-alike-sound-alike (LASA) medication errors … They cited reasons such as improving the ease of counseling patients, insuring no
medication errors … Examining the potential for CPOE system design and
functionality to contribute to medication errors
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digital.ahrq.gov/population/paramedic
January 01, 2023 - emergency medical service settings and emergency departments; also evaluated its impact on reducing errors
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027894-kelly-final-report-2023.pdf
January 01, 2023 - medical records; patient portals; pediatrics; hospitals; oncology
Purpose
Medical errors … occur in up to 55% of pediatric hospitalizations and children suffer harm from
errors at a rate 3 times … doctors and parents to exchange information about their care and work together to
identify and intercept errors … of their child’s diagnosis and treatment plan and their
ability to identify and intercept medical errors … Medication errors and adverse drug events in
pediatric inpatients. JAMA.
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-services-through-system-modeling-research
January 01, 2023 - providers in real-time as they complete blood transfusions, a process that is complex and often prone to errors
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digital.ahrq.gov/organization/massachusetts-general-hospital
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision