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461. Time and Motion Studies Database | Digital Healthcare Research
     digital.ahrq.gov/time-and-motion-studies-database
     January 01, 2023 - PhD, RPh This grant is examining the impact of electronic prescribing (e-prescribing) on medication errors … an ambulatory computerized provider order entry (ACPOE) system, reduces the incidence of medication errors

462. Enhancing an EMR-Based Real-Time Sepsis Alert System Performance Through Machine Learning | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/enhancing-emr-based-real-time-sepsis-alert-system-performance-through-machine
     January 01, 2023 - First, they lack mechanisms to learn from past errors and, therefore, make the same mistakes on new patients … To determine thematic root causes of errors in SA, the study reviewed nearly 2,000 cases where an alert

463. Tulare District Hospital Rural Health Electronic Medical Record Consortium | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium
     January 01, 2023 - The long-term outcome goal of this implementation project is to reduce medical errors and improve overall … patient safety by decreasing the actual number medication errors, and by implementing electronic access

464. E-Prescribing Impact on Patient Safety, Use, and Cost (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/e_prescribing_impact_2009_update_2.pdf
     January 01, 2009 - Business Goal: Synthesis and Dissemination Summary: Medication errors can occur at every step in the … Medication errors that occur in the earlier stages of the process are more likely than others to be … A systems-focused, multidisciplinary approach has been useful for preventing serious errors.

465. A Community-Shared Clinical Abstract to Improve Care | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care
     January 01, 2023 - information gaps, communication breakdowns, and lack of coordination that can lead to inefficiency, errors … Information Exchange Population: Patient Creating a large database test bed with typographical errors … Creating a large database test bed with typographical errors for record linkage evaluation.

466. Community Clinics EHR Assessment and Readiness Project (pdf file)
     digital.ahrq.gov/sites/default/files/docs/AreYouReadyforEHRsPresentation.pdf
     November 15, 2005 - Clinic EHR Project - Object Health 5 Bush praised computerized records as a way to avoid medication errors … Community Clinic EHR Project - Object Health 6 Health Care Delivery Landscape Patient safety & Medical errors …  Patient data unavailable in 81% of cases; average of 4 missing items per case  18% of medical errors … recommended care  44,000 – 98,000 annual inpatient deaths due to a preventable medical error  Medication errors … mail)  Decrease unnecessary utilization of ancillary tests Decision Support  Decreased medical errors

467. Section 3 - Applying CDS to Medication Management | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
     Check for proper concentration and volume to minimize pump programming errors, incompatibilities, and … key tasks in silos; this approach plagues the traditional medication management process and supports errors

468. Tools for Optimizing Medication Safety (TOP-MEDS) - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
     January 01, 2011 - prescribing and dosing for acute pain; 3) methods for preventing and detecting drug name confusion errors … screening of drug names, and develop and test methods for preventing and detecting drug name confusion errors

469. Clinical Decision Support Consortium: Technical Expert Panel Meeting (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/TEP%208-13-08%20Slides%20CDSC.pdf
     August 29, 2010 - Dissemination Workflow Diagram Input Format KM Lifecycle Assessment Execution Services Models 2 Errors … Survey Creation Lessons for Survey Creation Lessons 3 Suggestions for Survey Creation Lessons 1 Errors

470. Improving Management of Test Results That Return After Hospital Discharge (pdf file)
     digital.ahrq.gov/sites/default/files/docs/activity/improving_management_of_test_results_that_return_after_hospital_discharge_2010_pdf__2.pdf
     January 01, 2010 - Summary: Nearly half of the hospital patients discharged with pending test results experience medical errors … These errors largely arise from poor methods of managing test results and poor communication with the

471. Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015164-koss-final-report-2008.pdf
     January 01, 2008 - causes, contributing factors and the effects of adverse events in order to learn from both medical errors … Reducing the frequency of errors in medicine using information technology. … Using information technology to reduce rates of medication errors in hospitals. … Incident reports—correcting processes and reducing errors. … Voluntary electronic reporting of medical errors and adverse events.

472. Health Information Technology Evaluation Toolkit: 2009 Update (pdf file)
     digital.ahrq.gov/sites/default/files/docs/biblio/09_0083_EF.pdf
     June 01, 2009 - Chart reviews do not capture all errors (especially dispensing and administration errors). … (especially dispensing and administration errors). … Dispensing errors will decrease, since these errors will be caught during the dispensing process. … Medication administration errors will decrease. … Since the number of observed events (prescription errors) is so small, the errors may have shown up

473. Health Information Technology Evaluation Toolkit: 2009 Update (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
     January 01, 2009 - Chart reviews do not capture all errors (especially dispensing and administration errors). … (especially dispensing and administration errors). … Dispensing errors will decrease, since these errors will be caught during the dispensing process. … Medication administration errors will decrease. … Since the number of observed events (prescription errors) is so small, the errors may have shown up

474. Patient Safety Culture in West Virginia’s Rural Hospitals (ppt file)
     digital.ahrq.gov/sites/default/files/docs/implementation/Bellamy.ppt
     April 01, 2005 - To Err is Human, focused attention on patient safety and medical errors However, rural West Virginia … Our procedures and systems are good at preventing errors from happening. (A18) R3. … We are informed about errors that happen in this unit. (C3) 3. … In this unit, we discuss ways to prevent errors from happening again.

475. Phased trial of a proven algorithm at a new primary care clinic | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/phased-trial-proven-algorithm
     January 01, 1982 - useful component of training physicians to adhere to the algorithms of care, which resulted in less errors

476. MEDICATION MANAGEMENT USING HEALTH IT FOR THE CARE OF ELDERLY PATIENTS (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
     May 25, 2016 - The high INR, the very high INR, was due to multiple errors. … And there were many dispensing errors that occurred, there were many administration errors that occurred … We were looking at errors. In the first study we were looking at adverse drug events. … So once again, we looked at the stages in which the errors occurred. … monitoring or prescribing errors.

477. Microsoft PowerPoint - AHRQ Medicaid-SCHIP TA Webinar - The Role of Master Patient Index (MPI) and Record Locator Services (RLS (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/the_role_of_master_patient_index__mpi__and_record_locator_services__rls__on_the_implementation_of_hies_for_medicaid_schip_5.pdf
     December 17, 2008 - report reductions in health care costs • 52% report positive impacts such as: nDecrease in prescribing errors … M = Mickey Mouse, 11/18/28, M Probabilistic: improves match by anticipating data entry errors … Probabilistic n Electronic Linking Cause: Errors in Linking Mickey Mouse DOB: 11/18/28 Mickey Mouse … determine the probability of MPI duplicate or overlap Same institution Different institutions Errors … work duplicate lists, conduct some manual evaluation ß Reductions in duplicate tests, medication errors

478. Value of Technology to Transfer Discharge Information - 2009 | Digital Healthcare Research
     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

479. A National Web Conference on the Importance of Evaluation in Health IT Implementation: Practical Advice for Providers and Healthcare Organizations (pdf file)
     digital.ahrq.gov/sites/default/files/docs/AHRQ_Evaluation_Webinar_May08.pdf
     May 15, 2008 - HIT Outcome Metrics • Medical Errors • Patient Care • Population Health • Medical Errors • CPOE … and Medication Errors • Medication Reconciliation • Handoffs • Discharge Summaries • and … Discharge … payers and other third parties • Medication tracking and electronic ordering to address medication errors … and attendant adverse drug reactions/errors (ADE) • Reduce information-related errors in treatment

480. Responses to Additional Web Conference Questions (pdf file)
     digital.ahrq.gov/sites/default/files/docs/QA_06232009.pdf
     June 23, 2009 - using EHR and primary pharmacists to work with ER and hospital staff doctors to avoid prescription errors … Pharmacy E-Prescribing Experience Reporting Portal}, for example) our understanding of the causes of errors … patient visit and pertinent labs would contribute greatly to patient safety and decrease medication errors … Simenson): Legibility is being eliminated as a safety concern but new areas of errors are occurring … Also errors in SIG (signature) codes still occur.