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61. Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/cognitive-tests-predict
    January 01, 2023 - Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based … Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based

62. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/citation
    January 01, 2023 - Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research … Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research

63. NLP to Improve Accuracy and Quality of Dictated Medical Documents | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
    January 01, 2023 - While easy to use and efficient, SR is prone to errors, including spelling errors and “real-word” errors … Spell check functionality catches spelling errors, but real-word errors are more difficult to automatically … and classification of the errors. … Develop automated, robust methods to detect SR errors in medical documents.  … Incidence of speech recognition errors in the emergency department.

64. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient/citation/association
    January 01, 2023 - Association of display of patient photographs in the electronic health record with wrong-patient order entry errors … Association of display of patient photographs in the electronic health record with wrong-patient order entry errors

65. Automated Retract-and-Reorder Measures to Improve Medication Safety | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
    January 01, 2023 - Yet efforts to prevent these errors have been hampered by lack of standardized measures. … These near-miss errors are self-caught by the clinician before they reach the patient. … You can't study errors and improve systems when there are only six events.” … Adelman wanted to expand RAR measures to medication and other types of order errors. … Are there differences in frequency by type of errors, for example, wrong-patient versus wrong-dose errors

66. Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
    July 31, 2023 - as standard features in the electronic health record (EHR) significantly reduce wrong-patient order errors … , can increase wrong-patient errors, with one hospital reporting over 5,000 such incidents annually. … These errors, which involve medications, lab tests, procedures, and discharge orders, can cause serious … It will likely take a multi-pronged health IT approach to prevent these types of errors.” - Dr. … Use of photographs to prevent errors.

67. Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/development-and-assessment-artificial-intelligence-ai-enhanced-pretreatment
    April 01, 2024 - treatment planning, increase patient safety by minimizing the number and severity of clinically relevant errors … treatment have improved safety, the complexity of these treatments has introduced new pathways for errors … Researchers will measure improvements by tracking errors in treatment plans, the time and effort required … Patient safety will be assessed by monitoring missed errors and using statistical models to track safety … performance by reducing variability in treatment planning, increasing patient safety by minimizing errors

68. An Etiology for Medication Ordering Errors in CPOE Systems - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
    January 01, 2020 - were true ordering errors (PPV=78.3±1.2%). … errors and their associated risk factors. … to our empirical evidence on ordering errors. … Risk Factors Associated with Medication Ordering Errors. … Medication Voiding and Ordering Errors Impact of Medication Ordering Errors on Safety Clinician-Reported

69. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use
    January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Patient Safety In the United States alone, approximately 15.75 million medication errors … Project Name: Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name: Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name: Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of

70. Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
    January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems … An accurate problem list helps to prevent these errors by alerting prescribers when a medication order … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report.

71. Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety | Digital Healthcare Research
    digital.ahrq.gov/national-webinars/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and
    July 24, 2024 - Description: Medication errors are a leading cause of injury and avoidable harm in healthcare, with … Preventable medication errors cost the nation more than $21 billion annually across all care settings … and digital healthcare interventions such as clinical decision support tools are reducing medication errors … such as the Wrong-Patient Retract-and-Reorder measure, can be developed and used to detect medication errors

72. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
    January 01, 2011 - The first was a multi-center pre-post study measuring the impact on medication errors when switching … (Achieved) 2011 Activities: The first study, measuring the effects on medication errors and data … of the errors and ADEs. … Improvements were primarily attributed to reducing inappropriate abbreviation errors. … The results also provide important information on the most common types of medication errors.

73. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
    January 01, 2010 - studied as well as other types of errors.16,17 Not only are these errors difficult to identify,9 Better … 141 (20.9%) Errors 36 (5.4%) Errors 13 (2.1%) On detailed review, diagnostic errors were found … At Site A we estimated 163 errors in 781 Trigger 1 patients, 295 errors in 5566 Trigger 2 patients, … At Site B we estimated 125 errors in 596 patients, 240 errors in 4359 Trigger 2 patients, and 362 in … We identified errors that were more consequential than many “routine” errors,14 but also less recognizable

74. Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
    January 01, 2022 - Incidence and Prevalence Wrong Drug Errors. … department (ED) medication errors were wrong-drug.1 A study of errors reported to MEDMARX found 9.7% … of errors in the ICU and 12% of all med errors were wrong- drug.2 An inpatient study of dispensing errors … found roughly 11% of all errors detected by direct observation were wrong-drug, and such errors were … Wrong Patient Errors.

75. Evaluating the Impact of an ACPOE/CDS System on Outcomes | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
    January 01, 2023 - Ten thousand prescriptions were evaluated to identify and characterize prescribing-related errors. … E-prescribing resulted in a reduction of (potential) medication errors from 28 to 9 percent. … Characterization of prescribing errors in an internal medicine clinic. … E-prescribing is widely seen as a way to reduce medication errors. … "Therein lies greater potential to prevent errors and improve medication safety," says Devine. 

76. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
    January 01, 2010 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010 … Project Name Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors … The project evaluated two methods to detect diagnostic errors. … The second paper will discuss clinical errors and the findings related to understanding these errors … For example, it will describe the types of events that lead to clinical errors.

77. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2010
    January 01, 2010 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2010 Project … Name Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors Principal Investigator … While medication errors have been studied in the pediatric population, the frequency of LASA-specific … errors in pediatric prescriptions is not well documented or understood. … and refine a method for “flagging” individual prescriptions as potential errors.

78. Detecting Med Errors in Rural Hospitals Using Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
    January 01, 2008 - The goal is to increase the number of medication errors reported. … (4) Electronic reporting of medical errors can reduce future errors in four important ways: 1) … for 234/805 discovered errors (29%). … Figure 1. 805 total errors reported Figure 1a. … Laird Hospital: 115 total errors reported Figure 3a.

79. Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
    January 01, 2023 - Pharmacist Physician Health Care Theme Adverse Events Clinical Workflow Medication Errors … in discontinued medications remaining available to be dispensed to the patient, risking medication errors … research developed strategies to optimize CancelRx implementation and measured its impact on dispensing errors … Measure the impact of CancelRx on patient outcomes including dispensing errors, documented adverse drug … Preventable medication errors cost the nation more than $21 billion annually across all care settings

80. Medication Reconciliation to Improve Quality of Transitional Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
    January 01, 2023 - Care Acute Care Health Care Theme Medication Reconciliation Medication errors … account for approximately 20 percent of all medical errors in the U.S. … the resulting system altered the rate of medication reconciliation and the incidence of medication errors … Determine whether electronic facilitation alters medical reconciliation and the incidence of medication errors … Process definition and tool provision can improve outcomes including usefulness, perceived benefits, errors