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61. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/citation/understanding-0
    January 01, 2023 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system … Understanding the nature of medication errors in an ICU with a computerized physician order entry system

62. Impact of emerging technologies on medication errors and adverse drug events | 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/impact-emerging-technologies
    July 15, 2021 - Impact of emerging technologies on medication errors and adverse drug events Authors:  Oren … Purpose of Study:  Assess the effect of these HIT systems on medication errors and adverse drug events … Outcomes:  Adverse drug events and medication errors. … of computerized physician order entry that use of these systems resulted in decreases in medication errors … studies of bar coding the authors concluded that use of these systems resulted in decrease of medication errors

63. Identifying health information technology usability issues contributing to medication errors across medication process stages. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/citation/identifying
    January 01, 2023 - Identifying health information technology usability issues contributing to medication errors across medication … Identifying health information technology usability issues contributing to medication errors across medication

64. Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/citation/are-physicians
    January 01, 2023 - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated … Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated

65. Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication errors. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/preparing-ambulatory
    January 01, 2023 - Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication errors … Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication errors

66. The impact of computerized provider order entry on medication errors in a multispecialty group practice. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/impact-computerized
    January 01, 2023 - The impact of computerized provider order entry on medication errors in a multispecialty group practice … The impact of computerized provider order entry on medication errors in a multispecialty group practice

67. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-11
    January 01, 2023 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. … Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

68. Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/citation/automated
    January 01, 2023 - communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors … communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors

69. Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents/citation/analysis
    January 01, 2023 - Analysis of errors in dictated clinical documents assisted by speech recognition software and professional … Analysis of errors in dictated clinical documents assisted by speech recognition software and professional

70. 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

71. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/citation/dropping-baton-during-handoff
    January 01, 2023 - the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors … the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors

72. Evaluation of reported medication errors before and after implementation of computerized practitioner order entry | 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/evaluation-reported-medication
    January 01, 2006 - Evaluation of reported medication errors before and after implementation of computerized practitioner … Purpose of Study:  review changes in reported medication errors before and after CPOE implementation … but the level of patient harm from the errors decreased. … Errors of illegibility were eliminated by CPOE. 71% of errors in the post-implementation period were … Errors of illegibility were eliminated by CPOE.

73. 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

74. Basco, William | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/basco-william
    January 01, 2023 - William Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors … Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report. … Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - 2012 … Using pharmacy data to screen for look-alike, sound-alike substitution errors … Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors -

75. Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
    January 01, 2023 - , and then put in systems to capture the context around errors. … to understand what factors lead to EHR-facilitated errors.  … Five error types were explored: wrong-route errors, wrong-weight errors, wrong-sided errors, free-text … order errors, and wrong-route-order errors. … , and then put in systems to capture the context around errors.

76. Abraham, Joanna | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/abraham-joanna
    January 01, 2024 - Risk factors associated with medication ordering errors. … Predicting self-intercepted medication ordering errors using machine learning. … Abraham, Joanna Arora, Vineet An Etiology for Medication Ordering Errors in … An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report … to prospectively capture the broad range of errors that may occur in practice that may be missed by

77. 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.

78. 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.

79. 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.

80. 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