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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/final-report
January 01, 2023 - Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration - … Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration - … Project Name
Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/ehr-usability
January 01, 2023 - Electronic health record usability issues and potential contribution to patient harm. … Electronic Health Record Usability Issues and Potential Contribution to Patient Harm.
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digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
January 01, 2023 - individual patient circumstances, providers can deliver more tailored care for patients at risk for harm … circumstances would reduce overall alert burden and elevate those alerts that would result in patient harm … eight high-priority DDIs that are frequently overridden by prescribers and that can cause significant harm … patient is at risk but does not interrupt the workflow when the medications are not likely to cause harm … these DDI algorithms into CDS systems will support clinicians in decision making and reduce patient harm
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/patient
January 01, 2023 - Patient harm in cataract surgery: A series of adverse events in Massachusetts. … Patient harm in cataract surgery: A series of adverse events in Massachusetts.
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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration … Although patients could play a role in preventing harm due to DDIs, they are not currently engaged in … Project Name: Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration … System Population: Adults , Patient , Physician
Enabling Shared Decision Making to Reduce Harm … Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration -
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digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
January 01, 2023 - "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential … When there is no net benefit of the service, or the potential harm of the service outweighs the potential … preventive services or treatment – is an essential element of reducing overuse and protecting patients from harm … "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential
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digital.ahrq.gov/national-webinars/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety … Description:
Medication errors are a leading cause of injury and avoidable harm in healthcare, with
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2012
January 01, 2012 - health information technology (IT) so that problems can be fixed or controlled before they cause patient harm … In terms of impact on patients, the software captures the severity, duration, and type of harm—focusing … not only on physical but also raising awareness about psychological, financial, and reputational harm … Information about the impact of hazards as well as the type, severity, and duration of patient harm. … For hazards that have not yet caused harm, the Hazard Manager supports estimation of potential for harm
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digital.ahrq.gov/principal-investigator/genevro-janice
January 01, 2023 - Genevro, Janice
"First, Do No Harm": Using Health Information Technology … Harms - 2010
Principal Investigator
Genevro, Janice
Project Name
"First, Do No Harm … Technology to Reduce Use of Preventive Services with Potential Harms
"First, Do No Harm
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - software design or organizational factor and most often resulted in patient risk rather than patient harm … • Actual patient harm rarely selected with a specific Causation category. … and “Type of
Patient Harm”?
The only Type of Patient Harm selected was “Physical”. … , how serious
was it” and “type of patient harm”. … Type of
Patient Harm
Minor
Adverse
Effect,
Likely to
be Temp.
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digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive/annual-summary/2010
January 01, 2010 - "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential … Harms - 2010
Project Name
"First, Do No Harm": Using Health Information Technology … not be provided—whether preventive services or treatment—is also important to protect patients from harm
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children
Poor EHR design can harm … Ratwani stresses, “it will harm patients.” … interface design and poor technology implementations can lead to errors that may result in patient harm … Improving EHR design and usability will reduce errors that can lead to patient harm. … EHR vendors and healthcare provider organizations that will lead to usability improvements and avoid harm
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
January 01, 2011 - This study is identifying pediatric medications that are at highest risk of causing child harm through … The respondents are asked: "Please score the severity of the potential harm that might occur from not … Also, please score the severity of potential harm from getting Inderal by mistake." Dr. … Participating physicians were able to identify pairs where the substitutions posed low potential harm … (e.g. chlorpheniramine and cholestyramine), as well as pairs that represented high risk of harm for
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2011
January 01, 2011 - health information technology (IT) so that problems can be fixed or controlled before they cause patient harm … In terms of impact on patients, the Hazard Manager captures the severity, duration, and type of harm-focusing … not only on physical harm but also raising awareness about psychological, financial, and reputational … harm.
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors
January 01, 2023 - Thirty-seven practicing pediatricians evaluated LASA pairs identified in the literature, estimating the harm … that might occur should a patient not receive the intended drug in any LASA pair, and the harm that … After two rounds of surveys, the Delphi approach assessing harm of drug substitution identified 608 drug … The data on the risk of harm of the LASA errors combined with the estimates of frequency of pediatric … LASA drug substitutions, will allow the development of a prioritized list of high potential harm LASA
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
January 01, 2013 - Methods: 37 practicing pediatricians evaluated published LASA pairs, estimating the harm that
might … Our goal was to evaluate the potential harm presented by these errors in outpatient
practice. … Each of those errors may have different degrees of potential
harm. … ,”
“little harm,” “moderate harm,” “severe harm,” and “death,” consistent with the terminology
used … The instructions
reminded participants to not estimate the chance that harm would occur.
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digital.ahrq.gov/organization/professional-and-scientific-associates
January 01, 2023 - Professional and Scientific Associates
"First, Do No Harm": Using Health … Harms - 2010
Principal Investigator
Genevro, Janice
Project Name
"First, Do No Harm … Engineering and Health Care: Critical Areas of Research Workshop
"First, Do No Harm
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digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-053017.pdf
May 30, 2017 - Anchors Reduced
Alarm Re: Near Values…
Simple
Design
Harm
Anchors
P-value
PLT = 135 x109 3.72 … Simple
Design
Harm
Anchors
P-value
PLT = 135 x109 50.0% 44.2% .10
ALT = 80 U/L 55.8% 34.7% <.001 … Harm
Anchor
50
What Do We Want Patients
Comparing Themselves to?
Standard
Range
vs. … Harm
Anchor
What’s
Normal
vs. … Anchor Design
Three Tests
Can Harm Anchors Change Affect Test Interpretation?
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digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
January 12, 2025 - Medication Without Harm: How Digital Healthcare Tools Can Support Providers and Improve Patient Safety … Medication Without Harm: How … Adelman, M.D., M.S.
jsa2163@cumc.columbia.edu
mailto:jsa2163@cumc.columbia.edu
Medication Without Harm … Acrobat Accessibility Report
Accessibility Report
Filename:
medication-without-harm-slides
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digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
July 24, 2024 - AHRQ National Webinar on Medication Without Harm – How Digital Healthcare Tools Can Support Providers … AHRQ National Webinar on Medication Without Harm