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digital.ahrq.gov/ahrq-funded-projects/finding-safer-way-novel-interaction-design-approaches-health-it-safety
January 01, 2023 - These factors combine to increase the likelihood of clinician error, which in turn can harm patients. … These combined factors increase the likelihood of clinician error, which in turn can harm patients.
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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/annual-summary/2011
January 01, 2011 - ,' and that patients and their caregivers - whether professional or lay providers - are at risk for harm
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/annual-summary/2011
January 01, 2011 - undermine provider acceptance, increase costs, sometimes lead to failed implementation, and even result in harm
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
January 01, 2011 - The need for solutions that can prevent or mitigate medication-related harm is critical.
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digital.ahrq.gov/2018-year-review/research-dissemination/journals
January 01, 2018 - patient safety; and discussed what gaps remain in research, policy, and implementation to reduce patient harm
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digital.ahrq.gov/sites/default/files/docs/activity/human_factors_in_home_health_care_2010_pdf__2.pdf
January 01, 2010 - home’, and that patients and their caregivers—
whether professional or lay providers—are at risk for harm
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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/activity/human-factors-home-health-care/annual-summary/2010
January 01, 2010 - home’, and that patients and their caregivers—whether professional or lay providers—are at risk for harm
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support
January 01, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety … Medication errors are a leading cause of injury and avoidable harm in healthcare, with an estimated
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digital.ahrq.gov/sites/default/files/docs/activity/2011_ahr7128_oconnell_pdf_3.pdf
January 01, 2011 - home,’ and that patients and their caregivers—
whether professional or lay providers—are at risk for harm
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digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
May 26, 2011 - 2500 mg administered (10,000%)
Humans Make Errors
•Healthcare providers
intend to help, not harm
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digital.ahrq.gov/2018-year-review/research-summary
January 01, 2018 - Research Summary
Overview
AHRQ’s Health Information Technology (IT) Program’s mission is directly aligned with the overall AHRQ mission. Through rigorous research, AHRQ generates the ground-breaking knowledge, tools, and data needed to improve health system performance and health out…
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digital.ahrq.gov/medical-condition/gastrointestinal-disease
January 01, 2023 - Project Name
Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End
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digital.ahrq.gov/sites/default/files/docs/implementation/Bellamy.ppt
April 01, 2005 - When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/decision-precision-increasing-lung-cancer-screening-risk-patients
January 01, 2019 - Decision Precision+: Increasing Lung Cancer Screening for At-Risk Patients
Widely disseminating a CDS tool that supports individualized shared decision making for lung cancer screening is expected to increase appropriate screening and save lives.
Principal Investigator: Kawamoto, Kensaku Organi…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - review-based type of medication ordering errors, and categorize its impact as a near
miss (i.e., no harm … ) or ADE (i.e., harm), we used a validated framework (Table 1) derived from our
previous studies [18 … were intercepted prior to administration, and did not reach the patient (i.e., near miss error,
no harm … 190) were intercepted after at least a single medication
administration (i.e., near miss error, no harm … different types of ordering errors.
22% of the ordering errors reached the patient, albeit without patient harm
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digital.ahrq.gov/ahrq-funded-projects/implementing-uspstf-recommendations-breast-cancer-screening-and-prevention
January 01, 2023 - Implementing USPSTF Recommendations for Breast Cancer Screening and Prevention by Integrating Clinical Decision Support Tools with the Electronic Health Record
Project Description
Research Story
Integrating patient-generated breast cancer risk information with patients’ e…
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digital.ahrq.gov/medical-condition/cardiovascular-disease
January 01, 2025 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm
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digital.ahrq.gov/medical-condition/thromboembolism
January 01, 2024 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-7-vision-optimal-cds-enabled-medication-management
deploying CDS interventions that drive desired outcomes, such as eliminating preventable medication-related harm
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - In situations with a potential for significant harm, it is important that providers receive warnings