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digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
June 16, 2021 - • “Reducing Risk of Harm resulting from Falls” has been one of the
National Safety Goals recommended
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - in the context of patient care, and include information on error
interception and recovery, and the harm … experienced by the patient or the potential harm. … Adjudication of errors was completed by two researchers, and adjudication of harm is being
completed … Ongoing
analysis of those medication errors and adverse drug events and their patient-related harm … (either
actual harm or potential harm) will help us to understand the impact of CPOE/EHR
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digital.ahrq.gov/program-overview/research-stories/decision-precision-increasing-lung-cancer-screening-risk-patients
January 01, 2023 - Decision Precision+: Increasing Lung Cancer Screening for At-Risk Patients
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Scaling Effective Digital Healthcare Interventions Across Healthcare Systems
A shared decision-making tool to support the appropriate use of low-…
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2012-annual-report-executive-summary.pdf
January 01, 2012 - Medication management is a
complex and expensive process with high potential for both benefit and harm
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digital.ahrq.gov/sites/default/files/docs/citation/cds-artifact-enhancement.pdf
December 01, 2018 - provide great value, since
prescribing opioids to these
individuals could increase their risk
for harm … or recurring status, onset
date, asserted date, abatement date)
• Risk factors for opioid-related harm
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chan-ws-et-al-2008-do
January 01, 2008 - Chan WS et al. 2008 "Do general practitioners change how they use the computer during consultations with a significant psychological component?"
Reference
Chan WS, Stevenson M, McGlade K. Do general practitioners change how they use the computer during consultations with a significant psychological co…
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digital.ahrq.gov/ahrq-funded-projects/human-factors-considerations-design-and-implementation-telemedicine-integrated
January 01, 2023 - Consequences of these were predicted to have a limited probability of patient harm.
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level
January 01, 2020 - such as VAT in CPOE systems; this will likely ensure medication ordering safety and prevent potential harm
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digital.ahrq.gov/sites/default/files/docs/page/Dixie%20Baker1.ppt
June 16, 2021 - PowerPoint Presentation
Public Trust in Health Information: Foundational Principles for Dependable Systems
Dixie B. Baker, Ph.D.
Vice President for Technology
CTO, Enterprise and Infrastructure Solutions Group
Presented by Kathleen A. McCormick, Ph.D.
Senior Scientist/Vice President SAIC, Health Solutions
As Moder…
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digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/annual-summary/2009
January 01, 2009 - problems and health care services, increasing the risks of duplicated care and care that can cause harm
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - identify patients who may be at higher risk for medication errors in an effort to reduce their risk of harm
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023696-bates-final-report-2019.pdf
January 01, 2019 - consistently producing the anticipated
benefits, suggesting that HIT products also have unintended risks of harm … These orders are
distributed across specific areas of harm such as preventing serious drug-drug interactions … In addition, we did not assess patient outcomes or rates of reduction in harm,
as the tool only uses … Temporal
trends in rates of patient harm resulting from medical care.
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digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
November 01, 2004 - How to compensate patients for harm without
necessarily invoking the heavy hand of tort law;
3.
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digital.ahrq.gov/ahrq-funded-projects/academyhealth-electronic-data-methods-forum-comparative-effectiveness-research
January 01, 2023 - AcademyHealth Electronic Data Methods Forum (EDM) for Comparative Effectiveness Research
Project Final Report ( PDF , 625.75 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not neces…
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - This gap in information can lead to patient harm, such as therapeutic errors and delays in care, and
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digital.ahrq.gov/ahrq-funded-projects/implementation-ddinteract-shared-decision-making-tool-anticoagulant-drug-drug
August 15, 2023 - Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions
Project Description
This research has the potential to reduce drug-drug interactions involving anticoagulants through a novel shared decision making tool that visually displays,…
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digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
January 01, 2009 - occur in the earlier stages of the process are more likely than others to be intercepted before causing harm
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digital.ahrq.gov/ahrq-funded-projects/using-interactive-health-information-technology-support-women-choices-birth
January 01, 2023 - Using Interactive Health Information Technology to Support Women’s Choices for Birth After Cesarean
Project Final Report ( PDF , 571.66 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and d…
-
digital.ahrq.gov/ahrq-funded-projects/improving-asthma-care-integrated-safety-net-through-commercially-available
January 01, 2023 - Improving Asthma Care in an Integrated Safety Net through a Commercially Available Electronic Medical Record
Project Final Report ( PDF , 2.93 MB)
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Annual Summaries
Publications
…
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digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - issues, indicating that improving EHR design and usability can reduce errors that may lead to patient harm