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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/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/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
June 16, 2021 - Role of IT in Improving Patient Safety
Brian L. Strom, M.D., M.P.H.
Chair and Professor, Department of Biostatistics
and Epidemiology
Director, Center for Clinical Epidemiology
and Biostatistics
George S. Pepper Professor of Public Health and
Preventive Medicine
Professor of Biostatistics and Epidemiology,
Me…
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digital.ahrq.gov/ahrq-funded-projects/using-location-based-smartphone-alerts-within-system-care-coordination
January 01, 2023 - These circumstances may disproportionately harm vulnerable populations, who are likely to frequently
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digital.ahrq.gov/sites/default/files/docs/page/09-0071-EF_1.pdf
June 01, 2009 - that the RHIO did not take reasonable and appropriate
actions, and thus caused the injured party harm … In the event of injury or harm to a third party
as the result of negligence, the RHIO and/or its various … Negligence resulting in the harm or injury
of a party may occur as the consequence of a wide range … These
actions and inactions may result in injury or harm, and damages could result either from a violation … In such a scenario, however, a patient would not have much legal recourse in the case of harm or
injury
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStory072012_Lapane.pdf
June 16, 2021 - , so I figure you know, if I skip
or didn' t take it at all that would
probably harm
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management
January 01, 2023 - Electronic Medication Management
Project Final Report ( PDF , 648.36 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 necessarily represent the views of AHRQ. No statement in this…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
January 01, 2005 - Alerts that flag more
subtle errors that may not pose significant patient harm but present a suboptimal … allows tracking of “near miss” programming errors that are averted and
could have resulted in patient harm … error as “ any preventable event that may cause or lead to inappropriate medication use or patient harm … All errors are not equal in the potential harm they may cause to a patient. … Compounding of IV medications may also cause harm to the person who compounds the IV as a
number of
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digital.ahrq.gov/ahrq-funded-projects/improving-asthma-care-integrated-safety-net-through-commercially-available/annual-summary/2009
January 01, 2009 - Improving Asthma Care in an Integrated Safety Net through a Commercially Available Electronic Medical Record - 2009
Project Name
Improving Asthma Care in an Integrated Safety Net through a Commercially Available Electronic Medical Record
Principal Investigator
Brottman, Gail
Orga…
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system
January 01, 2023 - EHR integration led to a reduction in the severity of adverse birth events, such as harm to the mother
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digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - Morning Plenary: Strengthening the Connections
Agency for Healthcare Research & Quality
Advancing Excellence in Health Care • www.ahrq.gov
Morning Plenary:
Strengthening the Connections
Helen Burstin, MD, MPH
William B. Munier, MD
6 June 2006
2006 Patient Safety and Health IT Conference
Advancing
Excellence i…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027894-kelly-final-report-2023.pdf
January 01, 2023 - Purpose
Medical errors occur in up to 55% of pediatric hospitalizations and children suffer harm … Principles of Pediatric Patient Safety: Reducing Harm Due
to Medical Care. Pediatrics.
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digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
January 31, 2007 - was identified on Rx review, a chart review was performed to
determine if the patient suffered any harm … two
MD reviewers to classify suspected incidents as ADEs, potential ADEs (MEs with potential
for harm … Not all medication errors have the potential to harm a patient. … miss or potential adverse drug event (PADE) is a medication error that has the
potential to cause harm … does not either because it is intercepted or reaches the patient
and because of luck does not cause harm
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - There is clear evidence that suboptimal management of Coumadin/warfarin
leads to significant harm without … out of care
Efficacy: Success rate if
implemented as planned
Extent of mitigation of
patient harm … Tracking no-shows
Efficacy: Success rate if
implemented as planned
Extent of mitigation of
patient harm … (Aim 2)
Extent of harm to patients per
event
Time in therapeutic range
(TTR) can reflect adverse … More
importantly, we do not expect clinical harm with loss of specificity, so we would prefer to err
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - frequency of events, the automated trigger that led to
ascertainment of each event, and the extent of harm … Table 6, below, the values
demonstrate that noted safety events did not appear to lead to patient harm … It is reassuring that most events were not associated with harm, although we cannot
assess whether these … events would have eventually led to harm if they had persisted undetected
until the next ambulatory … monitor adverse events between visits, and that such monitoring may enable interventions prior
to harm
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digital.ahrq.gov/sites/default/files/docs/citation/cds-evaluation-summary-report-p233201500023I.pdf
March 23, 2022 - Health &
Science University
Hypertension-related CDS
Enabling Shared-Decision-
Making to Reduce Harm … translating-hypertension-guidelines-practice-development-interoperable-clinical
https://digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end … https://digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end … https://digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end … https://digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing
January 01, 2023 - ’s purpose-–into the prescribing process has the potential to prevent medication errors and patient harm
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024713-adelman-final-report-2023.pdf
January 01, 2023 - If an order is carried out on the wrong patient, it may lead to
serious patient harm. … These are near-miss errors, self-caught by the
clinician before they reach the patient and cause harm … near-miss errors are posited to share the same pathway as errors that reach the
patient and cause harm … ed The value of close calls in improving patient safety: Learning how to avoid and mitigate
patient harm
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
October 16, 2020 - .
· Patient has been treated with opioids for prolonged period and benefit-to-harm ratio is unclear.
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digital.ahrq.gov/ahrq-funded-projects/using-artificial-intelligence-support-efficient-same-day-diagnostic-imaging
January 01, 2025 - Using Artificial Intelligence to Support Efficient Same-Day Diagnostic Imaging in Breast Cancer Screening
Project Description
Publications
Events
Research Story
Use of artificial intelligence algorithms that enable immediate interpretation of screening mammogr…