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digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
June 01, 2006 - and pneumonia 412
Medical injuries that contributed to 407
deaths (estimate)
8 Intentional self-harm
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digital.ahrq.gov/2019-year-review/research-spotlights/improving-care-advancing-evidence-practice-through-interoperable
January 01, 2019 - Improving Care: Advancing Evidence into Practice through Interoperable, Patient-Centered Clinical Decision Support
The uptake of research evidence in clinical practice can be slow. Technologies such as CDS can accelerate the uptake by putting the latest evidence-based recommendations at…
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
January 01, 2023 - is inherently complex and heavily reliant on people rather than technology to protect patients from harm
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-dissemination
January 01, 2022 - Research Findings Daniel Malone (PI), Thomas Reese (presenter) Enabling Shared Decision Making to Reduce Harm
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digital.ahrq.gov/sites/default/files/ahrq-dhr-2023-year-in-review-at-a-glance.pdf
January 01, 2023 - individual patient circumstances, providers can
deliver more tailored care for patients at risk for
harm
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - routes are clinically equivalent for this medication, there are some medications that can cause serious harm … The research team elected to look for events that were lower severity in terms of patient harm but nonetheless … the methodology to study the cognitive needs of
clinicians when identifying patients at risk for harm
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digital.ahrq.gov/sites/default/files/ahrq-dhr-2023-year-in-review.pdf
January 01, 2023 - individual patient circum
stances, providers can deliver more tailored care for patients at risk for harm … stances would reduce overall alert burden and elevate those alerts that
would result in patient harm … patient is at risk but does not
interrupt the workflow when the medications are not likely to cause harm … Wrong patient orders can harm patients. … errors, which are self-caught
by the clinician before they reach the patient and potentially cause harm
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs019760-glanz-final-report-2013.pdf
January 01, 2013 - vaccine hesitancy may be attributed, in part, to a
cognitive bias known “omission bias”, where the harm … resulting from inaction (not
vaccinating) is considered to be more acceptable that harm resulting from … While omission bias may influence vaccine behaviors, our data
shows that parents also fear the harm
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digital.ahrq.gov/sites/default/files/docs/publication/u19hs021094-bates-final-report-2017.pdf
January 01, 2017 - Many alerts that were overridden inappropriately had the
potential to cause patient harm. … for DDI, age-based, and
renal substitutions, which had the greatest potential for causing patient harm
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digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - focused on EHR-related
medical malpractice identified
over 80% of the reported events
involve patient harm … communications 24%
(high/variable workload)
Usability 33%
Actions
6%
Policies & procedures 6%
Harm
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027247-trikalinos-final-report-2020.pdf
January 01, 2020 - Semi-Automated Identification of Biomedical Literature - Final Report
Title of Project: Semi-Automated Identification of Biomedical Literature
Principal Investigator: Thomas Trikalinos
Team Members: Haris Papageorgiou, Dimitris Pappas, Evangelos Evangelou, Gaelen P. Adam
Project…
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digital.ahrq.gov/health-information-exchange-policy-issues
January 01, 2023 - There is concern that disclosure of such information may lead to harm in terms of denied employment,
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - consistently positive, the results of research studies on the ability of CDS to
avert adverse drug events (harm … other health IT applications are used more frequently, reports have surfaced of
their potential for harm … to the use of health IT, and Weiner, et al. coined the term “e-iatrogenesis” to describe
unintended harm … Although some intrinsic design flaws may lead to problems, most analyses
of the studies of reported harm … recommendations or intrinsic system flaws.91,92 In
fact, The Joint Commission, in response to reports about harm
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - .1These medications usually provide some benefits to the person taking them, or at least do not cause harm … annoyance with the superfluous pop-ups and warnings for common interactions that cause little to no harm
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
January 01, 2013 - Clinically important errors,
with the potential for serious or life-threatening harm, were rare and … stay, readmission, or the need for additional treatment or monitoring to
protect the patient from harm
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - ambulatory setting occur frequently, are often preventable, and are associated with significant
patient harm … patients who need
special attention to medication management in an effort to reduce their risk for harm
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
January 01, 2018 - missed” test
results) are a significant safety concern in outpatient settings and often lead to patient harm
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Percentage of Alerts or Reminders That Resulted in Desired Action
Percentage of Alerts or
Reminders That Resulted
in Desired Action
Determining the frequency in which a given alert or
reminder is executed may help assess its effectiveness.
This measure might be implemented in the
following instances:
• For e…
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
January 01, 2021 - support parent engagement in the care of their hospitalized children, to improve patient care and prevent harm
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - We classified 163 (35.0%) of these errors as errors with the potential to cause patient harm
also known … For discrepancies, adjudicators judged whether
or not each problem had the capacity to cause patient harm … When an error with the potential for harm was noted or when a drug
often used to treat an ADE was prescribed … Whenever an error with the potential for harm was noted, the
prescribing physician was notified.