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Total Results: 447 records

Showing results for "harm".

21. Health IT Hazard Manager - 2011 | Digital Healthcare Research
    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.

22. Health IT Hazard Manager Beta-Test Appendix D: Relational Analysis Results (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
    May 23, 2013 - 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.

23. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors | Digital Healthcare Research
    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

24. A National Web Conference on the use of Health IT To Reduce Medication Errors and Improve Patient Safety (pdf file)
    digital.ahrq.gov/sites/default/files/docs/reduce-medication-errors-slides-082614.pdf
    August 26, 2014 - of NOT receiving intended drug ► Estimate potential harm of receiving delivered drug instead 41 … assessed on a continuous scale from “no harm, little harm, moderate harm, severe harm,” to “death. … Evaluate the degree of potential harm that might occur should the patient experience adverse effects … of Receiving the Delivered Drug in Error Delivered Drug Intended Drug Average Harm Score K Dur … Severity • Confidence in potential for harm (any) ► Little or no confidence ► Slight to modest

25. Professional and Scientific Associates | Digital Healthcare Research
    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

26. A National Web Conference on Optimizing the Presentation and Visualization of Health Data for Patients and Providers - Slides (pdf file)
    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?

27. A National Web Conference on the Purpose and Demonstration of the Health IT Hazard Manager and Next Steps (pdf file)
    digital.ahrq.gov/sites/default/files/docs/hit-hazard-manager-slides-061112.pdf
    June 11, 2012 - organizational factors ■ Impact: risk and impact of care process compromise; seriousness of patient harm … ■ Most serious/worst harm that could happen if this hazard is not fixed? … Did not reach patient Reached patient, caused no harm Unknown Harmed patient How many patients were … Extent of harm? Duration of harm? Type of harm? … ■ Patient Safety teams learn about care process compromises that reach patients (with or without harm

28. Physician Practice Variation in Electronic Health Record Use | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/physician-practice-variation-electronic-health-record-use
    January 01, 2019 - documentation in physician practice, its causes, effects, and strategies to mitigate its potential for harm … additional training, ongoing meetings, and improvements in EHR design as potential strategies to prevent harm … Variation in physicians' electronic health record documentation and potential patient harm from that … Variation in physicians' electronic health record documentation and potential patient harm from that

29. Health Information Technology Hazard Manager (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/290-2006-00011-walker-annual-summary-2012.pdf
    January 01, 2012 - 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

30. Developing Evidence-Based, User-Centered Design and Implementation Guidelines to Improve Health Information Technology Usability | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
    January 01, 2023 - Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. … Identifying EHR usability issues and potential harm to patients The research team developed algorithms … Explicit language was identified to associate possible patient harm with an EHR usability issue, in both … Ratwani stresses, “it will harm patients.” … Improving EHR design and usability will reduce errors that can lead to patient harm.

31. Systematic Design of Meaningful Presentations of Medical Test Data for Patients - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs021681-zikmund-fisher-final-report-2017.pdf
    January 01, 2017 - Additional designs can incorporate novel features, such as disease-specific goal ranges or harm anchors … bad a value was were not particularly reassuring, even when the value had not reached that level of harm … Clinicians also expressed concern that the harm anchor design might reassure patients for relatively … of clinicians about particular displays, and (c) both interest and concerns seemed highest for the harm … the standard reference range but not clinically concerning need additional contextual cues (e.g., harm

32. Health Information Technology Hazard Manager | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager
    January 01, 2023 - of health information technology (IT) carries risks that can compromise patient safety and lead to harm … Any characteristic of a health IT application that compromises patient care processes or causes harm … These hazards typically are analyzed retrospectively, after harm has been identified, but ideally should … be identified before harm has occurred.

33. Ophthalmologic (Eye) Disease | Digital Healthcare Research
    digital.ahrq.gov/medical-condition/ophthalmologic-eye-disease
    January 01, 2023 - and Adverse Drug Events Through the Use of Clinical Decision Support Patient harm … Patient harm in cataract surgery: A series of adverse events in Massachusetts.

34. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use
    January 01, 2023 - Almost half of these lead to patient harm, with the remainder having the potential for harm. … clinical decision support (CDS) systems have been shown to prevent medication errors and their associated harm … Clinical Decision Support Document Type: Journal Publication Research Method: Analysis Patient harm … Patient harm in cataract surgery: A series of adverse events in Massachusetts.

35. Pitts, Samantha | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/pitts-samantha
    July 24, 2024 - Pitts, Samantha Medication Without Harm - How Digital Healthcare Tools … 30pm - July 24, 2024 - 4:00pm Medication errors are a leading cause of injury and avoidable harm

36. Health IT Hazard Manager (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/2011_290200600011i14_walker_pdf_3.pdf
    January 01, 2011 - 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.

37. Health IT Hazard Manager Beta-Test (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
    May 01, 2012 - For example, if a user entering a hazard indicated that patient harm did not occur, the patient harm … patient harm were identified. … This harm scale did not mirror the AHRQ Harm Scale, because the latter did not distinguish degree of … harm from duration of harm. … harm to patients.

38. Vandenberg, Ann E. | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/vandenberg-ann-e
    July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety … 30pm - July 24, 2024 - 4:00pm Medication errors are a leading cause of injury and avoidable harm

39. Electronic Medication Management (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
    January 01, 2011 - We examined medication lists in free-text clinical documents to determine the harm potential for missing … the clinical significance of discrepancies by having clinical experts rate the degree of potential harm … The study by Nassaralla did not evaluate the clinical significance or harm potential of the missing … The potential for patient harm due to the missing information was rated by three physicians (kappa = … ) lists had 11 the potential to cause harm (Table 3).

40. Electronic Medication Management - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2011
    January 01, 2011 - Vawdrey and the project team examined medication lists in free-text clinical documents to determine the harm … For medication lists that were incomplete, they evaluated the harm potential associated with the missing … lists deemed incomplete were independently reviewed and categorized as "potentially harmful" or "low harm … inferred by a practitioner with a similar background, then the medication list was classified as "low harm