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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.
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digital.ahrq.gov/ahrq-funded-projects/bedside-notes-multicenter-trial-improve-family-clinical-note-access-and
September 30, 2024 - Health Care Theme
Patient Engagement
Patient Safety
Hospitalized children experience harm … pediatric inpatient care by leveraging digital health tools to reduce medical errors and associated harm … engagement, and support the identification of actionable safety issues that can be used to reduce medical harm
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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
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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.
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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.
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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
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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.
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - All sites said the care process compromise had
reached a patient but caused no harm. … Two sites chose “reached patient but did not cause harm” and the other five chose “harmed
patient.” … was just psychological harm. … One site selected
physical, psychological and financial harm (the cost of the unnecessary scan). … and psychological
harm.
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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
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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.
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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).
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digital.ahrq.gov/ahrq-funded-projects/meaningful-drug-interaction-alerts
February 28, 2023 - individual patient circumstances, providers can deliver more tailored care for patients at risk for harm … circumstances would reduce overall alert burden and elevate those alerts that would result in patient harm … eight high-priority DDIs that are frequently overridden by prescribers and that can cause significant harm … patient is at risk but does not interrupt the workflow when the medications are not likely to cause harm … these DDI algorithms into CDS systems will support clinicians in decision making and reduce patient harm
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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
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/annual-summary/2012
January 01, 2012 - This study identified pediatric medications that are at the highest risk of causing harm through LASA … After two rounds of provider surveys to build consensus on the degree of potential harm among the pairs … The Delphi process identified the drugs that the participants thought to be of high potential patient harm
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs027099-malone-final-report-2022.pdf
January 01, 2022 - Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration - … Title of Project: Enabling Shared Decision Making to Reduce Harm … enable
clinicians and patients to jointly determine the most appropriate actions to mitigate potential harm … patients and providers work together to
determine the most appropriate actions to mitigate potential harm … Enabling Shared Decision Making to Reduce Harm from Drug Interactions. Panel presentation.
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digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
January 01, 2023 - 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
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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - Quality Measurement
Medication errors are the most common and preventable cause of patient harm … Although patient harm may have been avoided, understanding the circumstances surrounding near-miss errors … 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 … electronic ordering safer
Medication errors are the most common and preventable cause of patient harm
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digital.ahrq.gov/organization/university-utah
January 01, 2023 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm … Investigator(s)
Kawamoto, Kensaku
Enabling Shared Decision Making to Reduce Harm
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digital.ahrq.gov/location/usa-ut-salt-lake-city
January 01, 2023 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm … Investigator(s)
Kawamoto, Kensaku
Enabling Shared Decision Making to Reduce Harm
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digital.ahrq.gov/health-care-theme/adverse-events
January 01, 2023 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm … Investigator(s)
Pitts, Samantha
Enabling Shared Decision Making to Reduce Harm