Results

Total Results: 327 records

Showing results for "harm".

41. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
    January 01, 2022 - Scope: Medication errors in the operating room are common and have high potential for patient harm. … Almost half of these involve observed patient harm, and the remainder have the potential for harm. … Almost half of medication- related incidents involve observed patient harm and the remainder … have the potential for harm.1,9,11 More than two thirds of the harm caused b y perioperative … Patient Harm in Cataract Surgery: A series of adverse events in Massachusetts.

42. Triage Prenatal Patient Safety Survey (pdf file)
    digital.ahrq.gov/sites/default/files/docs/survey/triage-prenatal-patient-safety-survey.pdf
    June 16, 2021 - Errors are made with the potential to harm patients because office records are inaccessible. 1 2 3 … Errors are made with the potential to harm patients because office records are incomplete or out-dated

43. Health IT Hazard Manager Beta-Test Appendix C - Descriptive Analysis (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - For example, when the user indicated that patient harm did not occur, the patient harm scale in the … Page – Results of Descriptive Analysis 17 Impact Question Answer Selected If there was patient harm … User Skipped: 97.4% (n=482) System Skipped: n/a Out of 13 hazards with “If there was patient harm … (n=13) User Skipped: 0 System Skipped: 97.4% (n=482) Out of 13 hazards with “Type of Patient Harm … Page – Results of Descriptive Analysis 18 Impact Question Answer Selected When was the patient harm

44. Shared decision-making for drug-drug interactions: Formative evaluation of an anticoagulant drug interaction. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared-decision
    January 01, 2023 - Project Name Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End

45. Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/coordinated
    January 01, 2023 - Project Name Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End

46. When Costly and Potentially Harmful CT Scans Are Not Necessary | Digital Healthcare Research
    digital.ahrq.gov/2018-year-review/research-summary/when-costly-and-potentially-harmful-ct-scans-are-not-necessary
    January 01, 2018 - When Costly and Potentially Harmful CT Scans Are Not Necessary Key Finding and Impact: Giving clinicians the tools to support patient-provider communication could result in fewer CTs ordered, higher physician trust, and higher patient knowledge in cases involving minor head injuries. Is that CT scan in th…

47. A shared decision-making tool for drug interactions between warfarin and nonsteroidal anti-inflammatory drugs: Design and usability study. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared
    January 01, 2023 - Project Name Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End

48. A National Web Conference on Optimizing the Presentation and Visualization of Health Data for Patients and Providers - Q&As (pdf file)
    digital.ahrq.gov/sites/default/files/docs/data-visualization-qa-053017.pdf
    May 30, 2017 - I’m using the word “harm” intentionally. … We can and should try to prevent that harm. … In this case, the additional harm anchor provides guidance to help patients interpret how concerned … QUESTION: Is there any work underway to standardize harm barriers? … ANSWER: Brian Zikmund-Fisher: There may be efforts to standardize harm anchors.

49. Adelman, Jason Stuart | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/adelman-jason-stuart
    July 24, 2024 - Adelman, Jason Stuart Medication Without Harm - How Digital Healthcare … 30pm - July 24, 2024 - 4:00pm Medication errors are a leading cause of injury and avoidable harm

50. USA, VA, Reston | Digital Healthcare Research
    digital.ahrq.gov/location/usa-va-reston
    January 01, 2023 - USA, VA, Reston "First, Do No Harm": Using Health Information Technology

51. Automated Retract-and-Reorder Measures to Improve Medication Safety | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
    January 01, 2023 - electronic ordering safer 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

52. Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
    January 01, 2023 - Wrong patient orders can harm patients While digital solutions like computerized provider order entry … errors, which are self-caught by the clinician before they reach the patient and potentially cause harm

53. Nanji, Karen C. | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/nanji-karen-c
    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.

54. Detecting Med Errors in Rural Hospitals Using Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
    January 01, 2008 - Fortunately, only 9 of these (1.4%) were reported as having caused harm. … Severity Totals Intercepted 172 No Harm 624 Harm 9 Total 805 Table 2c. … Severity levels for reported medication errors by facility Intercepted No Harm Harm Totals Humphreys … January 1, 2006 to August 31, 2008 0 67 133 200 C ou nt Int erc ep ted No H arm Harm … g Disp en sin g Doc um en tin g Prep ari ng Process Int erc ep ted No H arm Harm

55. Meaningful Drug Interaction Alerts – Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs025984-malone-final-report-2023.pdf
    January 01, 2023 - should be avoided, to identify drug and patient characteristics that would affect the likelihood of harm … and analyzed EHRs to identify drug and patient characteristics that would affect the likelihood of harm … identified a subset of interactions where there are modifying factors that may affect the risk of harm … and patient-level factors that mitigate or increase risk of harm. … We also used the CERNER Health Facts® (HF) database to investigate potential harm due to exposure to

56. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
    January 01, 2011 - Background and Significance ADEs, defined as harm to patients by drugs,(8) comprise one of the largest … They estimated that 32.9% of these discrepancies had the potential to cause moderate harm, and 5.7%, … potential to cause severe harm. … One hundred thirty-five of the events represented temporary harm to the patient (NCC MERP score E); … 20 patients suffered temporary harm that required prolonged hospitalization (F), 4 patients suffered

57. Individualized Drug Interaction Alerts | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/individualized-drug-interaction-alerts
    January 01, 2023 - studied the drug combinations where contextual factors could eliminate the need to warn of potential harm … algorithms would lead to a substantial reduction in the number of warnings without placing patients at harm

58. Advancing Evidence into Practice through Shared, Interoperable Clinical Decision Support Resources (U18) | Digital Healthcare Research
    digital.ahrq.gov/funding-mechanism/advancing-evidence-practice-through-shared-interoperable-clinical-decision-support
    January 01, 2023 - Principal Investigator(s) Dorr, David Enabling Shared Decision Making to Reduce Harm

59. Individualized Drug Interaction Alerts - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023826-malone-final-report-2017.pdf
    January 01, 2017 - obtained and those drug combinations where contextual factors may eliminate the need to warn of potential harm … that have patient or drug specific factors associated with their use that would modify the risk of harm … Clinical algorithms took into account factors affecting risk of harm and included: dose over 24-hour … such that an alert could be suppressed when no harm was likely. … Lower doses are not likely to result in an interaction that can cause harm.

60. Closing the Feedback Loop to Improve Diagnostic Quality - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2010
    January 01, 2010 - The proposed system focuses on mitigating the harm from an initial diagnosis that does not resolve the … The hypothesis is that harm can be prevented or mitigated by providing rapid feedback to the physician