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digital.ahrq.gov/national-webinars/optimizing-data-visualization-improve-care
January 01, 2023 - development and evaluation of a shared decision making dashboard for presenting individualized risks of harm
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digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
July 31, 2023 - , which involve medications, lab tests, procedures, and discharge orders, can cause serious patient harm … 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 … is inherently complex and heavily reliant on people rather than technology to protect patients from harm
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - Scope
Background
Preventable harm due to medication errors is estimated to affect one in 30 people … , with severe or life-
threatening harm in 25% of cases.(1) An estimated 1.5% to nearly 5% of medications … in the electronic health record (EHR) (2, 3), with 34% meeting criteria for high risk of potential
harm … Dispensing of discontinued medications leads to patient harm through drug toxicity with
unintended continuation … Preventable medication harm
across health care settings: a systematic review and meta-analysis.
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - performance metric to measure improvement; 2) separate medication errors and system failures that result in harm
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digital.ahrq.gov/ahrq-funded-projects/topic-refinement-and-systematic-review-health-information-exchange
January 01, 2023 - Topic Refinement and Systematic Review for Health Information Exchange
Project Description
Publications
Project Details -
Completed
Contract Number
290-12-00014I-11
Funding Mechanism(s)
Evidence-based Practice Centers (EPCs)
…
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digital.ahrq.gov/sites/default/files/docs/data-visualization-qas-10192022.pdf
October 19, 2022 - Pharmacy, Ph.D., FAMCP
University of Utah
Enabling Shared Decision Making to Reduce Harm from Drug … malone-daniel-c
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/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - It has been estimated that preventable harm among hospitalized patients results in more than 400,000 … General found that 1 in 4 hospitalized
Medicare patients experienced an adverse event that caused harm … half of these adverse events were
categorized as preventable and the most common type of patient harm … Therefore, innovative methods to measure medication order
errors are critical to prevent harm. … Adverse events in hospitals:
a quarter of medicare patients experienced harm in October 2018.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
January 01, 2021 - most relevant by focusing on
reports that explicitly mentioned an EHR vendor and resulted in patient harm … The
research showing the association of EHR usability on patient harm, in both adults and children, … Ratwani, R.M. (2018) Electronic Health Record
Usability Issues and Potential Contribution to Patient Harm … Identifying harm events in
clinical care through medical narratives. … Electronic Health Record
Usability as a Contributing Factor to Patient Harm.
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digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2012
January 01, 2012 - delays in diagnosis, missed treatment opportunities, redundant test orders, and subsequent patient harm
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digital.ahrq.gov/national-webinars
July 17, 2025 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety
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digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/annual-summary/2008
January 01, 2008 - recommendations were made as to which may identify the most opportunities for intervention and reduce patient harm … from this study focused on quantitative measurement of a succinct set of events which cause patient harm
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024553-bardach-final-report-2018.pdf
January 01, 2018 - stubbornly high in hospitals, with estimates of up to 400,000 premature deaths
due to preventable harm … annually, serious harm estimated to be 10-20 fold more common than
lethal harm, and adverse events … Temporal trends in
rates of patient harm resulting from medical care.
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digital.ahrq.gov/ahrq-funded-projects/ecoach-development-and-pilot-testing-decision-aid-prostate-cancer/annual-summary/2012
January 01, 2012 - a screening test has led to earlier diagnosis of prostate cancers, some of which may never lead to harm
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - Physical harm refers to participant-reported harms that directly impacted the patient’s
health (e.g. … Invisible harm involves the personal impact of UEs,
specifically: negative emotions and loss of trust … These approaches could help patients to engage with
their safety and prevent unnecessary harm in the
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - the number of reported unexpected adverse drug reactions and a 10 percent decrease in errors causing harm
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digital.ahrq.gov/
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/program-overview/research-stories/choosing-what-clinicians-see-electronic-health-record-can-reduce-cognitive-burden-and-improve
January 01, 2023 - These combined factors increase the likelihood of clinician error, which in turn can harm patients.
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2010
January 01, 2010 - Electronic Medication Management - 2010
Project Name
Electronic Medication Management
Principal Investigator
Vawdrey, David Kent
Organization
Columbia University
Funding Mechanism
PAR: HS08-268: Small Research Grant to Improve Health Care Quality Through Health Info…
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digital.ahrq.gov/health-care-theme/shared-decision-making
January 01, 2023 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm
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digital.ahrq.gov/care-setting/across-health-care-system
January 01, 2023 - )
Mikk, Kathy
Huston, Paula
Enabling Shared Decision Making to Reduce Harm