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  1. 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
  2. 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.
  3. 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
  4. digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/ethical-and-legal-issues
    September 20, 2021 - issues in the use of HIT revolve around the principles of providing safe and effective care and avoiding harm
  5. 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.
  6. 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
  7. digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/high-rates-adverse-drug-events
    July 19, 2021 - Of all ADEs, 9% resulted in serious harm, 22% in additional monitoring and interventions, 32% in interventions
  8. digital.ahrq.gov/events/ahrq-webinar-optimizing-data-visualization-improve-care
    October 19, 2022 - development and evaluation of a shared decision making dashboard for presenting individualized risks of harm
  9. 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
  10. 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
  11. digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
    May 23, 2013 - 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
  12. digital.ahrq.gov/sites/default/files/docs/page/4-GLIDES-LegalAspects.pdf
    March 02, 2011 - Negligence • Creation of an unreasonable risk of harm to others within the zone of forseeable danger … injury caused by a defect in product • Supplier is in best position to anticipate and control risks of harm … may be deterrence of sale of dangerous products Special Liability of the Seller • For physical harm
  13. 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.
  14. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prioritizing-strategies
    April 01, 2003 - Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients Authors:  Fortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D., Federico, F., Goldmann, D. A., Bates, D. W. Journal:  Pediatrics Publication Date:  2003 Apr Volume:  111 Issue:  4 …
  15. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/active-surveillance-using
    June 01, 2006 - triggers and 25% of the medication triggers identified adverse events with 85% resulting in temporary harm
  16. 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
  17. 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.
  18. digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/evaluation-studies-health-it/evaluation-and
    January 01, 2006 - implementation approaches may not achieve previously published results or may actually cause new errors or even harm
  19. 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.
  20. 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

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