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Total Results: 447 records

Showing results for "harm".

81. Use of a computer-based reminder to improve sedative-hypnotic prescribing in older hospitalized patients | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/use-computer-based-reminder
    January 01, 2007 - If drug needed, to minimize potential for harm with diphenydramine and diazepam, choose trazadone or

82. 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…

83. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medication-dispensing-errors-and
    September 19, 2006 - errors are those that bar coding is designed to prevent and target ADEs are dispensing errors that can harm

84. Closing the Feedback Loop to Improve Diagnostic Quality (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/closing_the_feedback_loop_to_improve_diagnostic_quality_2010pdf_2.pdf
    August 01, 2011 - 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

85. A National Web Conference on the First Consulting Group Inpatient and Ambulatory CPOE Assessment Tool | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/events/national-web-conference-first-consulting-group-inpatient-and-ambulatory-cpoe-assessment-tool
    January 12, 2007 - detect and aid clinicians in averting at least 50 percent of the avoidable medication errors that would harm

86. Evaluation of reported medication errors before and after implementation of computerized practitioner order entry | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-reported-medication
    January 01, 2006 - Safety Outcome:  Reporting of errors increased post-implementation of CPOE but the level of patient harm

87. Webinar - A National Web Conference on Assessing Safety Risks Associated With EHRs - August 29 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/safety-risks-ehr-slides-082916.pdf
    August 29, 2016 - . • The magnitude of harm and impact of health IT on patient safety is uncertain:  Heterogeneous nature … Chart Review Claims Based Identification Voluntary Reporting Temporary Harm 328 30 2 Permanent … 22 1 2 Harm Death 4 4 0 Total 354 35 4 55 Outline Slide • What we know about wrong patient errors … Complete 2009 Data Set 71 Retract-and-Reorder Tool Applied to Complete 2009 Data Set Potential for Harm … Potential for Harm Potential for Harm Life Threatening 166 (2/100,000) Serious 359 (4/100,000) Clinically

88. Surveillance for Adverse Drug Events in Ambulatory Pediatrics - 2010 | Digital Healthcare Research
    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

89. AHRQ Webinar: Optimizing Data Visualization to Improve Care - Q&As (pdf file)
    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

90. Engaging Patients to Enable Interoperable Lung Cancer Decision Support at Scale | Digital Healthcare Research
    digital.ahrq.gov/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale
    August 01, 2022 - Engaging Patients to Enable Interoperable Lung Cancer Decision Support at Scale Project Description Improving shared decision making for lung cancer screening by adapting and disseminating an interoperable clinical decision suppor…

91. Topic Refinement and Systematic Review for Health Information Exchange | Digital Healthcare Research
    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) …

92. eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer - 2012 | Digital Healthcare Research
    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

93. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/surveillance_for_adverse_drug_events_in_ambulatory_pediatrics_2010pdf_2.pdf
    August 01, 2010 - performance metric to measure improvement; 2) separate medication errors and system failures that result in harm

94. Develop and Validate Health IT Safety Measures to Capture Violations of the 5 Rights of Medication Safety – Final Report (pdf file)
    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.

95. Developing Evidence- based User Centered Design and Implementation Guidelines to Improve Health Information - Final Report (pdf file)
    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.

96. National Webinars | Digital Healthcare Research
    digital.ahrq.gov/national-webinars
    March 18, 2025 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety

97. Automated Adverse Drug Event Detection and Intervention - 2008 | Digital Healthcare Research
    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

98. AHRQ evidence-based Care Transformation Support (ACTS) Initiative - MCBK Annual Conference (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/acts-mcbk-07012020.pdf
    June 16, 2020 - Sub- Optimal Patient Outcomes •NEJM - patients get only 50% recommended care (3) •Preventable harm … www.nejm.org/doi/full/10.1056/NEJMsa022615 https://costsofcare.org/tallying-the-high-cost-of-preventable-harm

99. Novel IT to Create Patient-Integrated Quality Improvement - Final Report (pdf file)
    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.

100. Medication Management: A Closed Computerized Loop | Digital Healthcare Research
     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