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digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
January 01, 2023 - 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
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - These flaws may result in adverse events or other medical errors that can harm patients. … These flaws may result in adverse events or other medical errors that can harm patients.
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digital.ahrq.gov/program-overview/research-stories/optimizing-care-delivery-for-clinicians
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/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale
July 31, 2025 - Engaging Patients to Enable Interoperable Lung Cancer Decision Support at Scale
Project Description
Publications
Improving shared decision making for lung cancer screening by adapting and disseminating an interoperable clinical decision support tool and patient-facing app…
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digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles
January 01, 2023 - an accurate medical history due to functional or cognitive impairment, increasing the potential for harm
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences
January 01, 2023 - can undermine provider acceptance, increase costs, lead to failed implementations, and even result in harm
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digital.ahrq.gov/funding-mechanism/disseminating-and-implementing-patient-centered-outcomes-research-pcor-evidence
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/track-5-achieving-and-sustaining-improvements
January 01, 2023 - IV Handoffs in Healthcare
Minimizing opportunity for error in handoff settings can greatly reduce harm
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - should be developed that decrease the frequency with which humans
make errors, thus mitigating the harm … The proportions of errors that did not cause harm (2.2% / 2.3%; Levels B-D, potential
ADEs) and the … By definition, these are the errors that have the potential to cause harm. … Further, the harm caused by
these two prescriptions resulted solely in temporary harm that required … No permanent harm was caused.
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digital.ahrq.gov/ahrq-funded-projects/identifying-sepsis-phenotypes-associated-antibiotic-resistant-pathogens-using
January 01, 2025 - , combat antibiotic resistance, and guide more precise, data-driven treatment guidelines to prevent harm
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digital.ahrq.gov/population/stakeholder
September 01, 2024 - disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
January 01, 2008 - The system focused on the detection and intervention of medication-related patient harm. … We further analyzed the
medications most likely to cause harm, evaluated each system’s strengths, and … support the development of prospective trigger
rules which ideally targeted the prevention of patient harm … recommendations as to which may identify the most opportunities
for intervention and reduce patient harm … care units across our health system and were the least controversial in terms of
identifiable patient harm
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
January 01, 2009 - There was a 57 percent reduction in adjusted odds of errors that did not cause harm (potential ADEs) … The reduction in the number of errors that caused harm (preventable ADEs) was not statistically significant
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digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care
January 01, 2023 - in what is considered a home; and that both patients and those who care for them may be at risk for harm
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digital.ahrq.gov/type-care/specialty-care
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/ambulatory-clinic
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/academic-medical-center
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/ahrq-funded-projects/ml-rover-machine-learning-reduce-laboratory-test-overutilization
August 01, 2024 - decision support (CDS) alerts are overridden by clinicians, contributing to burnout and potential patient harm
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digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
June 16, 2021 - 2500 mg administered (10,000%)
Humans Make Errors
•Healthcare providers
intend to help, not harm
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - While not all medication errors result in harm, those that do can be costly. … pre-established process for tracking,
recording, and grading medication safety reports using the IHI harm … For the
study, all ADEs that could cause harm to the patient--level D and above--were recorded
on a … The objective of implementing the Learning Lab recommendations was to reduce harm to
patients by changing … Some form of HIT should be used in
health care settings; it is critical to the process of reducing harm