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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/final-report
January 01, 2023 - Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration - Final Report
Citation
Malone D. Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration - Final Report. (Prepared by the University of Utah under Grant No. U1…
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines
January 01, 2023 - in regulating EHRs used in documenting the care of children and ensuring that data on system-related harms
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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - Enabling Shared Decision Making to Reduce Harm from Drug Interactions: An End-to-End Demonstration
Project Final Report ( PDF , 1.27 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021681-zikmund-fisher-final-report-2017.pdf
January 01, 2017 - Study 4a tested the impact of providing harm anchors, i.e., reference points that describe
possible harms
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixD_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix D: Relational Analysis Results
Appendix D – Relational Analysis Results
A series of analyses were conducted to look for relationships within and across the ontology components
of the Hazard Manager. The purpose of these analyses was to identify patterns in ontology items…
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
January 01, 2011 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011
Project Name
Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors
Principal Investigator
Basco, William
Organization
Medical University of South Carolina
Funding Mechanism…
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/ehr-usability
January 01, 2023 - Electronic health record usability issues and potential contribution to patient harm.
Citation
Howe JL, Adams KT, Hettinger AZ, et. al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018 Mar 27;319(12):1276-8. PMID: 29584833.
Link
https://www.ncbi.…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/patient
January 01, 2023 - Patient harm in cataract surgery: A series of adverse events in Massachusetts.
Citation
Roberto SA, Bayes J, Karner PE, Morley MG, Nanji KC. Patient harm in cataract surgery: A series of adverse events in Massachusetts. Anesth Analg. 2018 May;126(5):1548-1550. doi: 10.1213/ANE.0000000000002526. PMID: …
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2011
January 01, 2011 - Electronic Medication Management - 2011
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/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2012
January 01, 2012 - Health Information Technology Hazard Manager - 2012
Project Name
Health Information Technology Hazard Manager
Principal Investigator
Walker, James
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations and Network…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
January 01, 2013 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - Final Report
Grant Final Report
Grant ID: 5R03HS018841
Assessment of Pediatric Look-Alike, Sound-Alike
(LASA) Substitution Errors
Inclusive Project Dates: 04/01/10 – 03/31/13
Principal Investigator:
William T. B…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
January 01, 2011 - Electronic Medication Management
Grant Final Report
Grant ID: R03 HS18250
Electronic Medication Management
Inclusive project dates: 09/30/09 - 09/29/11
Principal Investigator:
David K. Vawdrey, PhD
Team members:
Nancy Chang, MD (Co-Investigator)
Audrey Compton, MD, MPH (Co-Investig…
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors
January 01, 2023 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors
Project Final Report ( PDF , 633.69 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the …
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digital.ahrq.gov/ahrq-funded-projects/using-artificial-intelligence-support-efficient-same-day-diagnostic-imaging
January 01, 2024 - mammography screenings have led to a 25-40 percent reduction in breast cancer mortality, associated harms
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - important first step in risk management is to
understand and catalog the hazards and possible resulting harms
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digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-053017.pdf
May 30, 2017 - A National Web Conference on Optimizing the Presentation and Visualization of Health Data for Patients and Providers - Slides
A National Web Conference
on Optimizing the Presentation
and Visualization of Health Data
for Patients and Providers
Presented by:
Brian J. Zikmund-Fisher, Ph.D.
Genevieve Melton-Meaux, …
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix E. Inter-Rater Cognitive Testing Results
Appendix E – Inter-Rater Cognitive Testing Results
This appendix summarizes the hazard entries created by the seven test sites to describe the
six hazard scenarios. The category headings are the beta version categories.
1. D…
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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…
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027247-trikalinos-final-report-2020.pdf
January 01, 2020 - Colonic
Diverticulitis7
Evaluates the effectiveness Surgical 15,199 722 (4.75) 88 (0.6); 4 14
and harms … spective Incontinence (UI): meta-analyze the comparative 96 (2.6)
Nonsurgical effectiveness and harms … review the
spective Thromboembolis comparative effectiveness for
m (VTE): Venous VTE outcomes and harms
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digital.ahrq.gov/national-webinars/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety
Event Date:
July 24, 2024 | 2:30pm – 4:00pm ET
Event Materials:
Presentation Slides ( PDF , 8.39 MB). Q&As ( PDF , 135 KB).
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