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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/sites/default/files/docs/reduce-medication-errors-slides-082614.pdf
August 26, 2014 - A National Web Conference on the use of Health IT To Reduce Medication Errors and Improve Patient Safety
A National Web Conference on the Use of
Health IT to Reduce Medication Errors and
Improve Patient Safety
August 26, 2014
2:30pm – 4:00pm ET
Moderator and Presenters
Disclosures
Moderator:
P. Jon W…
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digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
May 23, 2011 - by technological
solutions designed to reduce errors
• Several examples illustrate the
unintended 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/ahrq-funded-projects/physician-practice-variation-electronic-health-record-use
January 01, 2019 - Physician Practice Variation in Electronic Health Record Use
Project Final Report ( PDF , 379.71 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for i…
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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 …
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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).
Your browser does not support inline …
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digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
January 01, 2023 - Improving Electronic Health Record Usability for Patient Safety
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Improving Healthcare Technology Design to Advance Patient Safety
Analysis of patient safety event reports showed an association between electronic health record (EHR) us…
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - 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/sites/default/files/docs/citation/implementation-guide.pdf
December 01, 2018 - Patient’s risk factors for opioid-related harms including the name, status, start date,
stop date, and … History (3) o
Conditions Associated with Chronic Pain O
Name,•
Risk Factors for Opioid-related Harms … -Pain Management Summary Flags
Pertinent Medical History
• Risk factors for Opioid-related Harms … year when prescribing long-term opioid therapy
to evaluate for the risk of misuse or opioid-related harms … Category Concept Rationale
Data
limitations
Encounters Some risk factors for opioid-related harms
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2011
January 01, 2011 - Health IT Hazard Manager - 2011
Project Name
Health Information Technology Hazard Manager
Principal Investigator
Walker, James
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations and Networks (ACTION)
Con…
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digital.ahrq.gov/sites/default/files/docs/activity/2011_290200600011i14_walker_pdf_3.pdf
January 01, 2011 - Health IT Hazard Manager
1 | HealtH It Hazard Manager
AccelerAting chAnge And trAnsformAtion in
orgAnizAtions And networks (Action)
Health IT Hazard Manager
Principal Investigator: Walker, James, M.D.; Geisinger Health System
Organization: Abt Associates Inc.
Contract Number: 290-2006-00011I-14
Project Pe…
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digital.ahrq.gov/ahrq-funded-projects/individualized-drug-interaction-alerts
January 01, 2023 - Individualized Drug Interaction Alerts
Project Final Report ( PDF , 2.91 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 necessarily represent the views of AHRQ. No statement in …
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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/ahrq-funded-projects/health-information-technology-hazard-manager
January 01, 2023 - Health Information Technology Hazard Manager
Project Final Report ( PDF , 990.63 KB)
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Project Description
Annual Summaries
Publications
Project Details -
Completed
…
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digital.ahrq.gov/medical-condition/ophthalmologic-eye-disease
January 01, 2023 - Ophthalmologic (Eye) Disease
Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018.
Citation
Morley M, Menke AM, Nanji KC. Ocular anesthesia-related closed claims from Ophthalmic Mutual Insurance Company 2008-2018. Ophthalmology. 2020 Jul;1…
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digital.ahrq.gov/principal-investigator/pitts-samantha
July 24, 2024 - Pitts, Samantha
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety
Event Date
July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication errors are a leading cause of injury and avoidable harm in healthcare, with an…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023826-malone-final-report-2017.pdf
January 01, 2017 - In general, more
research on the harms associated with DDIs is needed.
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digital.ahrq.gov/ahrq-funded-projects/meaningful-drug-interaction-alerts
February 28, 2023 - Meaningful Drug Interaction Alerts
Project Final Report ( PDF , 323.31 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 views of AHRQ. No statement in this…