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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
January 01, 2023 - Record , Electronic Prescribing , Health Information Exchange , Voice Recognition
Integrating incident … Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - As a negative counter-example,
note this item from the EHRevent incident-reporting system: “Inability … (The EHRevent incident reporting system focuses on incidents where patients are
harmed, rather than … [that] recognize the inherent characteristics of
incident reporting data: under-reporting, reporting … Establishing a global
learning community for incident-reporting systems. … Supporting the Analysis of
Human Error in National and International Incident
Reporting Schemes.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - Medication Reconciliation to Improve Quality of Transitional Care
Project Final Report ( PDF , 416.7 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 vie…
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digital.ahrq.gov/care-setting/urgent-care-center
January 01, 2023 - Urgent Care Center
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research aims to improve the early detection of venous thromboembolism in primary and urgent care by …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report
1. TITLE PAGE
Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST)
Principal Investigator: Michael Avidan, MBBCh
Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…
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digital.ahrq.gov/ahrq-funded-projects/home-heart-failure-hf-care-comparing-patient-driven-technology-models
January 01, 2023 - Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models
Project Final Report ( PDF , 74.16 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 …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - patient safety reports
from January 1, 2013 to January 10, 2016 and could identify 76 downtime related incident … Delay to medical procedure due to downtime 2
General Delay of Care
(no specific process mentioned)
Incident
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digital.ahrq.gov/location/usa-hi-honolulu
January 01, 2023 - USA, HI, Honolulu
Holomua Project-Improving Patient Hand-Offs in Hawaii
Description
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.
Grant Number
P20 HS015248
…
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
January 01, 2011 - Medication Reconciliation to Improve Quality of Transitional Care - 2011
Project Name
Medication Reconciliation to Improve Quality of Transitional Care
Principal Investigator
Weiner, Michael
Organization
Indiana University
Funding Mechanism
PAR: HS08-270: Utilizing …
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digital.ahrq.gov/2019-year-review/executive-summary
January 01, 2019 - $297,840
Similar to the airline industry’s use of a “black box” that captures actions leading up to an incident
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digital.ahrq.gov/funding-mechanism/scaling-established-clinical-decision-support-facilitate-dissemination-and
January 01, 2023 - Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18)
Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support
Description
This research successfully adapted and evaluated scaling of the Enhancing Q…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
January 01, 2021 - An Analysis of Patient Safety Incident Reports Associated with Electronic Health
Record Interoperability … An
Analysis of Patient Safety Incident Reports Associated with Electronic Health Record
Interoperability
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
January 01, 2010 - The wrong diagnosis: identifying causes of
potentially adverse events in general practice using
incident … Analysing
potential harm in Australian general practice: an
incident-monitoring study. … Diagnostic error in a national incident reporting
system in the UK. J Eval Clin Pract. 2010.
33.
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digital.ahrq.gov/sites/default/files/docs/citation/k01hs019001-wen-final-report-2017.pdf
January 01, 2017 - Interviews with BC
patients were conducted using the Critical Incident Technique (CIT) by the PI. … The interview started with the
identification of a critical incident regarding the specific situation … were asked to tell the story of their BC diagnosis and
treatment journey with respect to the critical incident
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
January 01, 2008 - Incident Report
There have not been any significant incidents or patient complaints since the last … Challenges Prioritized
Results
Challenges Encountered
Study Update (Challenges/Issues/Complaints)
Incident
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools
January 01, 2023 - All Workflow Tools
Although there are many different tools you can use to collect and analyze workflow information, appropriate use of the following tools will help you better understand current workflows, modify those workflows, or design new workflows that will make it eas…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2010
January 01, 2010 - Evaluation of AHRQ's On-time Pressure Ulcer Program - 2010
Project Name
Evaluation of AHRQ's On-time Pressure Ulcer Program
Principal Investigator
Hurd, Donna
Organization
Abt Associates, Inc.
Contract Number
290-06-0011-8
Project Period
June 2009 – January …
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - Medication Reconciliation to Improve Quality of Transitional Care - 2012
Project Name
Medication Reconciliation to Improve Quality of Transitional Care
Principal Investigator
Weiner, Michael
Organization
Indiana University
Funding Mechanism
PAR: HS08-270: Utilizing …
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digital.ahrq.gov/principal-investigator/williams-andrew
January 01, 2023 - Williams, Andrew
Factors affecting medication adherence trajectories for patients with heart failure.
Citation
Juarez DT, Williams AE, Chen C, et al. Factors affecting medication adherence trajectories for patients with heart failure. Am J Manag Care 2015 Mar 1;21(3):e197-205.…
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digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
January 31, 2007 - If a suspected
incident (MEs and ADEs) was identified on Rx review, a chart review was performed to … Incident Rating Tool: Screen Shots
3.