-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/critical-incident
January 01, 2023 - The goal of this technique is to hone in on critical incidents that are causing issues for the employees … SORT AND ANALYZE THE COLLECTED ANSWERS by the frequency of the various incidents.
-
digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - randomized to having the CDSS or not
CPOE with Clinical Decision Support
Methods
Drug-related incidents … Digoxin
Methods
• Chart reviews were performed by trained
clinical pharmacist investigators
• Incidents
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools
January 01, 2023 - It is particularly effective at registering the occurrence of incidents, events, tasks, or problems.
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/checklist
January 01, 2023 - It is particularly effective at registering the occurrence of incidents, events, tasks, or problems.
-
digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
January 31, 2007 - Suspected incidents found by research staff conducting Rx and chart reviews
were entered into an electronic … rating tool (see below) used by MD reviewers to classify
incidents. … Suspected incidents (MEs and ADEs) were found by research staff conducting Rx
and chart reviews and … The tool was used by two
MD reviewers to classify suspected incidents as ADEs, potential ADEs (MEs with … We have a considerable
proportion of potential incidents requiring physician review.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - left pending; resolved), time spent on MTM alerts, and the number and type of negative usability
incidents … A total of 39 negative usability incidents were identified. … The most common incidents pertained
to challenges associated with workflow (11 incidents across 6 sessions … and 3 pharmacists),
alert display (8 incidents across 4 sessions and 3 pharmacists), and alert system … reliability
(faulty guidance; 6 incidents across 5 sessions and 2 pharmacists.)
-
digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems
January 01, 2023 - error traditionally uses retrospective methods--such as case studies, chart reviews, or self-reported incidents
-
digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-incident-identification
January 01, 2023 - ADE Incident Identification Form
Description
This form identifies an adverse drug event using data reported by a clinician.
Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic Health Records
PDF
ADE Incident Identi…
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Our finding show that the laboratory category had the greatest number of reported
downtime incidents … Of the 76
incidents, 46% (n=35) indicated that downtime procedures were either not followed or
were … Only 27.6% (n=21) of incidents indicated that downtime procedures
were successfully executed, and 26.3%
-
digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-tool-specifications.pdf
June 16, 2021 - FALL_METRICS_F.PERSON_ID) WHERE
FALL_METRICS_F.FALLS > 0
M Number of
Falls
(Month)
The number of
distinct fall
incidents … SUM (FALL_METRICS_F.FALLS)
N Number of
Falls
(Quarter)
The number of
distinct fall
incidents … FALL_METRICS_F.PERSON_ID)
Q Number of
Falls Per
1000 Patient
Days
(Month)
The number of
distinct fall
incidents … FALL_METRICS_F.PATIENT_DAYS))*1000
R Number of
Falls Per
1000 Patient
Days
(Quarter)
The number of
distinct fall
incidents
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
June 16, 2021 - DATAFORM 5 ADE and Near Miss Incident Classification Form
DATAFORM 5
ADE and Near Miss Incident Classification Form
1. Study ID Number: ____ ____ ____ ____
1. Rx ID Number: ____ ____ ____ ____
2. Case Number: ____ ____ ____ ____ ____
3. Reviewer Initials: ____ ____ ____
4. C…
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - Drug-related incidents occurring
during the 1-45 day period following hospital discharge were considered … Drug-related incidents occurring during the course of the hospitalization were not
considered relevant … Progress Report
Gurwitz, Jerry H
Grant Award Number: R18 HS017203
8
All possible drug-related incidents … These physician-reviewers
independently classified incidents using structured implicit review according … In addition, due to the resources required for identification and review of drug-
related incidents during
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
June 16, 2021 - AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study
DATAFORM 4
ADE Incident Identification Form
1. Study ID Number: ___ ___-___ ___ ___ ___ ___
2. Case Number: ___ ___ ___ ____
3. Reviewer ID Number: ___ ___
4. Brief description of ADE: ____________________________…
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/integrating
January 01, 2023 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.
Citation
Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Jt Comm J Qual Patient Sa…
-
digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents/citation/incidence
January 01, 2023 - Incidence of speech recognition errors in the emergency department.
Citation
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform 2016 Sep;93:70-3. PMID: 27435949.
Link
https://www.ncbi.nlm.nih.gov/pubmed/27435949
Principal Inv…
-
digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-and-near-miss-incident
January 01, 2023 - ADE and Near Miss Incident Classification Form
Description
This form is used to classify ADEs and near misses.
Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic Health Records
PDF
ADE and Near Miss Incident Class…
-
digital.ahrq.gov/ahrq-funded-projects/developing-passive-digital-marker-prediction-childhood-asthma-treatment
January 01, 2023 - Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response
Project Description
Applying novel machine learning methodologies in real time to readily available risk and prognostic data in electronic health records could contribute to the develo…
-
digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - Most vendors reported that they collect, but do not share, lists of incidents related to
usability … reported placing specific contractual restrictions on disclosures by system
users of patient safety incidents … reported placing specific contractual
restrictions on disclosures by system users of patient safety incidents … that were potentially related
to the EHR products, sharing patient safety incidents with other customers … testing during design and development, vendors are opening the door to potential patient safety
incidents
-
digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/citation-3
January 01, 2023 - Incidence, clinical correlates and treatment effect of rage in anxious children.
Citation
Johnco C, Salloum A, De Nadai AS, et al. Incidence, clinical correlates and treatment effect of rage in anxious children. Psychiatry Res 2015;229(1-2):63–9. PMID: 26235476.
Link
https://www.ncbi.nlm.nih.g…
-
digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/analysis
January 01, 2023 - An analysis of patient safety incident reports associated with electronic health record interoperability.
Citation
Adams KT, Howe JL, Fong A, et al. An analysis of patient safety incident reports associated with electronic health record interoperability. Appl Clin Inform 2017; 8(2).
Link
http…