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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…
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/using
January 01, 2023 - Using incident reports to assess communication failures and patient outcomes.
Citation
Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019 Jun;45(6):406-413. doi: 10.1016/j.jcjq.2019.02.006. …
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - Surveillance for Adverse Drug Events in Ambulatory Pediatrics - 2010
Project Name
Surveillance for Adverse Drug Events in Ambulatory Pediatrics
Principal Investigator
Bailey, Thomas
Organization
Washington University
Funding Mechanism
RFA: HS07-002: Ambulatory and S…
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digital.ahrq.gov/sites/default/files/docs/activity/surveillance_for_adverse_drug_events_in_ambulatory_pediatrics_2010pdf_2.pdf
August 01, 2010 - Surveillance for Adverse Drug Events in Ambulatory Pediatrics
1 | Surveillance for adverSe drug eventS in ambulatory PediatricS
2010 Grant Summary
Surveillance for Adverse Drug Events in Ambulatory Pediatrics
Principal Investigator: Bailey, Thomas, M.D.
Organization: Washington University in St. Louis
Mechan…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - Data Collection Form
ADE Incident Identification Form
Description
This form identifies an adverse drug event using data reported by a clinician.
Document Source
Statewide Implementation of Electronic Health Records
ADE and Near Mis…
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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%
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
January 01, 2012 - Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012
Project Name
Evaluation of AHRQ's On-time Pressure Ulcer Program
Principal Investigator
Hurd, Donna
Organization
Abt Associates, Inc.
Funding Mechanism
Accelerating Change and Transformation in Organizations…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2011
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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digital.ahrq.gov/sites/default/files/docs/activity/2900600118-hurd-annual-summary-2012.pdf
January 01, 2012 - Evaluation of AHRQ's On-Time Pressure Ulcer Program
ACCELERATING CHANGE AND TRANSFORMATION IN ORGANIZATIONS AND
NETWORKS (ACTION)
Evaluation of AHRQ’s On-Time Pressure Ulcer Program
Principal Investigator: Hurd, Donna, M.S.N.
Organization: Abt Associates, Inc.
Contract Number: 290-06-0011-8 …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
January 01, 2011 - A
computerized method for identifying incidents
associated with adverse drug events in outpatients.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017817_field_pdf_3.pdf
January 01, 2011 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home
1 | Using HealtH information tecHnology to improve transitions of complex
elderly patients from skilled nUrsing facilities to Home
AmbulAtory SAfety And QuAlity ProgrAm: imProving mAnAgemen…
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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
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2012
January 01, 2012 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home - 2012
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Principal In…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-support-pressure
January 01, 1995 - Computerized support of pressure ulcer prevention and treatment protocols
Authors: Willson D, Ashton C, Wingate N, Goff C, Horn S, Davies M, Buxton R Journal: Proc Annu Symp Comput Appl Med Care Publication Date: 1995 Pages: 646-50 HIT Description: Computerized decision support with guidelines. More i…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/breaching-security-kaiser
Breaching the security of the Kaiser Permanente Internet patient portal: the organizational foundations of information security
This case study describes and analyzes a breach of the confidentiality and integrity of personally identified health information for over 800 Kaiser Permanente (KP) members through K…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010
Project Name
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Princi…
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs017817-field-annual-summary-2012.pdf
January 01, 2012 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home
AMBULATORY SAFETY AND QUALITY PROGRAM: IMPROVING MANAGEMENT OF
INDIVIDUALS WITH COMPLEX HEALTHCARE NEEDS THROUGH HEALTH IT (R18)
1 | USING HEALTH INFORMATION TECHNOLOGY TO IMPROVE TRA…
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digital.ahrq.gov/sites/default/files/docs/activity/using_health_information_technology__2010_pdf__2.pdf
January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities to Home
1 | Using HealtH information tecHnology to improve transitions of
complex elderly patients from skilled nUrsing facilities to Home
2010 Grant Summary
Using Health Information Technology t…
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/medication-dispensing-errors-and
Medication Dispensing Errors and Potential Adverse Drug Events Before and After Implementing Bar Code Technology in the Pharmacy
This paper evaluates whether implementation of bar code technology reduces dispensing errors and potential adverse drug events (ADEs) at a tertiary academic medical center. In the pr…