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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
January 01, 2010 - communication with and involvement by the PCP in the care of hospitalized patients should decrease medication … errors, diagnostic errors, and follow up errors, thereby improving medical care quality and safety as … evaluate the impact of Virtual Continuity, a pre-post study will compare the frequency of discharge medication … errors before and after initiation of the Virtual Continuity intervention.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - Project Period
September 2007 - August 2011
AHRQ Funding Amount
$1,199,997
Summary: Medication … errors are a major source of patient injury, hospitalization, and death.
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
January 01, 2023 - Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open
Project Final Report ( PDF , 451.19 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 re…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - errors. … SCOPE
Adverse drug events and medication errors are estimated to cost the US health care system
$177 … errors. … Recognizing our vulnerability with regard to medication errors, numerous efforts are
underway to … Medication reconciliation: a practical tool to reduce the risk of medication errors.
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access
January 01, 2023 - Hospice Care
Primary Care
Specialty Care
Health Care Theme
Interoperability
Medication … Errors
Patient Safety
This project aimed to implement an ambulatory electronic medical … Use computerized provider order entry and clinical decision support systems to reduce medication errors … a method to utilize the EMR for data collection, analysis, and reporting of the number and types of medication … errors and adverse events that occur.
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-11
January 01, 2023 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Citation
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc 2011; 18(6): 774-82.
…
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digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdf
September 01, 2009 - Consequences Severity
13% - ED Visits
20% - Hospitalizations
20% - Severe
18% - Moderate
Story
Medication … Error Reporting Taxonomy/Database
Figure 2: An Example of Visually Coding 124 Preventable
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digital.ahrq.gov/health-care-theme/medication-management
January 01, 2023 - Medication Management
Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Description
This research will use artificial intelligence and machine learning to create prediction too…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/errors
January 01, 2023 - Errors associated with outpatient computerized prescribing systems.
Citation
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing systems. J Am Med Inform Assoc 2011 Nov-Dec;18(6):767-73.
Link
Nanji KC, Rothschild JM, Salzberg C, et al. Error…
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digital.ahrq.gov/principal-investigator/johnson-constance
January 01, 2023 - Description
While health information technology (IT) systems are expected to significantly reduce medication … errors, studies have found that issues with usability and information design can actually facilitate
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
January 01, 2008 - and identified actual errors in transcription, administration, and near misses for the four types of medication … errors: ordering, transcription, dispensing, and administration.
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
June 16, 2021 - errors. … Medication errors’ universe is in
yellow, and then there’s also this universe of adverse drug events … The intersection between the universe of medication errors and the smaller universe of
adverse drug … error. … These
are adverse drug events associated with a medication error.
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digital.ahrq.gov/research-method/analysis
January 01, 2025 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting
January 01, 2023 - Physician
Type of Care
Ambulatory Care
Health Care Theme
Adverse Events
Medication … Errors
Medication Safety
While the implementation and enhancement of digital healthcare
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - Care Setting
Across the Health Care System
Health Care Theme
Human Factors
Medication … Errors
Medication Safety
Patient Safety
Technology Usability
While the use of electronic
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digital.ahrq.gov/document-type/logging-tool
January 01, 2023 - Primary Care Visual Error Reporting Tool
Description
The Primary Care Visual Medication … Error Reporting Tool is a tool using pictures/diagrams to be used in the reporting of errors.
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - University of Illinois at Chicago
Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care
Description
This research studied whether clinical decision support could reduce contextual errors, improve patien…
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute of Medicine. 2007.
2. … Preventing medication errors. … Committee on Identifying and Preventing Medication Errors, Institute of Medicine. … The impact of computerized physician order entry on medication error prevention.
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digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
July 31, 2023 - Clinician
Type of Care
Acute Care
Tertiary Care
Health Care Theme
Medication … Errors
Patient Safety
Computerized provider order entry (CPOE) systems, while reducing
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - and identified actual errors in transcription, administration, and near misses for the four
types of medication … error (ordering, transcription, dispensing, and administration). … errors. … Through this
study we examined two types of medication errors: a) transcription errors and b) administration … Adding these together, this would be a near miss rate, just for these three types
of medication errors