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digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium/annual-summary/2008
January 01, 2008 - Quantitative data and methods were used to understand the impact of the IT system on medication errors … and local clinic physicians the opportunity to use computerized provider order entry (CPOE) to reduce medication … errors. ( Achieved, )
Provide private physicians and clinics in the hospital’s service area the opportunity
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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/track-8-patient-and-family-centered-health-it-and-safety
January 01, 2023 - Participants will learn how to recognize some of the causal factors linked to medication errors and develop
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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/funding-mechanism/department-health-and-human-services-program-support-center-psc
January 01, 2023 - Health and Human Services Program Support Center (PSC)
Reduction in medication … errors in hospitals due to adoption of computerized provider order entry systems. … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems
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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/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/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/research-method/analysis
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/automated
January 01, 2023 - Automated detection of wrong-drug prescribing errors.
Citation
Lambert BL, Galanter W, Liu KL, Falck S, Schiff G, Rash-Foanio C, Schmidt K, Shrestha N, Vaida AJ, Gaunt MJ. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019 Aug 7. pii: bmjqs-2019-009420. doi: 10.1136/bmjqs-2019-0…
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - Facilities
Adverse Drug Events
injury resulting from a medical intervention related
to a drug
Medication … Errors
ADEs
Preventable ADEs
Methods
• Study conducted in two large
academic long-term care
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digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions
January 01, 2023 - Acute Care
Primary Care
Specialty Care
Health Care Theme
Clinical Workflow
Medication … Errors
Patient Safety
The purpose of this project was to evaluate the impact of implementing … A time-series design was used to evaluate effect on reported errors (medication errors); CMS/ Joint Commission
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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/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/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/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/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/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/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