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21. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/final-report
    January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of

22. A Prototype Computerized Provider Order Entry System Reduced Medication Errors | Digital Healthcare Research
    digital.ahrq.gov/2018-year-review/research-spotlights/prototype-computerized-provider-order-entry-system-reduced
    January 01, 2018 - A Prototype Computerized Provider Order Entry System Reduced Medication Errors Key Finding and … Mistakes made by patients and providers can lead to medication errors. … Medication errors may also occur during the prescribing process, including prescribing the wrong medication … Including medical indications in the prescribing process can reduce medication errors. … Specifying the indication during the prescribing process can help avoid medication errors; however, the

23. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/indication-based
    January 01, 2023 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order

24. Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication errors. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/preparing-ambulatory
    January 01, 2023 - Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication … errors. … Preparing for ambulatory computerized prescriber order entry by evaluating preimplementation medication … errors.

25. Impact of a patient-centered technology on medication errors during pediatric emergency care. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/parentlink-better-and-safer-emergency-care-children/citation/impact-patient-0
    January 01, 2023 - Impact of a patient-centered technology on medication errors during pediatric emergency care. … Impact of a patient-centered technology on medication errors during pediatric emergency care.

26. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative-0
    January 01, 2023 - 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

27. The impact of computerized provider order entry on medication errors in a multispecialty group practice. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/impact-computerized
    January 01, 2023 - The impact of computerized provider order entry on medication errors in a multispecialty group practice … The impact of computerized provider order entry on medication errors in a multispecialty group practice

28. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/citation/understanding-0
    January 01, 2023 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system … Understanding the nature of medication errors in an ICU with a computerized physician order entry system

29. Brown, Andrew | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/brown-andrew
    January 01, 2023 - error occurrence data. … The impact of a Web-based reporting system on the collection of medication error occurrence data. … Principal Investigator Brown, Andrew Project Name Detecting Med (Medication) Errors in … Principal Investigator Brown, Andrew Project Name Detecting Med (Medication) Errors in … ) Errors in Rural Hospitals Using Technology Detecting Med (Medication) Errors

30. Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
    January 01, 2017 - U19HS021093) Study 1 Purpose and Scope Drug name confusion is a common type of medication error … Results Drug name confusions are a common type of medication error, and they often have harmful effects … In 5 of the 16 orders (31%), no medication error occurred. … Automated detection of look-alike/sound-alike medication errors. … Retrospective detection of potential medication errors involving drugs with similar names.

31. Automated Retract-and-Reorder Measures to Improve Medication Safety | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
    January 01, 2023 - errors are a major advancement in patient safety and can help healthcare systems make ordering even … Near-miss medication errors are difficult to identify and are underreported but can be opportunities … to make electronic ordering safer Medication errors are the most common and preventable cause of patient … Near-miss medication errors, such as when clinicians realize they’ve ordered the wrong dose or frequency … errors, as well as insight into potential solutions.

32. Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
    January 01, 2013 - Scope: Medication errors occur frequently in ambulatory prescribing, but less is known about the potential … Preventing Medication Errors. Washington, D.C.: The National Academy Press; 2007. 2. … Medication errors in paediatric outpatients. Qual Saf Health Care 2010;19(6):e30. 3. … Utilization of the Idaho Medicaid Claims Database to Analyze Potential Look-Alike/Sound-Alike Medication … A manuscript entitled, “Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug Substitution

33. Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety | Digital Healthcare Research
    digital.ahrq.gov/national-webinars/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and
    July 24, 2024 - Description: Medication errors are a leading cause of injury and avoidable harm in healthcare, with … Preventable medication errors cost the nation more than $21 billion annually across all care settings … approaches and digital healthcare interventions such as clinical decision support tools are reducing medication … errors, improving provider effectiveness, and enhancing patient safety in a variety of clinical care … errors in electronic orders.

34. A Three-pronged Approach to Monitoring the Effect of an EMR Implementation on Medication-related Events in a Pediatric Hospital (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
    June 05, 2006 - (ONS) Medication Errors including ‘near misses’ 8 Medication Error Assessment Plan 2004 2005 … Computerized Physician Order Entry and Medication Errors in a Pediatric Critical Care Unit. … Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors. … Error Assessment Plan Medication Error Assessment Plan (cont'd.) … Observation Medication Error Assessment Plan Trigger Tool Chart Reviews Medication Error Assessment

35. Bar Coding for Patient Safety in Northern Michigan | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
    January 01, 2023 - Nurse Type of Care Acute Care Health Care Theme Adverse Events Medication … Errors Patient Safety Five partnering hospitals in northwest lower Michigan collaborated … Goals and initiatives at all hospitals were focused on reducing Adverse Drug Events and medication errors … It saves many of the thousands of dollars that are spent in repairing the damage done by each medication … error, leads to better health outcomes for patients, and improves the health of our communities.

36. An Etiology for Medication Ordering Errors in CPOE Systems - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
    January 01, 2020 - STUDY BACKGROUND Medication errors cause adverse drug events (ADE) in nearly 5% of the inpatient population … Although significant research on computerized provider order entry (CPOE)-related medication errors … errors [5, 21, 22]. … errors were the same in over 80% of the medication errors (PPV=80.3±1.5%). … Medication errors represent between the fourth and sixth leading cause of death in the United States

37. Steele AW et al. 2005 "The effect of automated alerts on provider ordering behavior in an outpatient setting." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/steele-aw-et
    January 01, 2023 - errors and decrease adverse drug events with the use of clinical-decision support systems presenting … errors related to drug-laboratory interactions in an outpatient primary-care setting. … Implementation of rules technology to prevent medication errors could be an effective tool for reducing … medication errors in an outpatient setting." … Objective To assess "the impact of automated alerts on medication errors related to [missing or abnormal

38. Medication Reconciliation to Improve Quality of Transitional Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
    January 01, 2023 - Type of Care Acute Care Health Care Theme Medication Reconciliation Medication … errors account for approximately 20 percent of all medical errors in the U.S. … errors. … Determine whether electronic facilitation alters medical reconciliation and the incidence of medication … errors in ambulatory care.

39. Detecting Med Errors in Rural Hospitals Using Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
    January 01, 2008 - Results: Data on the number of medication errors reported from the eight rural hospitals between January … The goal is to increase the number of medication errors reported. … This empowered workers to own the process of electronically reporting medication errors. … Count of severity levels for reported medication errors Figure 1c. … Count of severity levels for reported medication errors Figure 4c.

40. Detecting Med Errors in Rural Hospitals Using Technology - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/final-report
    January 01, 2023 - Principal Investigator Brown, Andrew Project Name Detecting Med (Medication) Errors in