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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - Role of computerized physician order entry systems
in facilitating medication errors.
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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/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
January 01, 2009 - Business Goal: Synthesis and Dissemination
Summary: Medication errors can occur at every step in … Medication errors that occur in the earlier stages of the process are more likely than others to be intercepted
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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/research-method/time-series
January 01, 2024 - Time Series
Changes in the appropriateness of US outpatient antibiotic prescribing after the COVID-19 outbreak: An interrupted time series analysis of 2016-2021 data.
Citation
Chua KP, Fischer MA, Rahman M, Linder JA. Changes in the appropriateness of US outpatient antibiotic …
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digital.ahrq.gov/technology/computerized-provider-order-entry-system
January 01, 2023 - Computerized Provider Order Entry System
Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report
Citation
Ratwani R., Hettinger A. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. (Prepared by …
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digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit
January 01, 2023 - Partnering to Improve Patient Safety in Rural WV
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
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digital.ahrq.gov/research-method/chart-review
January 01, 2023 - Chart Review
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: A pilot study.
Citation
Pitts SI, Yang Y, Woodroof T, Mollenkopf NL, Wang NY, Thomas BA, Chen AR. The impact of electronic communication of medication discontinua…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-31a-goals-worksheet
January 01, 2023 - Here are some examples:
Reduce medication errors.
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digital.ahrq.gov/ahrq-funded-projects/integration-nlp-based-application-support-medication-management
January 01, 2023 - patient's medication order with all the medications the patient has been taking, is critical to preventing medication … errors.
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digital.ahrq.gov/organization/st-josephs-community-hospital
January 01, 2023 - Implemented an Epic health IT system and diffused the system community-wide; identified the prevalence of medication … errors, near misses, and preventable adverse drug events; assessed costs and customer satisfaction both
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digital.ahrq.gov/location/usa-wi-west-bend
January 01, 2023 - Implemented an Epic health IT system and diffused the system community-wide; identified the prevalence of medication … errors, near misses, and preventable adverse drug events; assessed costs and customer satisfaction both
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digital.ahrq.gov/health-information-exchange-1
January 01, 2023 - Medication errors pose a significant threat to patients undergoing transitions (Forster, Murff, Peterson
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/final-report
January 01, 2023 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report
Citation
Basco W. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report. (Prepared by the Medical University of South Carolina under Grant No. R03 HS018841). Rockville, MD: Agency for Health…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015397-bates-final-report-2008.pdf
January 01, 2008 - A quasi-experimental pre-post study evaluated the effect of EHR
implementation on medication errors. … The goal of Aim 2 was twofold; first, to determine the effect of EHR use on
medication error rates and … Aim 2: Electronic Health Records Effect on Medication Errors and Quality of Care had two
components: … 1) to determine the effect of EHR use on medication error rates and 2) to determine
the effects of … Aim 2: Electronic Health Records Effect on Medication Errors and
Quality of Care
Upon completion of
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - transitions are a vulnerable period for patients, leading to post-discharge adverse events, falls, medication … errors, and readmissions. … Complications, such as falls or medication errors, could lead to readmissions.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - Effect of
computerized physician order entry and a team
intervention on prevention of serious medication … errors. … Medication errors
in United States hospitals. Pharmacotherapy
2001;21:1023 36.
3. … The impact of
computerized physician order entry on medication
error prevention.
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digital.ahrq.gov/principal-investigator/carayon-pascale
January 25, 2018 - Order Entry (CPOE) Implementation in Intensive Care Units (ICUs)
EHR-related medication … errors in two ICUs. … EHR-related medication errors in two ICUs. J Healthc Risk Manag 2017 Jan;36(3):6-15.
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digital.ahrq.gov/events/national-web-conference-health-it-and-safety
January 01, 2023 - results of an AHRQ-funded study on the impact of bedside barcode/electronic medication administration on medication … errors, workflow, and nursing satisfaction.
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - 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.