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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/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/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/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2010
January 01, 2010 - Medicare
Summary: Use of medications by older adults living in the community is far from optimal as medication … errors including overuse, underuse, and misuse, are common.
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Recommendations,
con’t
• Active Failures
– Operative/Post-Op Complications/Infections
– Events Relating to Medication … Errors
– Deaths of Patients in Restraints
– Inpatient Suicides
– Transfusion Related Events
– Correct
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digital.ahrq.gov/organization/columbia-university-health-sciences
January 01, 2023 - Columbia University Health Sciences
A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Description
This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lesselroth-bj-felder-rs
January 01, 2023 - Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)."
Reference
Lesselroth BJ, Felder RS, Adams SM, et al. Design and implementation of a medication reconciliation kiosk: the Automated Patient H…
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
June 16, 2021 - Joseph’s Hospital)
Key Challenges in Reducing
Medication Errors
Maintain a complete, accurate, … and Safety
Overview of Patient-and Family-Centered Health IT and Safety
Key Challenges in Reducing Medication … Errors
What Did We Learn?
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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/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/annual-summary/2010
January 01, 2010 - Medication Safety in Primary Care Practice - Translating Research Into Practice - 2010
Project Name
Medication Safety in Primary Care Practice - Translating Research into Practice
Principal Investigator
Ornstein, Steven
Organization
Medical University of South Carolina
…
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support
January 01, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety Medication … errors are a leading cause of injury and avoidable harm in healthcare, with an estimated 1.3 million … Preventable medication errors cost the nation more than $21 billion annually across all care settings
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children
Poor EHR design can harm patients.
Dr. Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues, regardless of vendor. “If we don’t focus on EHR technolog…
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/citation
January 01, 2023 - Using pharmacy data to screen for look-alike, sound-alike substitution errors in pediatric prescriptions
Citation
Basco WT Jr, Ebeling M, Hulsey TC, et al. Using pharmacy data to screen for look-alike, sound-alike substitution errors in pediatric prescriptions. Acad Pediatr 2010 Jul-Aug;10(4):233-7.
…
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level
January 01, 2020 - Improving the Delivery of Health Services at the Health Systems Level
AHRQ-funded research aims to improve the delivery of health services at the health systems or organizational level; this investment was $41.8 million over the duration of projects that were ongoing in 2020. The use…
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digital.ahrq.gov/organization/massachusetts-general-hospital
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision
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digital.ahrq.gov/ahrq-funded-projects/preventing-medication-related-problems-care-transitions-skilled-nursing
July 31, 2025 - Adults
Patient
Pharmacist
Physician
Health Care Theme
Care Coordination
Medication … Errors
Transitions in Care
The transition of care from hospital to skilled nursing facilities
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - errors. … Medication/E-Prescribing Issues
E-prescribing has been offered as one means to reduce medication errors … Measurement Factors
Three articles address a classification of medication errors, a quantification … Impact
of a patient-centered technology on medication
errors during pediatric emergency care. … Medication errors in the outpatient setting;
Classification and root cause analysis.
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digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
January 01, 2023 - NLP to Improve Accuracy and Quality of Dictated Medical Documents
Project Final Report ( PDF , 389.03 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 represent the vi…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025374-weiner-final-report-2022.pdf
January 01, 2022 - Indication-based prescribing prevents
wrong-patient medication errors in computerized provider order
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digital.ahrq.gov/principal-investigator/schiff-gordon-david
January 01, 2023 - Schiff, Gordon David
How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.
Citation
Salazar A, Karmiy SJ, Forsythe KJ, Amato MG, Wright A, Lai KH, Lambert BL, Liebovitz DM, Eguale T, Volk LA, Schiff GD. How often do prescr…