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digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
January 01, 2018 - Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety
Impact
“Studies like that by Adelman and colleagues point the way to the creation of a digital learning health care system, in which the results of the interactions between clinicians (and, increasingly, patients …
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digital.ahrq.gov/2020-year-review/research-summary/improving-medication-safety-accurate-e-prescribing-tool
January 01, 2020 - Improving Medication Safety with Accurate e-Prescribing Tool
Successful implementation of CancelRx, an e-prescribing functionality to electronically communicate medication discontinuation orders between electronic health records and pharmacies, can improve medication safety and reduce adverse drug events.
…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
January 01, 2011 - IT system also provided decision support during each medication treatment phase and helped prevent medication … errors.
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digital.ahrq.gov/sites/default/files/docs/citation/enhancedmedhistories_102611comp.pdf
October 01, 2011 - Problem Statement
Medication Errors and Adverse Drug Events (ADEs) are a major problem across the … quality.5 A computerized medication list can be
compared against a problem list and detect potential medication … error.6 Researchers studying
2
medication discrepancies concluded that better methods of ensuring … Preventing medication errors.
Washington, DC: National Academies Press; 2006.
2.
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digital.ahrq.gov/2018-year-review/research-spotlights
January 01, 2018 - Safety—Especially for Children
A Prototype Computerized Provider Order Entry System Reduced Medication … Errors
Leveraging Health IT to Test Solutions that are Replicable, Scalable, and Improve
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digital.ahrq.gov/sites/default/files/docs/page/tool-3-1-goals-worksheet-poster.pptx
June 16, 2021 - Slide 1
INSTRUCTION: Review what goals can be achieved with e-prescribing, Here are examples:
Reduce medication … errors.
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digital.ahrq.gov/location/usa-ct-new-haven
January 01, 2023 - evaluated Web-enabled education tools in hospitals and homes for renal transplant patients to reduce medication … errors and improve safety and compliance using wireless portable computers.
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digital.ahrq.gov/ahrq-funded-projects/patient-engagement-reporting-medication-events-during-transitions-care
January 01, 2024 - guide patients in reporting their medication-related experiences and concerns during TOC, including medication … errors, potential toxicities, and medication adherence.
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - environments is essential to: 1) establish a baseline performance metric to measure improvement; 2) separate medication … errors and system failures that result in harm to patients from those that do not; and 3) accurately … Despite extensive literature on medication safety, medication errors, and adverse drug events in adult
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health
January 01, 2023 - Logging Tool
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/principal-investigator/reiling-john
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/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
January 01, 2018 - AHRQ-Funded Research at the 2018 AMIA Annual Symposium
Investigator Name
AHRQ Research Profile
AMIA Title
Type
Abraham, Joanna
An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems
Clinician Perspectives on Duplicate Medication Ordering…
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - Complications, such as falls or
medication errors, could lead to readmissions. … https://digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use … 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 … Near-miss medication
errors, such as when clinicians realize they’ve ordered the wrong
dose or frequency
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digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
January 01, 2023 - Type of Care
Primary Care
Specialty Care
Health Care Theme
Medication
Medication … Errors
Patient Safety
Electronic prescribing (e-prescribing) is one health information
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/enhancing
January 01, 2023 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Citation
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf 2017 Oct;…
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digital.ahrq.gov/sites/default/files/docs/page/eRxReport.pdf
April 01, 2008 - In hospitals, the average
nt is subject to at least one medication error per day.4 This study also … • Assessed standards’ impact on medication errors.
1 5
C. … Preliminary data from this group have
demonstrated a potential decrease in medication errors that are … Medication Error: Any error occurring in the medication use process (Bates et al., 1995)11
Includes … Preventing Medication Errors: Quality Chasm Series.
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digital.ahrq.gov/sites/default/files/docs/page/eRxReport_041607_1.pdf
April 01, 2008 - In hospitals, the average
nt is subject to at least one medication error per day.4 This study also … • Assessed standards’ impact on medication errors.
1 5
C. … Preliminary data from this group have
demonstrated a potential decrease in medication errors that are … Medication Error: Any error occurring in the medication use process (Bates et al., 1995)11
Includes … Preventing Medication Errors: Quality Chasm Series.
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digital.ahrq.gov/sites/default/files/docs/medicaid/NY_CaseStudy.pdf
July 01, 2010 - Medicaid began developing an electronic prescribing (e-prescribing)
incentive program aimed at reducing medication … errors, encouraging practices that support better
patient care and outcomes, and reducing costs. … The
committee looked exclusively at the cost savings associated with avoiding medication errors … prescription
transmitted electronically would save the agency $1.82, which includes the decrease in
medication … errors and costs of printing official New York paper prescriptions, which are
currently distributed
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digital.ahrq.gov/sites/default/files/docs/page/NY_CaseStudy_0.pdf
July 01, 2010 - Medicaid began developing an electronic prescribing (e-prescribing)
incentive program aimed at reducing medication … errors, encouraging practices that support better
patient care and outcomes, and reducing costs. … The
committee looked exclusively at the cost savings associated with avoiding medication errors … prescription
transmitted electronically would save the agency $1.82, which includes the decrease in
medication … errors and costs of printing official New York paper prescriptions, which are
currently distributed
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digital.ahrq.gov/ahrq-funded-projects/demonstration-project-assessing-significance-and-impact-utilizing-novel
January 01, 2023 - Type of Care
Hospice Care
Health Care Theme
Medication Management
Medication … Errors
Telehealth
The rising prevalence of serious illness has increased the need for