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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/principal-investigator/ornstein-steven
January 01, 2023 - Ornstein, Steven
Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report
Citation
Ornstein S. Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report. (Prepared by Medical University of South Carolina under Grant No. R21 HS024327).…
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/assess
January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am Med Inform Assoc 2017 Sep …
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digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
July 24, 2024 - AHRQ National Webinar on Medication Without Harm – How Digital Healthcare Tools Can Support Providers and Improve Patient Safety - Q&As
…
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/effect
January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation
Kannampallil TG, Manning JD, Chestek DW, Adelman J, Salmasian H, Lambert BL, Galanter WL. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis."
Reference
Shachak A, Hadas-Dayagi M, Ziv A, et al. Primary care physicians use of an electronic medical record system: a cognitive task analysis. J Gen Intern Med 2009;24(3):341-348.…
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digital.ahrq.gov/organization/columbia-university
January 01, 2023 - Columbia University
Using eHealth to Expand Access to Cognitive Behavioral Therapy for Insomnia in Hispanic Primary Care Patients
Description
This project evaluates the effectiveness, barriers, and cost of a Spanish-language electronic health intervention to treat chronic inso…
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digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - Adverse Drug Events
Medication
Errors
ADEs
Preventable
Introduction
Adverse drug events (ADEs
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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/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/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
January 01, 2011 - Tools for Optimizing Medication Safety (TOP-MEDS) - 2011
Project Name
Tools for Optimizing Medication Safety (TOP-MEDS)
Principal Investigator
Lambert, Bruce
Organization
University of Illinois at Chicago
Funding Mechanism
RFA: HS11-004: Centers for Education and Re…
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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/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
September 29, 2025 - The Impact of an Adaptive Patient-Centered Web Application on Medication Optimization in HFrEF Patients
Project Description
Publications
The use of an application employing SMART-on-FHIR standards has the potential to improve guideline-directed medication therapy in those…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-personal-health-record-empower-patients-hypertension/annual-summary/2011
January 01, 2011 - Evidence shows that PFCC improves outcomes by reducing medication errors, increasing compliance, and
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - Improving Pediatric Safety and Quality with Healthcare Information Technology - 2008
Project Name
Improving Pediatric Safety and Quality with Healthcare Information Technology
Principal Investigator
Ferris, Timothy
Organization
Massachusetts General Hospital
Funding M…
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety
January 01, 2023 - Type of Care
Pediatrics
Specialty Care
Health Care Theme
Patient Safety
Medication … Errors
Quality Improvement
Technology Usability
Children's Healthcare of Atlanta,
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014928-gorman-final-report-2008.pdf
January 01, 2008 - Reduce medication errors and adverse effects by eliminating interactions, duplications,
and age-inappropriate … effort for, and simplification of, medication management tasks; improved data quality;
decreases in medication … errors; enhanced task integration; support for medical decision-making
tasks; increased patient education … Interviewees mentioned that increased safety results when medication errors are decreased
during transitions … in care, when many medication errors can occur.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eslami-s-et-al-2007
January 01, 2007 - Only one study showed a significant reduction of the number of medication errors.
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digital.ahrq.gov/program-overview/research-stories/use-artificial-intelligence-and-machine-learning-improve-care
January 01, 2023 - shows that having a pharmacist on rounds in the ICU has significant benefits, including reduction of medication … errors and adverse drug events (ADEs), improved patient outcomes, reduced costs, and most importantly