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digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
October 25, 2025 - pilot scope – The number of callbacks from the pharmacy to the prescriber per month, the
pre-pilot medication … error rate, and the number of adverse drug events (ADE) per site were not
measured for the pilot.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
January 01, 2010 - The recent IOM report entitled Preventing Medication Errors highlighted that across all
settings of … lapses and errors related to medications are
some of the most prevalent risks and the morbidity due to medication … errors is costly.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018168-johnson-final-report-2013.pdf
January 01, 2013 - Committee on Identifying and Preventing Medication
Errors. … Committee on
Identifying and Preventing Medication Errors.
Preventing medication errors.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - liquid medication (0-11 yrs)
Outcome(s) % of families with inappropriate medication use, Number
of medication … errors detected by PHP, number of
medication errors, % clinic encounters with discussion of
proper
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
January 01, 2012 - care is fragmented and poorly coordinated across treatment settings, often resulting in preventable
medication … errors, unnecessary hospitalizations and emergent care visits, avoidable adverse health
events and
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digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - Partners in Safety: The Walworth County (Wisconsin) Patient Safety Council
Partners in Safety:
The Walworth County (Wisconsin)
Patient Safety Council
Kathy Leonhardt, MD, MPH
Patti Pagel, RN
Aurora Health Care
June 2006
Medication Safety
• 90% of Americans > 65 years of age take
prescription medications, wi…
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digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
February 07, 2017 - We should put more effort into errors that are
related to clinical information, such as medication errors
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - Institute
Adverse Drug Events
injury resulting from a medical intervention
related to a drug
Medication … Errors
ADEs
Preventable
ADEs
Types of Errors Leading to Serious
Preventable ADEs
Patient
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digital.ahrq.gov/2018-year-review/executive-summary
January 01, 2018 - Executive Summary
The AHRQ Health IT Program funds research to create actionable findings around “what and how health IT works best” for its key stakeholders: patients, clinicians, and health systems. This Year in Review report details the Program’s 2018 research activities and outcomes th…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - transfusions,
increased accuracy of patient specimen collection and laboratory data, improved accuracy of
medication … error reporting, increasing the accuracy of pharmacist intervention records,
increasing accuracy of … increased dramatically in these hospitals via
use of bar coding devices that warn staff of potential medication … errors.
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digital.ahrq.gov/medical-condition/hypertension
January 01, 2025 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/funding-mechanism/limited-competition-ahrq-transforming-healthcare-quality-through-information
January 01, 2023 - Limited Competition for AHRQ Transforming Healthcare Quality Through Information Technology - Implementation Grants
CAH staff perceptions of a clinical information system implementation.
Citation
Ward MM, Vartak S, Loes JL, et al. CAH staff perceptions of a clinical informatio…
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digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
January 01, 2023 - Creating Meaningful Decision Support to Reduce Drug-Drug Interactions
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Optimizing Patient Safety Using Digital Healthcare Solutions
By individualizing drug–drug interaction alerts to individual patient circumstances, providers can …
-
digital.ahrq.gov/ahrq-funded-projects/technology-exchange-cancer-health-network-tech-net/annual-summary/2008
January 01, 2008 - Analysis of other study measures (medical errors, medication errors, treatment success/failure, adverse
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2003
January 01, 2003 - "Studies have shown that CPOE systems can reduce medication errors and associated costs and injuries.
-
digital.ahrq.gov/sites/default/files/docs/page/HITSuccessStories112910.pdf
May 02, 2014 - errors occurring in
hospitals are preventable. … There are many factors that contribute to Study Participants:
medication errors, such as incomplete … As were studied:
a result, while CPOE may reduce some medication errors, it may
A 24-bed adult ICU … To assess medication safety and quality of care, data on medication errors were collected through chart … Overall, the number of medication errors did not change.
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digital.ahrq.gov/ahrq-funded-projects/visualdecisionlinc-real-time-decision-support-behavioral-health/annual-summary/2012
January 01, 2012 - of treatments has the potential to reduce the time to remission, as well as reduce the likelihood of medication … errors and the adverse events caused by medication switching.
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digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - Morning Plenary: Strengthening the Connections
Agency for Healthcare Research & Quality
Advancing Excellence in Health Care • www.ahrq.gov
Morning Plenary:
Strengthening the Connections
Helen Burstin, MD, MPH
William B. Munier, MD
6 June 2006
2006 Patient Safety and Health IT Conference
Advancing
Excellence i…
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/goldmine
January 01, 2023 - EHR audit logs: a new goldmine for health services research?
Citation
Adler-Milstein J, Adelman JS, Tai-Seale M, Patel VL, Dymek C. EHR audit logs: A new goldmine for health services research? J Biomed Inform. 2020 Jan;101:103343. doi: 10.1016/j.jbi.2019.103343. Epub 2019 Dec 7. PMID:
31821887.
…
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digital.ahrq.gov/medical-condition/cancer
January 01, 2024 - Cancer
Workflow analysis of breast cancer treatment decision-making: Challenges and opportunities for informatics to support patient-centered cancer care.
Citation
Salwei ME, Reale C. Workflow analysis of breast cancer treatment decision-making: Challenges and opportunities fo…