-
digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events
January 01, 2023 - Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events
Project Final Report ( PDF , 574.55 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…
-
digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - Implementation of a Simulation Based Patient Safety Curriculum in a Pediatric Emergency Department
Implementation of a Simulation
Based Patient Safety Curriculum
in a Pediatric Emergency
Department
Mary D. Patterson, MD, MEd
Gary Geis, MD
Cincinnati Children’s Hospital
Robert L. Wears, MD, MS
University of Flori…
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - However, suboptimal use of medications brings with it an increased risk
for medication errors and the
-
digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Automated Retract-and-Reorder Measures to Improve Medication Safety
New measures to identify near-miss medication … errors are a major advancement in patient safety and can help healthcare systems make ordering even
-
digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual
January 01, 2023 - Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error and Improve Outcomes in Ambulatory Care
Project Final Report ( PDF , 611.54 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are respons…
-
digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial
January 01, 2023 - of Care
Primary Care
Health Care Theme
Medication
Patient Safety
Medication … errors and preventable adverse drug events (ADEs) occur commonly among patients in the ambulatory setting
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - care as a national patient safety goal, and promotes medication reconciliation to reduce
the risk for medication … errors.(4) Medication errors are associated with 66% to 72% of the adverse events oc-
curring after … Missed medications, wrong doses, and
other medication errors due to inability to self-manage medication … Medication errors in home care: A qualitative focus group study. J Clin Nurs.
2017.
13.
-
digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-user-survey.pdf
June 16, 2021 - I can use my current patient health information system to prevent medication errors. ................
-
digital.ahrq.gov/technology/radio-frequency-identification-device
January 01, 2023 - Radio Frequency Identification Device
Overlaying multiple sources of data to identify bottlenecks in clinical workflow.
Citation
Vankipuram A, Patel VL, Traub S, et al. Overlaying multiple sources of data to identify bottlenecks in clinical workflow. Journal of Biomedical Info…
-
digital.ahrq.gov/care-setting/perioperativeoperative
January 01, 2023 - Principal Investigator(s)
Pratap, Jayant
Preventing Perioperative Medication … Errors and Adverse Drug Events Through the Use of Clinical Decision Support
Description
This
-
digital.ahrq.gov/type-care/surgery
January 01, 2023 - Principal Investigator(s)
Pratap, Jayant
Preventing Perioperative Medication … Errors and Adverse Drug Events Through the Use of Clinical Decision Support
Description
This
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - outcomes such as the standardization of patient care practice, reduced adverse drug events, and
reduced medication … errors were achieved by changing the work processes, and the development
and introduction of order
-
digital.ahrq.gov/2020-year-review/research-dissemination/ahrq-funded-researchers-disseminate-findings-high-impact-journals
January 01, 2020 - AHRQ-Funded Researchers Disseminate Findings in High-Impact Journals
In 2020, AHRQ-funded researchers published over 100 research articles in peer-reviewed journals and book chapters, including the following:
Displaying Patient Photos in Electronic Health Records Reduces Hospital O…
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
January 01, 2007 - generalizability, especially as the technology becomes more widespread.
4
Scope
Background
Medication … errors occur at every step in the medication process— ordering medications,
transcribing the orders … Medication errors that occur in the early stages of the process are more likely than others to be
intercepted … Although dosing errors are among the most common of
medication errors,1
In October 2003, Tufts Health
-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
October 01, 2009 - errors (due in part to the higher number of medications received). … errors, their impact on patients, and the potential
impact of BCMA to reduce these errors. … This
discontinuity could affect the quality of care, placing residents at greater risk of medication … errors, pressure ulcers, and other unfavorable outcomes.
23
Conclusion
AHRQ has funded a diverse … errors, impact
on residents, and how many might be prevented with the barcoding
-
digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
January 01, 2010 - Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes - 2010
Project Name
Impact of Office-Based E-Prescribing on Prescribing Processes and Outcomes
Principal Investigator
Fischer, Michael
Organization
Brigham and Women's Hospital
Funding Mechanis…
-
digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - errors (due in part to the higher number of medications received). … errors, their impact on patients, and the potential
impact of BCMA to reduce these errors. … This
discontinuity could affect the quality of care, placing residents at greater risk of medication … errors, pressure ulcers, and other unfavorable outcomes.
24
Conclusion
AHRQ has funded a diverse … errors, impact
on residents, and how many might be prevented with the barcoding
-
digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - High Cost
– $190 to $300 Billion/year**
High Consequence
– Poor chronic disease outcomes, medication … errors, adverse drug events, re-hospitalizations
* Fischer 2010
**NYT, 2010; NEHI 2011
Why?
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
June 16, 2021 - How many medication errors were found on chart review? _____
15.
-
digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing
January 01, 2023 - Value of New Drug Labeling Knowledge for e-Prescribing
Project Final Report ( PDF , 43.7 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 views of AHRQ. …