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  1. digital.ahrq.gov/medical-condition/cancer
    January 01, 2024 - Cancer Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology Description This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review process in …
  2. 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 medicationerrors are a major advancement in patient safety and can help healthcare systems make ordering even
  3. 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
  4. 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…
  5. 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…
  6. digital.ahrq.gov/sites/default/files/docs/page/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
    August 01, 2007 - pilot scope – The number of callbacks from the pharmacy to the prescriber per month, the pre-pilot medicationerror rate, and the number of adverse drug events (ADE) per site were not measured for the pilot.
  7. 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 medicationerrors.(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.
  8. 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…
  9. 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 medicationerrors were achieved by changing the work processes, and the development and introduction of order
  10. 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…
  11. 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 medicationerrors, 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
  12. 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 Medicationerrors 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
  13. 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…
  14. 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…
  15. 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 medicationerrors, 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
  16. Layout 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/08-0045_telehealth_1.pdf
    August 01, 2008 - irregular hours (nights, weekends, and holidays) can more effectively detect and prevent dangerous medicationerrors than traditional methods; this can be attributed to pharmacists manually reviewing “night and
  17. 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, medicationerrors, adverse drug events, re-hospitalizations * Fischer 2010 **NYT, 2010; NEHI 2011 Why?
  18. digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
    June 01, 2009 - been fairly consistent in showing that they can alter clinician decisionmaking and actions, reduce medication … Although the studies showing the ability of CDS to prevent medication errors (incorrect decisions) have … Preventing medication errors. … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review … Role of computerized physician order entry systems in facilitating medication errors.
  19. digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
    January 01, 2008 - care are vulnerable to communication breakdowns, and that these breakdowns are a common source of medicationerrors.
  20. 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.

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