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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 …
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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
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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
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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…
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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…
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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
August 01, 2007 - 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/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.
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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…
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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
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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…
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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
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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
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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…
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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…
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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
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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 medication … errors than traditional methods; this can be attributed to
pharmacists manually reviewing “night and
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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?
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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.
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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 medication … errors.
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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.