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digital.ahrq.gov/national-webinars/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and
July 24, 2024 - Description:
Medication errors are a leading cause of injury and avoidable harm in healthcare, with … Preventable medication errors cost the nation more than $21 billion annually across all care settings … approaches and digital healthcare interventions such as clinical decision support tools are reducing medication … errors, improving provider effectiveness, and enhancing patient safety in a variety of clinical care … errors in electronic orders.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-8-peek-literature-medication-use-and-cds
January 01, 2006 - Medication errors, which indicate breakdown in the medication use cycle and may cause bad outcomes, are … safety entitled Preventing Medication Errors, as part of their Quality Chasm series … error per day. … The IOM report also synthesized research on medication errors in the outpatient setting, citing studies … [47]
A systematic review found that CPOE reduces medication errors and ADEs.
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign
April 30, 2024 - errors occur most commonly during the ordering and reviewing of medications and nearly all are a result … error type. … A text mining approach to categorize patient safety event reports by medication error type. … errors across medication process stages. … Identifying health information technology usability issues contributing to medication errors across medication
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
January 01, 2010 - The first is a multi-center before-and-after study measuring the impact on medication errors of switching … Specific Aims:
Measure the effects on medication errors of transitioning from one e-prescribing system … The team further developed a medication error and adverse drug event tool. … All medication errors will be reviewed by two experienced physicians who will use this tool to rate the … severity of the medication errors and ADEs.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-physician-order
January 01, 2004 - Computerized Physician Order Entry and Medication Errors in a Pediatric Critical Care Unit
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digital.ahrq.gov/sites/default/files/docs/activity/electronic_prescribing_and_electronic_transmission_of_discharge_medication_lists_2010_pdf__2.pdf
January 01, 2010 - The first is a multi-center before-and-after study measuring
the impact on medication errors of switching … Specific Aims:
• Measure the effects on medication errors of transitioning from one e-prescribing system … The team further developed a medication error and adverse drug event tool. … All medication errors will be reviewed by two experienced physicians who
will use this tool to rate … the severity of the medication errors and ADEs.
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - The first was a multi-center pre-post study measuring the impact on medication errors when switching … (Achieved)
2011 Activities: The first study, measuring the effects on medication errors and data … Risk factors for medication errors and ADEs included taking 11 or more medications, having two or more … The results also provide important information on the most common types of medication errors. … This information can help providers identify patients who may be at higher risk for medication errors
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digital.ahrq.gov/principal-investigator/nanji-karen-c
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems
January 01, 2023 - Population
Clinical Staff/Clinician
Health Care Theme
Human Factors
Medication … Errors
Medication Safety
Medication errors cause adverse drug events in nearly 5 percent
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-automation-pharmacist
January 01, 2001 - Impact of automation on pharmacist interventions and medication errors in a correctional health care … Study: Evaluate the impact of an automated check-and-sortation system on pharmacist interventions and medication … errors.
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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - Near-miss medication errors, such as when clinicians realize they have ordered the wrong dose or frequency … Preventable medication errors cost the nation more than $21 billion annually across all care settings … Near-miss medication errors are difficult to identify and are underreported but can be opportunities … to make electronic ordering safer
Medication errors are the most common and preventable cause of patient … Near-miss medication errors, such as when clinicians realize they’ve ordered the wrong dose or frequency
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digital.ahrq.gov/sites/default/files/docs/better-medication-management-transcript-021611.pdf
May 10, 2016 - I'd like to start with definitions of what medication errors are. … I think, intuitively, we all know
that a medication error is when the patient gets the wrong drug. … It's a high-alert
medication error risk scorecard. … Each medication error has a different scorecard because some of the questions
that we'll be gathering … And we used that against medication error reports that
we received on our own reporting system and
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
January 01, 2023 - Evidence indicates that health information technology (IT) decreases medication errors in the inpatient … The first was a multi-site, pre-post study measuring the effects of health IT on medication errors when … error rates. … The specific aims of the study were to:
Measure the effects on medication errors of transitioning … Finally, the cohort controlled study did not find a reduction in the incidence of medication errors.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/steele-aw-et
January 01, 2023 - errors and decrease adverse drug events with the use of clinical-decision support systems presenting … errors related to drug-laboratory interactions in an outpatient primary-care setting. … Implementation of rules technology to prevent medication errors could be an effective tool for reducing … medication errors in an outpatient setting." … Objective
To assess "the impact of automated alerts on medication errors related to [missing or abnormal
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - We developed and validated five new RAR medication error measures: Wrong-Dose (all age
groups combined … Validation of automated wrong
dose and wrong-frequency medication error measures: Preliminary results … Development and validation of an automated wrong-PRN medication error measure: preliminary results. … National Coordinating Council for Medication Error Reporting and Prevention. … What is a medication
error? October 10, 2022.
31. Grober ED, Bohnen JM. Defining medical error.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - Type of Care
Acute Care
Health Care Theme
Medication Reconciliation
Medication … errors account for approximately 20 percent of all medical errors in the U.S. … errors. … Determine whether electronic facilitation alters medical reconciliation and the incidence of medication … errors in ambulatory care.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - error rates. … errors) markers. … Of the CPOE studies, 2 demonstrated a marked decrease in the serious medication error rate, 1 an improvement … errors or adverse drug events and 1 an improvement in theophylline-associated medication errors. … Conclusions: Use of CPOE and isolated CDSSs can substantially reduce medication error rates, but most
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
January 01, 2009 - Children are more susceptible to serious medication errors than adults due to weight-based dosing, off-label … It changes the culture of the organization gradually and whittles away at the medication error and other … Specific Aims
Improve pediatric patient safety by reducing medication errors. ( Achieved )
Improve … During August 2005, smart pump technology for syringes was implemented to prevent medication errors at … error rates and ADEs observed in this study.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-physician-order-1
January 01, 2004 - Computerized physician order entry and medication errors in a pediatric critical care unit
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digital.ahrq.gov/sites/default/files/docs/activity/comprehensive_information_tech_2009_update_2.pdf
January 01, 2009 - Children are more susceptible to serious medication errors than adults due to weight-based dosing, off … errors. … It changes the culture of the organization gradually and
whittles away at the medication error and other … During August 2005, smart pump technology
for syringes was implemented to prevent medication errors … error rates and
ADEs observed in this study.