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  1. digital.ahrq.gov/sites/default/files/docs/activity/2011_017258_gardner_pdf_3.pdf
    January 01, 2011 - s family, since calls were conveniently scheduled and additional transportation or treatment costs occurred
  2. digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
    January 01, 2010 - For each prompt, the pharmacist assessed if an ADE occurred and documented the ADE.
  3. digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care
    January 01, 2023 - In this natural experiment, the staggered health IT implementation across 110 primary care teams occurred
  4. digital.ahrq.gov/ahrq-funded-projects/hie-and-ambulatory-test-utilization/annual-summary/2010
    January 01, 2010 - project delays, but expenses are expected to increase now that the delivery of datasets for analysis has occurred
  5. digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/annual-summary/2011
    January 01, 2011 - Planning for the project kickoff meeting occurred and the meeting for all co-investigators and research
  6. digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2011
    January 01, 2011 - Data collection occurred at 1-week, 1-month, and 3-month intervals following discharge.
  7. digital.ahrq.gov/sites/default/files/docs/citation/r21hs025785-turvey-final-report-2021.pdf
    January 01, 2021 - Providers endorsed if specific outcomes occurred in ANY of their patients, whereas patients were asked … endorsed (i.e., “Sometimes,” o “Often” occurring) were the patient’s better understanding of what occurred … Of this sample, 66% endorsed (occurred “Sometimes” or “Often) that secure messaging replaced calling … Development of ConnectCare based on results from Specific Aim #1 occurred just as the COVID19 pandemic
  8. digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
    May 23, 2013 - other: “potential hazards training” and “inadequate testing” Impact All seven sites selected ‘has occurred … Unclear policies (1) • Loss of pre-existing safeguards (1) Impact All seven sites said “it has occurred … compromise was ‘high likelihood’ while the other 6 sites said that the care process compromise ‘had occurred … factors Other: “poor oversight” Impact All seven sites said the risk of care process compromise ‘has occurred
  9. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-final-report-2018.pdf
    January 01, 2018 - The transition from paper to electronic notes occurred in 2006 using note writing applications Cerner … There were few periods of technical difficulty (downtime, note-creation problems) but those that occurred … We did not systematically measure how frequently copying and pasting of notes occurred though the prevalence … application and the remainder were typed, because the VGEENS system was not operating or some technical error occurred
  10. digital.ahrq.gov/sites/default/files/docs/activity/hie_and_ambulatory_test_utilization_2010_pdf__2.pdf
    January 01, 2010 - project delays, but expenses are expected to increase now that the delivery of datasets for analysis has occurred
  11. digital.ahrq.gov/sites/default/files/docs/activity/2011_018649_levick_pdf_3.pdf
    January 01, 2011 - collected by administering surveys, conducting interviews, and analyzing notes from meetings that occurred
  12. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/potential-problem-analysis
    January 01, 2023 - Potential Problem Analysis Acronym PPA Description A potential problem analysis (PPA) is a systematic method for determining what could go wrong in a plan under development. The problem causes are rated according to their likelihood of occurrence and the severity of their consequences. Prevent…
  13. digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors
    January 01, 2023 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors Project Final Report ( PDF , 633.69 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 …
  14. digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
    January 01, 2023 - However, while implementation of electronic health records (EHR) has reached near ubiquity, this has occurred … We compared differences in trends between inter-hospital transfers that occurred across the two instances … Finally, integration of EHRs across systems occurred during the tail end of the omicron surge and the … Of patients not transferred because of potential instability, fewer examples occurred at hospitals from … Complete EHR integration across two legacy health systems occurred at the dotted line.
  15. digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
    January 01, 2022 - Among these errors, 7,171 (71%) occurred during medication ordering, and 67.7% were violations of the … used a convenience sample when contacting clinicians to verify whether a Retract-and-Reorder error occurred … Thus, the sample may not be representative of the universe of events that occurred. … There were a total of 885 RAR events that occurred within the 30/10 timeframe included in the analysis … feature of our methodology was the ability of RAR measures to detect order errors shortly after they occurred
  16. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager
    January 01, 2023 - analyzed retrospectively, after harm has been identified, but ideally should be identified before harm has occurred
  17. digital.ahrq.gov/sites/default/files/docs/activity/surveillance_for_adverse_drug_events_in_ambulatory_pediatrics_2010pdf_2.pdf
    August 01, 2010 - For each prompt, the pharmacist assessed if an ADE occurred and documented the ADE.
  18. digital.ahrq.gov/sites/default/files/docs/citation/r36hs022183-blaz-final-report-2014.pdf
    January 01, 2014 - Data collection occurred in two phases. … Informal Interviews: Informal interviews occurred when the PI approached individuals on the unit for … Communication occurred with other providers, patients, and patients' families. … For nurses using the Nursing Summary Report, destruction occurred immediately following a shift. … This occurred twice during field observations.
  19. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
    January 01, 2023 - Force-Field Analysis Description A force-field analysis identifies the forces that either aid in or are detrimental to arriving at a desired outcome. A scenario plays out as a balance between two forces: one attempting to alter the current state and the other attempting to keep it the same. When these…
  20. digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
    April 25, 2013 - We found that adverse events occurred in our charts at about a 5.3% of the time. … And over here on the right side is the now, when it occurred, when the note was written. … And what you see here is that if someone says something occurred three days ago, then on average it … occurred plus or minus 50% of that claim. … that means is out of the errors that were identified in that study, these are the percentages that occurred

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