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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
June 16, 2021 - reviewing the charts, they found what we estimate to be about
9% of total errors that were actually occurring
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/prescription-screening-form
January 01, 2023 - Prescription Screening Form
Description
This is a form to classify prescriptions based on type and what adverse events occurred.
Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic Health Records
PDF
Prescription S…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018841-basco-final-report-2013.pdf
January 01, 2013 - In deciding which LASA errors to prioritize, it is possible that frequently-occurring but low-
potential
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen
Project Final Report ( PDF , 492.54 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, an…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mitchell-e-et-al-2001
January 01, 2001 - Mitchell E et al. 2001 "A descriptive feast but an evaluative famine: systematic review of published articles on primary care computing during 1980-97."
Reference
Mitchell E, Sullivan F. A descriptive feast but an evaluative famine: systematic review of published articles on primary care computing dur…
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digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - patient safety initiative is aimed at
decreasing pressure ulcers,14,15 a common but
preventable condition occurring
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025785-turvey-final-report-2021.pdf
January 01, 2021 - The most common items endorsed (i.e., “Sometimes,” o “Often”
occurring) were the patient’s better understanding … When asked about experiences with messaging occurring, “Never,” “Rarely,”
“Sometimes,” or “Often,” those
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/flowchart
January 01, 2023 - Flowchart
Also Known As
Activity Diagram
Cross-Functional Flowchart
Process Flowchart
Process Map
"Swim Lane" Flowchart
Examples
Common Office Visit ( PDF , 34KB)
Flowchart Incoming Calls ( PDF , 432KB)
In-Office Prescribing Flowchart - Electronic System ( PDF , 475KB)
In-O…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
January 01, 2012 - The intervention included both real-time medication alerts, occurring at the time of e-prescribing
during
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Learning from Primary Care EHR Exemplars About HIT Safety - Final Report
Project Title: Learning from Primary Care EHR E xemplars About HIT Safety
Principal Investigator: Steven Mark Ornstein, MD
Team members: Cara B. Litvin, MD, MS; Lynne S. Nemeth, PhD, RN; Andrea Wessel…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
January 01, 2008 - Detecting Med Errors in Rural Hospitals Using Technology - Final Report
Grant Final Report
Grant ID: 1UC1HS015400
Detecting Med Errors in Rural Hospitals
Using Technology
Inclusive Dates: 09/30/04 - 08/31/08
Principal Investigator:
C. Andrew B…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017048-schneider-final-report-2011.pdf
January 01, 2011 - Massachusetts Quality e-Measure Validation Study
Grant Final Report
Grant ID: 1R18HS017048
Massachusetts Quality e-Measure Validation Study
Inclusive Dates: 09/12/07 – 08/31/11
Principal Investigator:
Eric C. Schneider, MD, MSc
* † ‡ §
Team Members:
Carol Cosenza, PhD
Jeffrey Linder, MD
*…
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - Medication Reconciliation to Improve Quality of Transitional Care
Project Final Report ( PDF , 416.7 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 vie…
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - Improving Sickle Cell Transitions of Care through Health Information Technology - 2012
Project Name
Improving Sickle Cell Transitions of Care Through Health Information Technology
Principal Investigator
Jain, Anjali
Organization
The Lewin Group, Inc.
Funding Mechanism…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Incidence and Prevalence
Medication-related errors are one of the most common types of errors occurring
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
January 01, 2012 - In addition, health care utilization that was reported as
occurring outside of the Billings Clinic … In addition, other activities were occurring across the organization that may have
impacted results … Adverse drug events
occurring following hospital discharge. J Gen Intern Med.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
January 01, 2013 - diagnosis(es) 4.4 4.0 – 4.8
Receive consultant evaluation† 4.4 4.0 – 4.8
Change in Status information (occurring … discharge was the key component in decreasing discharge medication errors, and that the PCP
communication occurring
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
January 01, 2010 - Patient Safety Metadata - 2010
Project Name
Patient Safety Metadata
Principal Investigator
Penoza, Chuck
Organization
Data Consulting Group
Contract Number
290-08-10005M
Project Period
January 2008 – December 2010, Completion of Contract
AHRQ Funding A…
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digital.ahrq.gov/location/usa-il-evanston
January 01, 2023 - USA, IL, Evanston
Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Description
This research implemented indication alerts, which occur when an ordered or prescribed medication lacks a corresponding problem on the patient’s problem list. Th…
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - it was found that errors occurred
at a rate of 5.7 errors per 100 orders, with 79% of these errors occurring