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  1. digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
    January 01, 2008 - Improving Safety and Quality with Outpatient Order Entry - 2008 Project Name Improving Safety and Quality with Outpatient Order Entry Principal Investigator Gandhi, Tejal Organization Brigham and Women's Hospital Funding Mechanism RFA: HS04-012: Demonstrating the Va…
  2. 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
  3. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
    January 01, 2009 - which began roughly 13 months prior to the first cohort activation, with early readiness activities occurring
  4. 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
  5. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
    January 01, 2023 - Project Planning and Management Allocation of Function Analysis Description An allocation of function analysis is used during design to determine how to allocate jobs, tasks, functions, and responsibilities for the system under analysis. During the analysis, each task must be …
  6. digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
    January 01, 2023 - Bar Coding for Patient Safety in Northern Michigan Project Description Other Resources Project Details - Completed Grant Number UC1 HS014878 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQI…
  7. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
    January 01, 2007 - Kuperman GJ et al. 2007 "Medication-related clinical decision support in computerized provider order entry systems: a review." Reference Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc 2007…
  8. 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
  9. 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…
  10. 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…
  11. 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
  12. 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…
  13. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
    January 01, 2023 - Data Collection Comms Usage Diagram Description A comms usage diagram (CUD) displays how teams in different geographical areas collaborate across their respective locations. The diagram also includes information about how and why the communication occurs, the specific technolo…
  14. 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.
  15. 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
  16. 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…
  17. 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
  18. 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…
  19. digital.ahrq.gov/sites/default/files/docs/library/NEJMsa1102519_0.html
    June 16, 2021 - MMS: Error Our apologies. An error occurred while setting your user cookie. Please set your browser to accept cookies to continue. NEJM.org uses cookies to improve performance by remembering your session ID when you navigate fr…
  20. digital.ahrq.gov/sites/default/files/docs/library/NEJMsb1103659.html
    June 16, 2021 - MMS: Error Our apologies. An error occurred while setting your user cookie. Please set your browser to accept cookies to continue. NEJM.org uses cookies to improve performance by remembering your session ID when you navigate fr…

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