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digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project
January 01, 2023 - Safety
Quality Improvement
The project aim was to implement advanced EHRS functionality … and quality reporting of national performance measures in a replicable, scalable model across four safety … The system's flexibility allows Alliance providers to tailor their services to their patients' needs. … Heartland Health, for example, is maintaining EHRs for homeless patients, deploying laptops and mobile … The Alliance is planning implementation of a patient portal that will allow patients to enter new information
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digital.ahrq.gov/principal-investigator/pitts-samantha
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient … discontinuation (CancelRx) on medication safety: A pilot study. … , Medication Safety Risks, and Patient Outcomes - Final Report
Citation
Pitts S. … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … , Medication Safety Risks, and Patient Outcomes
Description
This research developed strategies
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digital.ahrq.gov/principal-investigator/jose-jim
January 01, 2023 - Safety
Using staff perceptions on patient safety as a tool for improving safety … Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital … Safety
Comprehensive IT Solution for Quality and Patient Safety - Final Report … Comprehensive IT Solution for Quality and Patient Safety - Final Report. … Technology (IT) Solution for Quality and Patient Safety
Description
Implemented a series of
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health/annual-summary/2010
January 01, 2010 - This is known as the Safety Enhancement and Monitoring Instrument – Patient centered (SEMI-P) and is … Outcome assessment focused on medication safety among geriatric patients, in addition to office staff … Examples include: incorporation of patient education brochures for high-risk medications; inclusion of … diagnosis on prescriptions; patient reminders regarding followup; patient-carried medication lists; … At all practices, the majority of patients had appropriate laboratory monitoring for these medications
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digital.ahrq.gov/principal-investigator/ratwani-raj-m
January 01, 2023 - Hettinger, Aaron Zachary
Project Name
Improving Patient Safety and Clinician Cognitive Support … Through eMAR Redesign
Improving Patient Safety and Clinician Cognitive Support … Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. … A text mining approach to categorize patient safety event reports by medication error type. … Project Name
Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign
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digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
January 01, 2023 - This session will describe efforts to optimize error reporting systems and enhance their utility for patient … safety improvement. … Covered topics will include: a discussion of the utilization of the AHRQ Patient Safety Indicators (PSI … specialties for errors related to antibiotics and cancer chemotherapy and examining the National Center for Patient … Safety chemotherapy incident reports.
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digital.ahrq.gov/program-overview/research-stories/virtual-pharmacy-improves-medication-use-and-patient-safety-palliative-care
January 01, 2023 - Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care
Theme:
Supporting … Some of our patients are on 20 different medications.” … The pharmacists were also available for telecounsel with clinicians and patients. … to dial up a pharmacist and say, ‘Hey, can you help me understand the best way to treat pain in this patient … addition of a virtual pharmacist to a CBPC team improved medication and symptom management, and enhanced patient
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digital.ahrq.gov/ahrq-funded-projects/guiding-safe-and-effective-integration-ambient-digital-scribes-primary-care
September 30, 2024 - Safety
Provider Burden
Sociotechnical Aspects
Technology Usability
The adoption of … qualitative interviews with these PCPs to uncover barriers and facilitators to implementation, and with patients … safety, and AI, to support implementation across diverse healthcare organizations. … This research addresses the safety and workflow challenges arising from the rapid adoption of ADSs in … burnout rates among PCPs linked to documentation burdens, the study will advance understanding of ADSs’ safety
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023701-ratwani-final-report-2021.pdf
January 01, 2021 - Identify health IT-related patient safety events from large patient safety
event databases using natural … analysis of patient safety event reports. … integrated with current
patient safety processes. … events: Insights from patient safety event reports. … Journal of Patient
Safety.
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digital.ahrq.gov/principal-investigator/adelman-jason-stuart
July 24, 2024 - Photographs in Electronic Health Records
Observation and patients' perceptions … Observation and patients' perceptions of incorporating their photograph into the electronic health record … Safety - Final Report. … Wrong-patient orders in obstetrics. … and Validate Health IT Safety Measures To Capture Violations of the Five Rights of Medication Safety
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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/annual-summary/2010
January 01, 2010 - foster team-based approaches to prioritizing performance, system redesign, better use of EMR tools, and patient … to printing medication lists to encourage adherence, printing orders for medication monitoring for patients … was published in the Journal of Patient Safety and describes improvement plans made by the participating … A total of 49,047 patients over the age of 18 years were eligible for at least one of the medication … greater use of EMR monitoring tools, use of interaction and dosing tools at the point of care as well as patient
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digital.ahrq.gov/program-overview/research-stories/choosing-what-clinicians-see-electronic-health-record-can-reduce-cognitive-burden-and-improve
January 01, 2023 - Safety
Giving clinicians the ability to customize the patient electronic health record display … Increased provider cognitive burden risks to patient safety from poor EHR design
While the use of EHRs … These combined factors increase the likelihood of clinician error, which in turn can harm patients. … Pittsburgh Research Profile Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety … Safety
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digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - Navigation and
Feedback
Most patients had no difficulty navigating
CancerHelp® Patient Education … (did not discuss with doctor or nurse)
Safety net, small (n=6):
5 of 6 patients (33%) reported … Self-reported Use of
“Topics for Today”
Safety net, large (n=19):
12 of 19 patients (63%) reported … : Not at all (n=7)
Safety net, small (n=3):
1 of 3 patients (33%) received SCP
“Gave a copy to … Safety net, large (n=8):
4 of 8 patients (50%) received SCP
“Just received it.
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Pediatrics
Health Care Theme
Adverse Events
Meaningful Use
Medication Management
Patient … that are served by BMS CHC that impact patient outcomes. … The study found that automatic queries of EHRs to identify patients eligible for quality measures are … Electronic health record-based monitoring of primary care patients at risk of medication-related toxicity … Jt Comm J Qual Patient Saf 2012;38(5):216-23.
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digital.ahrq.gov/principal-investigator/weissman-joel
January 01, 2023 - Principal Investigator
Weissman, Joel
Project Name
E-Prescribing Impact on Patient Safety … Principal Investigator
Weissman, Joel
Project Name
E-Prescribing Impact on Patient Safety … , Use, and Cost
E-Prescribing Impact on Patient Safety, Use, and Cost - Final … E-Prescribing Impact on Patient Safety, Use, and Cost - Final Report. … Safety, Use, and Cost
E-Prescribing Impact on Patient Safety, Use, and Cost
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digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response
December 31, 2024 - Safety (SEIPS) and other sociotechnical approaches to technology-mediated work practices. … care, safety, and well-being will be enhanced. … “We wanted to understand how the surge in patients with COVID-19 impacted workflow, how resources were … patients we had, how many beds were filled, how many beds were available, and how many people were on … care, safety, and well-being.
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digital.ahrq.gov/organization/childrens-research-institute
January 01, 2023 - reality application for use on a smartphone to manage pain during dressing changes in pediatric burn patients … Tracking (PhaST): Managing Medications for Patient Safety - 2011
Principal Investigator … for Patient Safety
Pharmaceutical Safety Tracking (PhaST): Managing Medications … Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety … Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety
Description
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - Understanding CancelRx: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes – … Final Report
Understanding CancelRx: Impact on Clinical Workflows, Medication Safety Risks, and … CancelRx, e-prescribing, medication safety … Following thematic
analysis and based on our operational safety work, we further examined workflows … workflows result in a discrepancy between the EHR and pharmacy management software
which introduces a safety
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023805-kutney-lee-final-report-2019.pdf
January 01, 2019 - Patients. … Administrative patient databases from the four states were used to identify patients 18
years of age … ,22 nurses assigned an overall grade for their unit on patient safety
as: A: excellent; B: very good … Sociotechnical systems approach to healthcare quality and patient safety. Work
2012;41:3850-4
6. … Hospital Survey on Patient Safety Culture.
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digital.ahrq.gov/ahrq-funded-projects/building-and-implementing-predictive-decision-support-system-based-proactive
January 01, 2024 - Safety
Emergency departments are often overcrowded, leading to patient safety risks, poorer … patient outcomes, and treatment delays with increased morbidity and mortality. … volumes, limited resources, and poor patient flow. … PFMs include metrics such as the number of boarding patients in the ED while waiting for an inpatient … With less overcrowding, it would be expected that there would be resultant improvements in patient safety