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digital.ahrq.gov/electronic-prescribing-0
January 01, 2023 - All levels of electronic prescription writing confer varying degrees of improvements in patient safety … Level 6, which is the most sophisticated, has been shown to confer the highest degree of patient safety … Medications for Patient Safety Primary Investigator: William Gardner State: OH
Title: RxSafe: Shared … The diagrams covered outpatient prescribing for patients between clinic visits and while the patient … safety, health outcomes, or patients' costs.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager
January 01, 2023 - Safety
There is growing recognition that the use of health information technology (IT) … carries risks that can compromise patient safety and lead to harm. … Any characteristic of a health IT application that compromises patient care processes or causes harm … The ECRI Patient Safety Institute worked with the project team to program and operate a Web-based beta … Safety Database.
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digital.ahrq.gov/ahrq-funded-projects/boone-county-community-care-network
January 01, 2023 - Hospice Care
Long-Term Care
Primary Care
Health Care Theme
Interoperability
Patient … Safety
The Boone County Community Care Network (BCCCN) utilized the concept of access, science … Don Berwick in the Escape Fire analysis, to design a health information technology plan to improve safety … improve access to health care information for all providers within the county, resulting in improved patient … between providers and patients through the implementation of this technology initiative.
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - recommendation (2)
• CDS Other: erroneous, faulty logic
• Faulty design (1)
• Software Design Other entries: client … IT staff conducted
a retrospective investigation that did not identify any other patients receiving … clinicians (2)
• Loss of pre-existing safeguards (1)
• Other organizational factors other: “poor vendor client … The IT staff identified three other
patients with surnames beginning with “Test” and changed the names … of test patients to this
format: zzGHS1234.
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digital.ahrq.gov/technology/administrative-system
January 01, 2023 - into how this artificial intelligence-driven technology transforms workflows while addressing critical safety … safety and quality; also provided education intervention to support implementation efforts and evaluate … its effects on patient safety and quality. … The goals of the project were to reduce medical errors, improve the quality of patient care, increase … patient satisfaction and lower costs.
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digital.ahrq.gov/location/usa-ga-atlanta
January 01, 2023 - Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department medication safety … Safety
Description
Implemented a series of new health information technologies in carefully … Administration Record, Bar Coding System, and a CPOE System; evaluated the impact of these systems on safety … Principal Investigator(s)
Jose, Jim
Computer Assisted Medication and Patient … Investigators from Emory University adapted an existing personal health record to better meet the needs of patients
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digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
January 01, 2023 - Primary Care
Specialty Care
Health Care Theme
Medication
Medication Errors
Patient … Safety
Electronic prescribing (e-prescribing) is one health information technology system … that clinicians may use to improve the safety, quality, and efficiency of health care. … e-prescribing, but described major barriers to implementation and use, including maintaining complete patient … efficiency, and quality, such as clinical decision support tools, including alerts and reminders; access to patient-specific
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023837-gurses-final-report-2021.pdf
January 01, 2021 - Systems Engineering Initiative for Patient Safety (SEIPS). … in turn, shape outcomes including patient safety. … PICU, and ED to PICU, which are important to patient safety and quality of care. … Work system design for patient
safety: the SEIPS model. … International Conference on Healthcare Ergonomics and
Patient Safety; 2019: Springer.
20.
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics
January 01, 2023 - an automated system to identify adverse drug events (ADEs) in the ambulatory setting for pediatric patients … incidence of ADEs occurring in the outpatient setting (including the emergency department) in pediatric patients … In 1,983 patients the automated system detected 156 ADEs with a positive predictive value (PPV) of 21.5 … safety and clinical informatics. … The informatics opportunities at the intersection of patient safety and clinical informatics.
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digital.ahrq.gov/location/usa-tn-nashville
January 01, 2023 - USA, TN, Nashville
COMputerized PAtient-centered Collaborative Technology … Making in Breast Cancer
Description
This research will develop and evaluate a COMputerized PAtient-centered … Improving the Quality and Safety of Regional Surgical Patient Care through the Creation of a Multi-institutional … quality improvement programs, and the development of an economic model related to the business and safety … Number
P20 HS015401
Principal Investigator(s)
Higgins, Michael
Safety
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027894-kelly-final-report-2023.pdf
January 01, 2023 - (vs. patient) reporting of safety concerns. … to patient safety in the inpatient setting. … and family
engagement to improve care quality and patient safety. … Council On Quality Improvement, Patient Safety,
Committee On Hospital Care. … A patient feedback reporting tool for OpenNotes:
implications for patient-clinician safety and quality
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digital.ahrq.gov/population/migrant-populations
January 01, 2023 - Registry to Improve Management of Hypertension in Community-based Health Centers
Patient … safety: The role of human factors and systems engineering. … Patient safety: The role of human factors and systems engineering.
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/annual-summary/2009
January 01, 2009 - The research examined the effects of technology implementation on patient safety, quality of care, financial … including end-users' job tasks, communication, coordination, quality of working life, and perceptions of patient … the cost of patient care in the ICUs before and after the implementation; and 4) examine the role of … can help identify ways that the technology can improve systems, care processes, quality of care, and patient … safety.
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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
June 16, 2021 - She’s a medical officer and leads the Patient
Safety Organization Team at AHRQ. Dr. … Mining electronic health records for patient safety research, Dr. … And
this would seem to be, you know, a prime area for patient safety research. … What
kind of patient safety research do you want to do. … And we use that in our patient safety
research.
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digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
January 01, 2024 - provider safety along with the delivery of high-quality care. … Patient perceptions of audio-only versus video telehealth visits: A qualitative study among patients … Patient perceptions of audio-only versus video telehealth visits: A qualitative study among patients … -19 patients. … with Chronic Obstructive Pulmonary Disease Virtual Pharmacy Improves Medication Use and Patient Safety
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
January 01, 2010 - This project consists of three studies assessing the impact of health information technology (IT) on patient … safety in the ambulatory setting. … medication management in the ambulatory setting, and the impact of health information exchanges on patient … safety at a critical time of transition. … background form that obtains demographic and health status information from patients in the hospital
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - In practice, use of the module was low and its impact on patient was safety was modest. … to improve medication safety: the Patient Gateway medications
module. … Roundtable Invited Talk, Canadian Patient Safety
Institute, Toronto, ON, Canada, 2009.
15. … “Medication reconciliation and its role in improving patient safety.” … , JAMIA, and the Journal of Patient Safety.
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digital.ahrq.gov/sites/default/files/docs/citation/HealthITHazardManagerFinalReport.pdf
May 01, 2012 - The Patient Safety Act focuses on
learning from retrospective analysis of safety incidents and adverse … If patient harm cannot be ruled out, such teams typically forward the
information to the patient-safety … Patient-safety teams are usually aware
of the severity of patient harm resulting from a safety incident … The NPSD aggregates patient safety
reports from Patient Safety Organizations, using the AHRQ Common … Health IT and Patient
Safety: Building Safer Systems for Better Care.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - Measure Category: Clinical Process
Quality Domain: Patient Safety
Current Findings in the Literature … safety practices and
prevent medication errors, as orders can be
misunderstood, misinterpreted, or … miswritten.2
Recently, in an effort to increase patient safety,
JCAHO developed a standard that requires … Improving the safety of telephone or
verbal orders. Patient Saf Advis 2006;3(2):1,3 7. … Joint Commission of Accreditation of Healthcare
Organizations. 2004 hospitals’ national patient
safety
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
January 01, 2022 - Key Words: Medication Safety, Patient Safety, Usability, Efficiency, Clinical Decision Support
PURPOSE … Second, surgical patients are often among the highest acuity
patients in the hospital, and due to the … Journal of Patient Safety. 2021 Dec; 17(8):758-64. … A rose by any other name would smell as sweet: Defining
patient safety-related terminology. … Standardization in patient safety: the WHO High
5s project.