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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/Long%20Term%20Care%20e-Prescribing%20Standards%20Pilot%20Study%20-%20Final%20Report_0.pdf
October 25, 2025 - In addition, real-time resident drug coverage and
patient safety alerts are available before the order … This capability is efficient and reduces errors at the facility and the
pharmacy.
2.2.2 Patient Safety … Checks – Tools were implemented within the e-Prescribing system to provide real time
patient safety … and Care Improvement: The use of patient safety checks during the prescribing process will
positively … These slight decreases suggest a possible positive affect on quality and patient safety, but the pilot
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digital.ahrq.gov/organization/northwestern-university
January 01, 2023 - outcomes screening and needs assessment platform to improve screening and referral for oncology patients … significant increase in problem placement rates, a modest increase in order abandonment (when a wrong patient … Description
The research team developed a smartphone application that notifies primary care providers when patients … Improving Outpatient Safety of Older Adults Through Electronic Patient Portals
Description … This project evaluated the effects of providing caregivers of older adults proxy access to electronic patient
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
January 01, 2010 - specified in RFA: HS-07-002: ASQ
“Enabling Quality through Health IT of improving the quality and safety … sources in the quality of results they make possible in nearly every area of health services
research, safety … disease incidence and in the adoption of new
treatments; post-marketing surveillance of drug and device safety … Similarly when
patient-level scores are rolled up to physician’s panel of patients or panels are rolled … The adequacy of EMR data to
capture the relevant indicators of service delivery and service quality
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - Ambulatory Care Patient Safety Proactive Risk
Assessment (FOA HS-07-003), which supported
research … Research has demonstrated that health IT can improve
patient safety and quality of care (Choudhry et … The PHR includes information on the care team,
patient, diagnoses, goals and action steps, health
indicators … The researchers evaluated the impact
of the PHR on a set of standard quality indicators for
hypertension … in the course of care delivery or self-management.
2 Intermediate outcomes are indicators that are
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
January 01, 2012 - These cross-disciplinary cores supported projects soliciting information from patients about adverse … Interactive voice response is linked to a patient EHR to monitor patients taking these medications by … safety. … safety in the future. … of the American Informatics Association, and the Journal of Patient Safety.
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-enabling-patient-centered-care-through-health-it.pdf
January 01, 2013 - Ambulatory Safety and Quality
Findings and Lessons
From the Enabling
Patient-Centered Care
Through … • Ambulatory Care Patient Safety Proactive Risk
Assessment (FOA HS-07-003), which supported
research … safety, and patients’
reported experiences with care, and are summarized
in this report across four … , and other indicators; and other educa-
tional resources that can promote self-management. … in the course of care delivery or self-management.
4 Intermediate outcomes are indicators that are impacted
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - The studies focused on the following indicators and
were funded by the following agencies. … TRIP-II (cardiovascular disease and stroke secondary prevention) AHRQ
• A-TRIP (36 primary care indicators … alcohol screening, brief intervention) NIAAA
• C-TRIP (CRC screening) NCI
• MS-TRIP (medication safety … Field notes
were taken regarding the Medication Safety component of the 2011 meeting that reflected … • Providers will close the loop with patient care, when staff members initiate patient
services
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
January 01, 2012 - safety in ambulatory care. … in the ambulatory setting and constitute an important target for patient safety and quality
improvement … When test results are not acted on in a timely and appropriate manner,
patients’ safety and satisfaction … Bates, has considerable
expertise in the areas of ambulatory quality of care and patient safety, especially … Challenges
The research study evaluated two important domains of patient safety: reduction of errors
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Deaths of patients in restraints
vi. Patient falls. … Safe by design – patient safety in hospitals: a
serious issue. … Safety culture and organizational issues:
creating a culture of patient safety through innovative
hospital … In: Advances in Patient Safety: From
Research to Implementation. … Patient safety and
quality: an evidence-based handbook for nurses.
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digital.ahrq.gov/ahrq-funded-projects/hit-based-regional-medication-management-pharmacy-system
January 01, 2023 - Type of Care
Acute Care
Specialty Care
Health Care Theme
Medication Management
Patient … The Internet linked the MEDITECH patient information management system at each CAH to the urban hospital … urban pharmacists to CAH nursing staff and prescribers regarding medication orders positively impacted patient … Patients in geographically isolated rural CAHs received safer and more effective medication therapy than … Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio (Prepared
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - essential for ensuring efficiency, patient safety, and quality of care. … It was a commercially available client-server application, and, as such, it was similar in
architecture … health system outcomes such as morbidity, mortality, patient safety;
costs of patient care; patient … We suggest that since clinicians are motivated to improve
patient care and patient safety, sharing patient … Lastly, presenting information from the EHR in support of patient quality and
safety efforts could improve
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - Interest in improving quality and safety, inefficiencies experienced by providers, and rising
healthcare … improving quality" as a significant driver of their HIE efforts, while 82 percent cited
"improving safety … , 70 percent cited "inefficiencies experienced by providers who need
information to support patient … and a technical
infrastructure to support secure electronic information sharing while protecting patient … eHI engages multiple stakeholders, including clinicians, consumer and patient groups, employers,
health
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
January 01, 2008 - Impact and Findings: Before ACPOE implementation, 15 clinicians were observed, treating 193 patients … ; after ACPOE implementation, 15 clinicians were observed, treating 137 patients. … did not significantly impact the duration of time spent in clinic and time spent face-to-face with patients … analysis is under way to examine the impact on specific clinician clinic activities that occur between patient … communication among clinicians improved, and a decreasing proportion reported a worsening in the quality of patient-physician
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digital.ahrq.gov/ahrq-funded-projects/enabling-medication-management-through-utilization-health-information/annual-summary/2011
January 01, 2011 - systems will lead to a better understanding of how health IT improves or could improve the quality, safety … first-fill and refill dispensing of medications; 3) appropriate administering of medication, and; 4) patients … The report identified gaps in the evidence of the effects of MMIT applications in the domain of patient … A patient-centered focus for MMITs promises a new and exciting domain of study. … For example, what is important to nurses and pharmacists may not be viewed similarly by physicians or patients
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
January 01, 2023 - Patient Safety: Patient safety: the PROACT root cause analysis approach. … Determine what the patient would experience if the failure occurs.
6. … These are controls in place to prevent failures from getting to the patient. … , reduce its probability of occurring, or detect the problem after it has occurred but prior to the patient … This is an estimate of how well your controls can detect a cause or failure mode prior to the patient
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy
January 01, 2023 - Completed
Grant Number
R18 HS017072
Funding Mechanism(s)
Ambulatory Safety … Safety
This project developed a decision support system for medication management. … medication errors, improve health care quality at an acceptable cost, and augment disease management for patients … The first was a clinic-directed intervention that generated patient-specific reports sent to clinics … second intervention was population-oriented, whereby weekly notices were sent to care managers about patients
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018648-atlas-final-report-2014.pdf
January 01, 2014 - patient and provider needs. … Table 1: Patient characteristics by intervention and control group (3655 unique patients
prescribed … due to their PCP leaving MGH, 1 patient switched to a
new PCP and the remaining patients did not schedule … Results from patient surveys showed no significant differences in patient satisfaction with
provider … National Web Conference on the Using Health IT to Reduce Medication
Errors and Improve Patient Safety
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digital.ahrq.gov/ahrq-funded-projects/improving-direct-notification-abnormal-test-results-patient-portals
January 01, 2023 - It can also prevent test results from being overlooked, a common patient safety concern, and help coordinate … Patient engagement and follow up was increased with portal use, as patients who received abnormal results … Portal Population: Adults
Improving diagnostic safety in primary care by unlocking digital data … Improving diagnostic safety in primary care by unlocking digital data. … Releasing test results directly to patients: A multisite survey of physician perspectives.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
January 01, 2011 - : The Role of Cognitive Decision Support Systems in
Clinical Decision-Making & Patient Safety.” … “Healthcare Recovery: How the Science of Human Factors is Challenging Healthcare to
Move Patient Safety … patient safety and increasing workload as clinicians re-enter data and work to resolve
discrepancies … and provider
client applications and a synchronization module to serialize data between the version … Push, pull, and merge
operations for exchanging data among independent clients were implemented and