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digital.ahrq.gov/ahrq-funded-projects/role-telehealth-covid-19-response
November 30, 2023 - a fast transition from in-person to telehealth medical visits to reduce exposure and prioritize the safety … of patients and clinicians. … the second aim, the researchers will use the two databases to examine how treatment and outcomes of patients … telehealth has been able to fill the gap in ambulatory care and examine changes in care gaps using quality indicators … In addition, they will compare indicators for issues that can be entirely managed via telehealth versus
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - Key Words: Electronic health record, health information technology, computer
simulation, patient safety … In addition, delays in time-sensitive
care can result in serious patient safety hazards. … Clearly, laboratory availability and turnaround time affects patient safety, but to
date, research has … In our archival data analysis, we searched 80,381 voluntary patient safety reports
from January 1, 2013 … Implications of Electronic Health Record
Downtime: An Analysis of Patient Safety Event Reports.
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - I�TRODUCTIO�
Intensive Care Unit (ICU) patients are critically ill,
and the life-saving interventions … For example, delays in the initiation of
antibiotic therapy in patients with conditions such as
meningitis … example, for
antibiotics in which pharmacokinetic monitoring is important
like gentamicin, or for patients … Work system design for patient safety: The SEIPS
model. … Preventable
adverse drug events in hospitalized patients: a
comparative study of intensive care and
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-health-information-technology-testing-feasibility-and/annual-summary/2009
January 01, 2009 - Business Goal: Synthesis and Dissemination
Target Population: Cancer, HIV/AIDS, Safety Net
Summary … study assessed the use of health information technology (IT) to improve care delivery and outcomes for patients … automated feedback reports documenting organizational and provider-level performance on laboratory indicators … with HIV and patients in need of cervical cancer screening. ( Achieved )
Illustrate how health IT … Patients in the study who were seeking HIV care at the CHCs tended to be aware of their status and knew
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - is taking", and "compare those
medicines to new medicines given to the patient". … interactions, needed clinical
monitoring, or preventive health services, for clinicians to improve quality or safety … When the patient was
discharged from the hospital, the system would automatically prompt the intervention … As a public institution,
Wishard serves as a safety net in providing medical care to residents of Marion … Effective approaches to MR could improve
outcomes and safety for patients.
9
Implications
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023602-singh-final-report-2017.pdf
January 01, 2017 - Organizations: 1Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and
Safety … Salt Lake
City Health Care System, Salt Lake City, UT
3 Center for Healthcare Quality and Safety … from being overlooked, a common patient safety concern.(26) Further,
portals that allow patients independent … the
meaning of the test, “This means that for instance with the cholesterol that I have elevated
indicators … Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf 2015
Aug 18;24
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - 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/ahrq-funded-projects/toward-optimal-patient-safety-information-system/annual-summary/2008
January 01, 2008 - Toward an Optimal Patient Safety Information System - 2008
Project Name
Toward an … Optimal Patient Safety Information System
Principal Investigator
Koss, Richard
Organization … The Patient Safety Event Taxonomy (PSET) was used to link disparate patient safety data from a sample … Specific Aims
Assess the level of adoption of patient safety reporting systems in U.S. hospitals. … ( Achieved )
Assess the perceived value of patient safety reporting systems. ( Achieved )
Delineate
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Health IT and Patient Safety: Building Safer Systems for
Better Care. … An analysis of electronic
health record-related patient safety concerns. … Patient safety goals for the proposed Federal Health
Information Technology Safety Center. … Using a
summary measure for multiple quality indicators in primary care: the Summary QUality InDex … Measuring and improving patient safety through health information
technology: The Health IT Safety Framework
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
January 01, 2008 - Quantifying the value of decision support in terms of patient
safety and improved quality is part of … Third, we have yet to quantify the value of pediatric CDS in terms of patient safety
and improved quality … news’, suggesting that existing results follow-up systems are inadequate
to protect patients’ safety … safety and efficiency. … Patient-centered care: customizing care to meet
patients' needs: AHRQ; 2001.
15.
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digital.ahrq.gov/sites/default/files/docs/reduce-medication-errors-slides-082614.pdf
August 26, 2014 - A National Web Conference on the use of Health IT To Reduce Medication Errors and Improve Patient Safety … Linear regression
14
Methods—Safety Outcomes
• Safety outcome: % safety monitoring laboratory … Rockville, MD: Center for the Advancement
of Patient Safety, US Pharmacopeia. … is referred for emergency care but
declines
7 • Patient declines to be evaluated
12 • Patient is … • Educate patients about safe medication use.
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs017820-singh-anual-summary-2012.pdf
January 01, 2012 - Using Electronic Data to Improve Care of Patients With Known or Suspected Cancer
AMBULATORY SAFETY … Organization: Baylor College of Medicine
Mechanism: RFA: HS08-002: Ambulatory Safety and Quality Program … from two electronic health record (EHR) systems—the Veterans Administration’s
(VA’s) Computerized Patient … Due to initial project delays and the unanticipated
AMBULATORY SAFETY AND QUALITY PROGRAM: IMPROVING … Strategic Goal: Develop and disseminate health IT evidence and evidence-based tools to support
patient-centered
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digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-patient-engagement-objectives-multicultural-pbrn
January 01, 2023 - engagement, including providing patients with after-visit summaries (AVS), patient-specific education … Compare patients’ utilization of a secure Web portal to view their medical records and communicate with … versus a public health care setting that serves uninsured, under-insured, and predominantly minority patients … The study also found that fewer than 10 percent of patients in the safety net clinics logged into the … clinics; however, criteria related to messaging through web portals may present future challenges in safety
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017220_wolf_pdf_3.pdf
January 01, 2011 - AmbulAtory SAfety And QuAlity: enAbling PAtient-Centered CAre
through heAlth it (r18)
Using Information … Organization: Northwestern University
Mechanism: RFA: HS07-007: Ambulatory Safety and Quality Program … This study integrated interventions that target patients, providers, and the overall
practice system … , the patient’s functional
understanding of his/her medication regimen, questions on adherence and safety … aboUt medications
AmbulAtory SAfety And QuAlity: enAbling PAtient-Centered CAre
through heAlth it
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
January 01, 2009 - Hypothesis: An integrated outpatient and inpatient health information system will improve
patient safety … Design: Work-Sampling Study)
Workflow Study: AHRQ Advances in Patient Safety: New Directions and … safety, yet little is known about how electronic charting affects workflow and
patient care in busy … This study
also demonstrated the incremental gains in patient safety achieved with each level of HIT … in Advances in patient safety: New directions and
alternative approaches. Vol. 4.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-3-applying-cds-medication-management
Provide dosing recommendations, ideally specific to patient and clinical condition. … patient identification. … Education (patient or caretaker, pharmacist, nurse, prescriber, other clinicians)
Engage patient in … Engage caregiver/parent when needed to support patient. … Verify proper patient adherence to the medication regimen.
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digital.ahrq.gov/ahrq-funded-projects/using-telemedicine-system-promote-patient-care-among-underserved-individuals/annual-summary/2010
January 01, 2010 - Alfred
Organization
Temple University
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … Telemedicine has the capacity to empower the patient, strengthen the patient-provider relationship, and … The project builds upon a pre-existing, internally developed telemedicine system that patients access … The project team observes patients’ responses to care measures aimed at lowering their blood pressure … anti-hypertensive medication therapy. ( Ongoing )
Empower inner-city African American patients to
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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/how-read-pediatric-reminder-guideline-document
January 01, 2003 - recent LDL is older than 24 months; and
Most recent total cholesterol is older than 24 months; and
Patient … Condition
If either height or weight is more than 24 months old, patient does not belong to this … A: Done/Scheduled B: Patient Refuses C: Deferred D: Other E: Done elsewhere F: G:
A': 2 years B … should carefully examine reminders before implementing them to ensure they are appropriate for the local patient
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digital.ahrq.gov/sites/default/files/docs/activity/using_a_telemedicine_system_to_promote_patient_care_among_underserved_individuals_2010pdf_2.pdf
August 01, 2011 - Organization: Temple University Clinical Research Center
Mechanism: RFA: HS07-007: Ambulatory Safety … The project builds upon a pre-existing, internally developed telemedicine system that
patients access … The project team observes patients’
responses to care measures aimed at lowering their blood pressure … Patients complete one of seven lessons per login after which they receive
an automated reminder of the … (Ongoing)
• Empower inner-city African American patients to take a more active role in their health
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
January 01, 2008 - Ideally, members of a patient’s interdependent team, which may include numerous clinicians caring for patients … Units were chosen to represent a wide range of: patient types, including medical-surgical, neurology, … safety. … safety. … Patient safety and quality: An evidence based handbook for nurses.