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digital.ahrq.gov/sites/default/files/docs/page/impact-of-hit-on-nurses-quick-reference-guide.pdf
May 01, 2009 - safety, much less is known about its impact on
clinical staff efficiency. … It may be necessary to adjust for patient care
unit, timeofday, or patient volume to account
for … Advances in patient safety: New directions
and alternative approaches. Vol. 4. … Technology and
medication safety. AHRQ Publication No. 08
00344. … Handbook of human factors and
ergonomics in health care and patient safety.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - Key Words: Patient Safety, Health Information Technology, Error Detection, Post-Surveillance
Monitoring … safety
event. … science and frequently the subject of patient safety reports entered by front line clinicians during … Committee on Patient Safety and Health Information Technology; Institute of Medicine. … Health IT and Patient Safety : Building Safer Systems for Better Committee on Patient
Safety and Health
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digital.ahrq.gov/decisionmaker-brief-telehealth
January 01, 2023 - Telehealth can improve patient safety and quality of care. … As a result of this failure, approximately one-third of the patients who were enrolled in the study became … AHRQ-funded grantees say technical support must be available around the clock to ensure patient safety … safety and mission-critical patient services. … These grantees reported that telehealth can improve an organization's work and safety culture.
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - General Hospital (MGH) to evaluate the value of an IT system that supports between-visit medication safety … The broader goal is to foster greater patient-physician connectedness by combining independent medication … Patient enrollment for audiotaped baseline interviews was completed in June 2012 with 49 patients from … The study team obtained patient scheduling data from the online patient scheduling system and is contacting … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety
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digital.ahrq.gov/ahrq-funded-projects/sharing-patient-record-access-rural-health-settings
January 01, 2023 - Sharing Patient Record Access in Rural Health Settings
Project Description … an implementation plan for an ambulatory electronic medical record (EMR) provides shared access to patient … We intend to develop and share a longitudinal medical record that contains a patient problem list, medication … list, allergies, radiology images and data, laboratory data, and a patient care plan.
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digital.ahrq.gov/sites/default/files/docs/patient-centered-care-transcript-033011.pdf
June 16, 2021 - PUTTING THE PATIENT BACK IN PATIENT-CENTERED CARE MARCH 30, 2011
1
PUTTING THE PATIENT BACK IN … (Slide)
If they happen to enter a medication for which there is a warning about safety, then those … returns they'll see their latest safety updates. … healthcare visits, discussing medications during healthcare
visits, and perhaps also on medication quality indicators … were getting
and health service measures, recovery times, medication adherence, and quality of life indicators
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2010
January 01, 2010 - Adults
Summary: Medication errors and preventable adverse drug events (ADEs) occur commonly among patients … in the ambulatory setting, and constitute an important target for patient safety and quality improvement … safety in ambulatory care. … grantee will use a pre- and post- study design to evaluate the difference between the proportion of patients … into inpatient guidelines to develop clinical consensus about the appropriate time interval to notify patients
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digital.ahrq.gov/ahrq-funded-projects/dissemination-and-implementation-qt-risk-clinical-decision-support
January 01, 2023 - Type of Care
Acute Care
Health Care Theme
Clinical Decision Making
Patient … Safety
Torsades des Pointes (TdP) is a life-threatening, uncommon cardiac arrhythmia, characterized … The use of a clinical decision support (CDS) tool could help providers identify those patients at risk … that the advisory appeared too often, and one third indicated the advisory had not applied to their patient … J Patient Saf. 2022 Mar 2. doi: 10.1097/PTS.0000000000000996. Epub ahead of print. PMID: 35238815.
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digital.ahrq.gov/decisionmaker-brief-computerized-provider-order-entry-cpoe
January 01, 2023 - Computerized provider order entry (CPOE) holds promise to improve the safety and efficiency of medication … In contrast, verbal and written order entry processes, without systematic integration of patients' medical … information, may result in order entry errors that pose a serious threat to patient safety and reduce … Wisconsin), including several projects in low-income and rural areas and areas with high percentages of patients … safety and reducing health care costs.
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
January 01, 2010 - General Hospital (MGH) to evaluate the value of an IT system that supports between-visit medication safety … As these lab test dates become due, the Medication Metronome system will remind patients via letter and … The goal of this intervention is to implement an efficient, visit-independent system to ensure that patients … The broader goal is to foster greater patient-physician connectedness by combining independent medication … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and 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/using-electronic-data-improve-care-patients-known-or-suspected-cancer/annual-summary/2010
January 01, 2010 - Organization
Baylor College of Medicine
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … using data from the Veterans Administrations (VAs) electronic health record (EHR), the Computerized Patient … They found that of the 89,187 patients to whom the trigger was applied, 595 patients were identified … Of the 120 patient charts reviewed, 90 (75 percent) were true trigger positives. … Strategic Goal: Develop and disseminate health IT evidence and evidence-based tools to support patient-centered
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - Rather, CPOE should be viewed as a
solution to a recurring patient safety problem.
8 … safety error. … and revised how patient allergies were entered into the EHR
and CPOE systems. … Patient safety: adverse drug events in ambulatory care. N Engl J
Med 2003; 348:1556-64.
5. … A computerized reminder
system to increase the use of preventive care for hospitalized patients.
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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - Rather, CPOE should be viewed as a
solution to a recurring patient safety problem.
8
Projects mapped … safety error. … and revised how patient allergies were entered into the EHR
and CPOE systems. … Patient safety: adverse drug events in ambulatory care. N Engl J
Med 2003; 348:1556-64.
5. … A computerized reminder
system to increase the use of preventive care for hospitalized patients.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026170-garcia-final-report-2023.pdf
January 01, 2023 - consistency reliability
(e.g., α = .89-.95 reported across several
studies)(56) and includes item
indicators … excellent reported internal
consistency reliability (e.g., α = .95;
Aarons, 2014) and includes item
indicators … anticipated to have
acceptable internal consistency
reliability (i.e., α ≥ .70)(59) and includes
item indicators … anticipated to
have acceptable internal consistency
reliability (i.e., α ≥ .70) and includes
item indicators … The Joint Commission Journal on Quality and Patient Safety.
2005;31(6):339-47.
4.
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digital.ahrq.gov/sites/default/files/docs/citation/p30hs021678-ornstein-final-report-2017.pdf
January 01, 2017 - 2016 – 06/30/2018)
Budget: $672,306
Title: Learning from Primary Care EHR Exemplars about HIT Safety … We extensively revised our patient registries, adding measure grouping
tabs and individual patient … "Preventive services delivery in patients with chronic illnesses: parallel
opportunities rather than … "Quality indicators for primary care: an example for chronic
kidney disease." … "A systematic review of lifestyle counseling for diverse patients in primary
care."
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014928-gorman-final-report-2008.pdf
January 01, 2008 - Interviewees valued RxSafe
in particular for increasing patient safety, noting that patient safety is … A couple of interviewees noted negative impacts on patients in addition to safety concerns. … RxSafe: using
IT to coordinate medication information. 2005 Annual
Patient Safety and Health Information … RxSafe: using IT to improve
medication safety for rural elders.” … Using IT to improve medication safety
for rural elders.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy/annual-summary/2011
January 01, 2011 - David
Organization
Duke University
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … Patient-specific reports were sent to primary care clinics a day before a scheduled appointment. … The population-oriented intervention sent weekly notices to care managers assigned to patients who appeared … generally positive regarding how the reports uncovered non-adherence and fostered discussions with patients … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - The Indiana Network for Patient Care: a Working Local Health Information Infrastructure. … Many stakeholder groups (payers, patients, providers, and others) realize that if such data are shared … , health care processes would improve with respect to safety, quality, cost, and other indicators. … Master Patient Index (MPI - a common medical record number or algorithm that identifies patients across … Data Repository (the database that holds all of the patient data).
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digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2010
January 01, 2010 - Patient Readiness to Use Internet Health Resources - 2010
Project Name
Patient Readiness … It emphasizes patient self-activation because activated patients are prepared to take a collaborative … However, Web-based resources for chronically ill patients are only valuable if patients have the computer … Clinical Scientist Research Career Development Award, has an overarching goal to improve the quality and safety … of patient care for those with chronic conditions.