-
digital.ahrq.gov/sites/default/files/docs/citation/healthitandlaborders.pdf
November 01, 2011 - use of automated feedback reports documenting organizational and provider-
level performance on lab indicators … Although CHCs
represent only one component of the health care safety net, they are often seen as a pivotal … in this health care safety net. … EHRS by clinical leadership of the Centers was to
use the system as a tool to advance quality and safety … maintained supports
clinician level productivity reports, profiles, and chronic disease management indicators
-
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
-
digital.ahrq.gov/sites/default/files/docs/Q&A_Final.pdf
August 27, 2009 - Q: What patient education materials and processes will help improve ambulatory e-prescribing safety? … extent that this kind of information can be provided electronically in
a manner that is easy for patients … to use it could offer promise for improving safety. … Q: E-Prescribing seems like a win/win for payers, public, patients, providers? … ) in the reconciliation of med lists and related patient safety?
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digital.ahrq.gov/sites/default/files/docs/activity/using_information_technology_for_patient_centered_communication_and_decisionmaking_about_medications_2010_pdf__2.pdf
January 01, 2010 - Organization: Northwestern University
Mechanism: RFA: HS07-007: Ambulatory Safety and Quality Program … list, the
patient’s functional understanding of their medication regimen, questions on adherence and safety … immediately before a patient sees the doctor. … patients lost or misplaced it by the end of the visit. … A total of 163 patients were recruited; 88 control and 75 intervention.
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs017829-druss-annual-summary-2012.pdf
January 01, 2012 - An Electronic Personal Health Record for Mental Health Consumers
AMBULATORY SAFETY AND QUALITY PROGRAM … Organization: Emory University
Mechanism: RFA: HS08-002: Ambulatory Safety and Quality Program: Improving … Druss and his research team adapted an existing PHR to better meet the needs
of patients with serious … maintain use
of their MH-PHR; during the second 6 months, patients used the MH-PHR without support. … MH-PHR on patient self-activation and
provider effectiveness in mental health management.
-
digital.ahrq.gov/ahrq-funded-projects/service-integration/annual-summary/2008
January 01, 2008 - Safety net providers serving this target area committed in-kind administrative time and information technology … process was effective and believe that the project has the potential to create an effective system across safety … As additional patient care occurs in the ByNet community, the patient’s demographics and encounters will … Patient consent and information security documents were prepared. … This task will be met through partnerships with various entities and providers, which will allow patients
-
digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2012
January 01, 2012 - Organization
Visiting Nurse Service of New York
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … project developed a medication management system intended to improve clinician practice and enhance patient … knowledge of medications, or patient medication management. … The most frequent documented actions of nurses using the CDS were nurses advising the patient to keep … Several patient characteristics also predicted CDS use by the nurse.
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
January 01, 2008 - Safety Survey
Method. … Results Safety Survey. … The number of patients, POC per patient, changes made per POC and changes
made per patient remain consistent … Patient safety and quality: An evidence
based handbook for nurses. … New innovations in patient
safety across the continuum of care: The HANDS method.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - All
participants recognized the implications of CancelRx for patient safety. … Our long-term goal is to improve patient safety by implementing health IT tools to facilitate the dissemination … Overall, however; many recognized the patient safety concerns and
vulnerabilities associated with medication … records and removed superfluous/old medications) and because they could see the value
for patient safety … The impact of electronic records on patient
safety: a qualitative study.
-
digital.ahrq.gov/sites/default/files/docs/page/08-0085_bcma_1.pdf
August 01, 2008 - Patient safety is a top priority for AHRQ, and Bar-coded medication administration
(BCMA) holds promise … Medication errors pose a serious threat to patient safety. … BCMA can improve patient safety. … Trends among AHRQ-funded BCMA projects suggest that
patients whose providers use BCMA technology may … safety.
-
digital.ahrq.gov/sites/default/files/docs/page/08-0085_bcma.pdf
August 01, 2008 - Patient safety is a top priority for AHRQ, and Bar-coded medication administration
(BCMA) holds promise … Medication errors pose a serious threat to patient safety. … BCMA can improve patient safety. … Trends among AHRQ-funded BCMA projects suggest that
patients whose providers use BCMA technology may … safety.
-
digital.ahrq.gov/ahrq-funded-projects/conversational-information-technology-it-better-safer-pediatric-primary-care
January 01, 2023 - Patient-Centered Care
Patient Engagement
Throughout the health care system there are … and depression, tuberculosis screening, developmental screening, and home safety. … safety situations, and enhance patients’ experience and engagement with care. … Technology (IT) for Better, Safer Pediatric Primary Care
The Personal Health Partner Brochure for Patients … Link:
The Personal Health Partner Brochure for Patients
Project Name: Conversational Information
-
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
-
digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/decisionmaker-brief-computerized-provider-order-entry-cpoe
August 01, 2008 - 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.
-
digital.ahrq.gov/sites/default/files/docs/activity/service_integration_2009_update_2.pdf
January 01, 2009 - Safety net providers serving this target area committed
in-kind administrative time and information … was effective and
believe that the project has the potential to create an effective system across safety … As additional
patient care occurs in the ByNet community, the patient’s demographics and encounters … Patient consent and
information security documents were prepared. … This task will be met through partnerships with various entities and providers,
which will allow patients
-
digital.ahrq.gov/sites/default/files/docs/safety-risks-ehr-slides-082916.pdf
August 29, 2016 - risks.
• The magnitude of harm and impact of health IT on
patient safety is uncertain:
Heterogeneous … Chief Patient Safety Officer
Associate Chief Quality Officer
Columbia University Medical Center
41 … errors
• Research on preventing wrong patient errors
• Future Health IT Safety Measures
• Summary
45 … wrong patient errors
• Future Health IT Safety Measures
• Summary
53
Wrong Patient Errors: An Old … on the wrong
patient.
o 1 of 37 admitted patients had an order placed for them
that was intended
-
digital.ahrq.gov/health-information-exchange-1
January 01, 2023 - of Health and Human Services, Feb. 2007 Summary :Quantitative evidence increasingly indicates that patient … safety is jeopardized during transitional care. … Medication errors pose a significant threat to patients undergoing transitions (Forster, Murff, Peterson … Receiving care in multiple settings often means that patients obtain medications from different prescribers
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - communication, medication access and safety of patients
with chronic medical conditions. … , patient and clinician benefits, patient safety and information privacy and confidentiality
expected … Scope
Background
E-prescribing has the potential to significantly improve patient safety and clinician … effect on workflow,
patient safety, and potential barriers); and (v) perceptions regarding proposed … No providers
reported a concern with potential system breaches compromising patient safety, in spite
-
digital.ahrq.gov/sites/default/files/docs/page/acts-townhall-amia-2019.pdf
January 01, 2019 - Agencies
• Informatics/Researchers
• Specialty Societies
• Other Membership Organizations/Accreditors
• Patient … managing
acute/chronic conditions)
► Communication/coordination among care team members including patients … Not a proposal/recommendation
• For each patient
health issue... … Best Practices across the ecosystem
Outcomes / What Works Best
Feedback to Support a National LHS
- Patients … Safety Reports
- Quality Measures / Indicators
- National Quality Reports
- Health Systems Performance
-
digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
September 26, 2019 - Notify
Update
Patient Safety Dashboard
Bedside Display
PDTK: Checklist & Video
PDTK … Summarized checklist responses displayed in safety dashboard were
too broad and non-specific. … –a
clinician
“I would look at [the safety dashboard] sometimes and wonder
what [the patient … "Patient race/ethnicity and shared medical record use among diabetes patients." … Finding out that a patient, who was on the
primary care’s roster of patients, was
discharged from the