-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixC_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - For example, when the user indicated that
patient harm did not occur, the patient harm scale in the … selection possible)
End User 57.8%
(n=268)
Local IT 13.2%
(n=61)
Medical Records 1.9%
(n=9)
Safety … 18.7%
(n=26)
Reached patient but caused no harm 32.4%
(n=45)
Harmed patient 10.1%
(n=14)
Unknown … Records 10.8%
(n=45)
Informatics/Human Factors 11.1%
(n=46)
Engineering 1.0%
(n=4)
Quality/Safety … Medical Records 9.3%
(n=39)
Informatics/Human Factors 10%
(n=42)
Engineering 0.7%
(n=3)
Quality/Safety
-
digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - safety implications, effects on workflow, financial
impact to client, regulation compliance, and … Some vendors become aware of patient safety issues through user
feedback collected from patient safety … collaborating on patient safety issues. … safety issues within their
products and improve their ability to incorporate patient safety much earlier … Patient tracking to know where patients are located, how long they have been waiting, or
the next
-
digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/annual-summary/2010
January 01, 2010 - University of Texas Health Science Center - Houston
Funding Mechanism
RFA: HS07-002: Ambulatory Safety … The repositories contained all clinical data pertaining to patient care, including physician notes, laboratory … Journal of Medicine, “ Notification of abnormal lab test results in an electronic medical record: do any safety
-
digital.ahrq.gov/ahrq-funded-projects/impact-meaningful-use-clinical-workflow-emergency-departments
January 01, 2023 - Poorly designed EHRs can lead to errors in care that risk patient safety. … emergency departments (EDs) using different EHRs and developed recommendations to improve EHRs and patient … safety. … To develop contextually plausible and relevant patient safety and quality guidelines for EHR improvement … At the academic health centers, providers saw several patients concurrently, resulting in a more chaotic
-
digital.ahrq.gov/sites/default/files/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
July 01, 2023 - Indicators: Scant attention to
measures composed of patient-reported
outcomes and items to assess … These
measures should be prioritized so that they can be
leveraged in improving patient safety.65 … Instead, most studies measured proxy measures as indicators of the quality, completeness, or
accuracy … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … BMJ Quality & Safety. 2003;12(2):93-99.
29 Guimond P, Bunn H, O'Connor AM, Jacobsen MJ, Tait VK, Drake
-
digital.ahrq.gov/sites/default/files/508_SRF%20Level%202%20Override%20Taxonomy%20Implementation%208.28.25.pdf
June 01, 2025 - and patient-specific
recommendations to clinicians, patients, or caregivers to
aid decision making. … PC CDS recommendations can
support higher-quality care and improve safety.1
Recipients of PC CDS may … For
patients, the taxonomy encompasses reasons where a patient—or a caregiver serving as a patient’s … Additionally, as PC CDS tools become increasingly patient-
facing,24 patients may gain visibility into … Pilot
studies should be carried out in diverse clinical settings—including rural, safety net, and specialty
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - "Workflow concerns and workarounds of readers in an urban safety net teleretinal screening study." …
systematically reviews "the cummulative evidence on the effects of CPOE and CDSSs on medication safety … "Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net …
describes "how quantitative data obtained from applying a series of indicators for preventable drug … facilitators to the use of electronic SOs in these practices; and to measure changes in quality of care indicators
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-providers-ability-followup-abnormal-test-results
January 01, 2023 - Type of Care
Preventive Care
Health Care Theme
Clinical Workflow
Human Factors
Patient … Safety
Sociotechnical Aspects
Mammograms and Papanicolaou (Pap) smears can improve patient … The problem is a multifaceted safety issue that occurs within the complex “sociotechnical” system of … healthcare, involving complex interactions between providers, patients, the EHR, workflows, and organizational … Results suggest that longitudinal monitoring and tracking of abnormal test results and patient status
-
digital.ahrq.gov/ahrq-funded-projects/ehealth-bp-control-program/annual-summary/2011
January 01, 2011 - During phase two, the team will enroll 30 patients with uncontrolled BP. … for the patient navigators, and a measure of patient navigator adherence to the training manual. … By December 2011, 28 patients had been enrolled. … Thirteen patients were randomized to the patient navigator arm; 12 to the no patient-navigator arm; and … Target Population: Adults, Hypertension, Low Literacy, Medically Underserved, Safety Net
Strategic
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs025136-ratwani-final-report-2024.pdf
January 01, 2024 - Improving Patient Safety and Clinician Cognitive Support through eMAR Redesign - Final Report
Improving … Patient Safety and Clinician Cognitive Support through eMAR Redesign
Principal Investigator … also impacts patient safety. … The Joint Commission Journal on Quality and Patient Safety.
5. … Health technology
usability and patient safety.
-
digital.ahrq.gov/ahrq-funded-projects/conversational-information-technology-it-better-safer-pediatric-primary-care/annual-summary/2010
January 01, 2010 - Organization
Boston Medical Center
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … and Quality Program: Enabling Patient-Centered Care through Health Information Technology (PCC) … Health Partner: Conversational IT for Better, Safer Pediatric Primary Care, indicate that use of a patient-centered … Strategic Goal: Develop and disseminate health IT evidence and evidence-based tools to support patient-centered
-
digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
January 01, 2011 - utilizing the expanded cHIE infrastructure that includes an "Electronic Medical Record Lite," a master patient … While the impact of the use of cHIE by clinicians on patient safety and quality of care could not be … Strategic Goal: To develop and disseminate health IT evidence and evidence-based tools to support patient
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs026565-bull-final-report-2021.pdf
January 01, 2021 - COVID safety concerns. … TUQ Average total score, n=10 patients and n=11clinicians
Patient-reported 6.3
Clinician-reported … 6.1
FACIT-SWiP Average total score, n=4 patients
Patient-reported 22.4
Specific Aim 2 - Identify … Patient Reported Outcomes. … Safety and benefit of discontinuing statin therapy in the
setting of advanced, life-limiting illness
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018171-arora-final-report-2013.pdf
January 01, 2013 - potential for enhancements that will further serve
the primary mission of improving healthcare quality and safety … of HCV infected patients to use a proposed patient portal. … To improve reporting capabilities new presentation, safety, and patient reports
were created. … Two new patient safety reports were introduced; one that is automatically
generated based on audit parameters … The provider indicated that some patients
use the patient portal for medication refills.
-
digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy/annual-summary/2010
January 01, 2010 - David
Organization
Duke University
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … The expected effect on safety and quality from this project will be improved adherence to evidence-based … practices using different health information technology vendor-based practice management applications for patient … , and EB pharmacotherapeutic suggestions for classes of medications that are missing based on known patient … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-health/annual-summary/2010
January 01, 2010 - Organization
Primary Care Development Corporation
Funding Mechanism
RFA: HS07-006: Ambulatory Safety … than a standard-care electronic health record (EHR) in CHCs that serve low-income, primarily Latino patients … The large number of minority and low-income patients served by Open Door CHCs, as well as the existing
-
digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support
January 01, 2023 - Type of Care
Preventive Care
Primary Care
Health Care Theme
Medication Safety … The system allows common access to records across providers who share patients while maintaining strict … testing in diabetics, laboratory monitoring during medication therapy, printing of medication-specific patient … Both arms received patient self-care education materials. … monitoring of hemoglobin A1c in diabetics, incidence of outpatient adverse drug events, and proportion of patients
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - Key words: boxed warning, cardiovascular drugs, laboratory monitoring, patient safety,
physician behavior … safety intervention trial to improve
drug safety for ambulatory patients using the electronic medical … Achieving a higher level of patient safety with electronic health records and health
information exchanges … National Patient Safety Foundation Webinar. 2010 Jul 28. … National
Patient Safety Foundation. 2010.
-
digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/annual-summary/2012
January 01, 2012 - design and clinical practice, including the extent to which health IT supports health care providers and patients … systems, and processes of health care providers limits the technology’s positive impact on the quality, safety
-
digital.ahrq.gov/sites/default/files/docs/page/eRxReport_041607_1.pdf
April 01, 2008 - E-prescribing can also enable significant
improvements in patient safety, quality of care and cost effectiveness … safety
and quality health care. … A standard structure and code set for expressing SIGs
would enhance patient safety, although free text … safety. … One
drawback was that when the nurse acted as the prescribing agent, patient safety alerts were often