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digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights/citation/wrong
January 01, 2023 - Principal Investigator
Adelman, Jason Stuart
Project Name
Develop and Validate Health IT Safety … Measures To Capture Violations of the Five Rights of Medication Safety
Technology
Computerized
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digital.ahrq.gov/principal-investigator/abraham-olufunmilola
January 01, 2023 - adaptation of the MedSMA℞T Families game-based tool, in delivering preventive education that enhances opioid safety … providers in emergency departments, with the goal of reducing opioid misuse and improving family medication safety
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digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
June 01, 2006 - eHealth in Utah:
Improving Patient Care Through
Health Information Exchange
AHRQ Patient Safety … system 16,624
6 Respiratory system 16,123
Source: The Final Report of the Utah/Missouri Patient Safety … 64.9
77.4
0 10 20 30 40 50 60 70 80 90
Source: The Final Report of the Utah/Missouri Patient Safety … Sundwall, MD --
Impact on Hospital
Patient Safety Efforts
• Conducted chart … policy
– NGA “Policy Academy” – promote development of
state “patient safety policy teams”
• $ ARHQ
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digital.ahrq.gov/2018-year-review/research-dissemination/journals
January 01, 2018 - AHRQ Health IT-funded research featured in Health Affairs patient safety issue
The November 2018 … issue of Health Affairs , “Patient Safety,” includes a comprehensive look at the best and latest patient … safety research. … The articles explore a broad range of safety initiatives, including the use of health IT to reduce medication … Schiff's Spotlight Story .
5 “Patient Safety, " Health Affairs Event, November 6, 2018.
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/annual-summary/2009
January 01, 2009 - The research examined the effects of technology implementation on patient safety, quality of care, financial … Carayon and her team sought to: 1) determine the effect of CPOE and EHR implementation on safety and … end-users' job tasks, communication, coordination, quality of working life, and perceptions of patient safety … the impact of CPOE on end-users. ( Achieved )
Collect data to determine the impact of CPOE on ICU safety … identify ways that the technology can improve systems, care processes, quality of care, and patient safety
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - Research Profile: Context is Critical: Understanding When and Why Electronic Health Record-Related Safety … While the vast majority of potential errors are either caught by safety checks built into EHRs or identified … These ‘wrong route’ errors can be catastrophic in some circumstances and are a focus of patient safety … Hettinger and his team made the forms consistent, making an immediate impact on quality and safety. … A valuable tool in increasing patient safety
Dr.
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digital.ahrq.gov/sites/default/files/docs/page/Dixie%20Baker1.ppt
June 16, 2021 - System reliability
Service availability
Information confidentiality
Data integrity
Software safety … delivery of clinical care, DEPENDABILITY becomes essential for business success, quality care, and patient safety … Dependable Architectures Recognize Dependencies
Safety FUNCTIONAL
CAPABILITIES
Security FUNCTIONAL … Design and build safety-critical systems to fail in a safe state.
3. Expect success.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
January 01, 2011 - health information technology (IT) has great potential to reduce medication errors and improve patient safety … (Achieved)
Evaluate effects of multiple vendor-based prescribing systems on medication safety among … Project 5: Impact of Vendor Systems on Ambulatory Medication Safety . … threats from implementation of an EHR system and result in sustained safety benefits over the long term … , the Journal of the American Informatics Association, and the Journal of Patient Safety.
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review-at-a-glance.pdf
January 01, 2022 - ) Type
Closing the Communication Gap
Between Prescribers and Pharmacists to
Decrease Medication Safety … University of
Virginia
Emerging
Decision Support in the Emergency
Department to Improve Medication
Safety … California, San
Francisco
Completed
Automated Retract-and-Reorder
Measures to Improve Medication Safety … $999,997
New measures to identify near-miss medication errors
are a major advancement in patient safety … intensive care unit has the potential to optimize
critical care pharmacist resources and improve patient safety
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - of ordering error; and finally, (d) ascertain whether the
ordering error had an impact on patient safety … Such a database
can be invaluable for medication and patient safety officers and can also serve as a … organizations to develop translational medication safety practices
and policies. … will help us to build and implement a sustainable “medication safety learning
healthcare system” where … However, evidence regarding effects of CPOE use
on clinical and safety outcomes has been mixed.
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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2012
January 01, 2012 - Organization
University of California, San Francisco
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … and his team developed an easy-to-use, secure PHR for HIV-positive people who are seeking care at a safety-net … Most PHRs provide data via secure Internet portals but patients receiving care in safety-net settings … including quality of patient-provider interactions, changes in patient behaviors, clinical outcomes, safety … article, A cross-sectional study of barriers to personal health record use among patients attending a safety-net
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - Re‐Hospitalization
February 24, 2010
Presenters:
Stephen Jencks
Independent Consultant In Health Care Safety … Rehospitalization as a perfect crisis
and opportunity
•
Safety
•
Cost
•
Patient experience … •
Urgency (trust fund bankrupt 2017)
•
Growing momentum for change
Safety: A population at … But it is More than Patient Safety
• "Hospitals with high rates of readmission will be paid less … Jencks, M.D., M.P.H., Consultant in Healthcare Safety and
Quality
Coming Soon!
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digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2011
January 01, 2011 - Organization
University of California, San Francisco
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … CD4+ T-lymphocytes, detectable plasma HIV RNA, depression, anxiety, and quality of life; 4) safety, i.e … including quality of patient-provider interactions, changes in patient behaviors, clinical outcomes, safety … article, A cross-sectional study of barriers to personal health record use among patients attending a safety-net … Preliminary Impact and Findings: The research team found that, among patients attending a safety-net
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Safety of the Antibiotic Medication Use Process in the Intensive Care Unit
Bonnie Paris�, Pascale … Antibiotic-
related medication safety events (N=312) were collected in two adult ICUs. … Work system design for patient safety: The SEIPS
model. … Quality and Safety in Health Care, 15(suppl
I): i50-i58.
5. … Safeware: System safety and
computers. Addison-Wesley.
13.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015431-brooks-final-report-2007.pdf
January 01, 2007 - Study findings suggest that IT alone did not increase patient
safety or improve inpatient quality of … Measures used were the Agency
for Healthcare Research and Quality (AHRQ) patient safety and quality … It was expected the benchmarking tool would
improve quality of care and patient safety, especially in … The
remaining three are part of the AHRQ Patient Safety Indicator (PSI) set. … AHRQ IQI
Table 3 – Pre-Post analysis of AHRQ patient safety indicators.
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/annual-summary/2010
January 01, 2010 - complete medication list, facilitated by technology, can be an effective tool to promote the quality and safety … Network for Patient Care (INPC) to ambulatory primary care practices to enhance health care quality and safety … team evaluated the EMH in a randomized, controlled trial, examining its impact on patient quality and safety … . ( Achieved )
Examine instances of decision support rule use. ( Achieved )
Examine quality and safety … analysis did not detect any significant difference between intervention and control patients on the safety
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - Organization
Washington University
Funding Mechanism
RFA: HS07-002: Ambulatory and Safety … largest categories of adverse events in the principal studies examining the epidemiology of patient safety … Measurement of ADEs was identified as a critical patient safety metric in the Institute of Medicine’s … 2004 report on patient safety and in their 2001 National Healthcare Quality Report. … Despite extensive literature on medication safety, medication errors, and adverse drug events in adult
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - and quality reporting of national performance measures in a replicable,
scalable model across four safety … net organizations, and demonstrating its ability to
improve quality and safety. … net providers, to improve health care quality and
safety. … net providers, to improve health care
quality and safety. … net providers, to improve health care
quality and safety.
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - Four
address quality of care and six address patient safety. … the category of patient
safety and e-prescribing. … .38
Communication is key to both patient safety and health care quality. … A 10
rights framework for patient care quality and
safety. Am J Med Qual 2007; 22:103-11.
43. … Effect of critical
access hospital conversion on 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 - Patient-Centered Care Through Health IT Grant Initiative
AHRQ Health Information Technology Ambulatory Safety … and Quality | PCCi
AHRQ Health Information Technology
Ambulatory Safety and Quality
Findings and … The purpose of the
AHRQ ASQ program is to improve the safety and
quality of ambulatory health care … safety and quality of ambulatory health
care in the United States. … Adams, Chueh, Jack, and Wagner
focused on medication safety and monitoring.