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  1. 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.
  2. 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.
  3. 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.
  4. 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
  5. 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
  6. 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
  7. 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
  8. digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
    March 01, 2009 - Measure Category: Clinical Process Quality Domain: Patient Safety Current Findings in the Literature … using another auditory device.1 They have become a target for hospitals seeking to improve patient safety … can be misunderstood, misinterpreted, or miswritten.2 Recently, in an effort to increase patient safety … Improving the safety of telephone or verbal orders. Patient Saf Advis 2006;3(2):1,3 7. … http://www.psa.state.pa.us/psa/lib/psa/advisories /v3n2june2006/junevol 3 no 2 article b safety of
  9. Parisetal Hfes2008 (pdf file)

    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.
  10. 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!
  11. 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.
  12. digital.ahrq.gov/sites/default/files/docs/page/2006FoxWaters_051711comp.pdf
    June 06, 2006 - Network (TECH-Net) The Technology Exchange for Cancer Health Network (TECH-Net) AHRQ Annual Patient Safety … HIT collaborative network can contribute to measurable and sustainable improvements in the cost, safety … care setting Specific Aim #2:  To improve access to appropriate care, increase the quality and safety …  Study has been set up to assess quality, safety, health outcomes and cost of rural telehealth program … as ‘intervention group’  Patients recruited at urban sites serve as ‘control group’  Quality, safety
  13. 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.
  14. digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology/annual-summary/2008
    January 01, 2008 - Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety … Business Goal: Implementation and Use Summary: In 2004, the Patient Safety Center at the University … partnership with the participating institutions for reducing errors and, ultimately, improving patient safety … implementation of new technology in reporting medication errors has the potential to improve patient safety … Patient Safety and Patient Care Among Small Rural Physician Offices: The Impact of Electronic Medical
  15. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
    January 01, 2008 - this completed study was on enabling the collective mind, since it is a vital precursor to continuity, safety … used to assess goals of the system, including mindfulness; heedful interrelating; and a culture of safety … and post-implementation comparisons, including workflow observation and a survey of the culture of safety … a valid and reliable representation of the team’s collective mind, improving the culture of patient safety … Patient safety and quality: An evidence based handbook for nurses.
  16. digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/annual-summary/2011
    January 01, 2011 - Organization University of California, San Francisco Funding Mechanism RFA: HS07-007: Ambulatory Safety … To analyze patient safety, the team explored characteristics of adverse events: triggers, frequencies … (Achieved) Quantify and characterize patient safety events triggered and/or identified through active … (Achieved) Measure differences in the frequency and nature of patient safety events among participants … clinical outcomes for hemoglobin A1C and low density lipoprotein cholesterol; and 4) an analysis of safety
  17. digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
    January 01, 2010 - Organization Brigham and Women's Hospital Funding Mechanism RFA: HS07-006: Ambulatory Safety … integrated into the workflow of routine medical practice; for e-prescribing to improve quality and safety … Specific Aims: Measure physician use of two safety-related e-prescribing functions: safety alerts … generally positive attitudes regarding e-prescribing and the impact of e-prescribing on the efficiency and safety … Goal: Develop and disseminate health IT evidence and evidence-based tools to improve the quality and safety
  18. 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.
  19. 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.
  20. digital.ahrq.gov/sites/default/files/docs/page/9_26ahrq_ExSum_2011_508.pdf
    January 01, 2011 - of the most important sources of evidence regarding the impact of technology on improving quality, safety … The Enabling Quality Measurement (EQM) Through Health IT grant initiative, one of four Ambulatory Safety … The ASQ initiative, established in 2007, supported grants to improve the safety and quality of ambulatory … The research funded under the EQM program added to the knowledge base on developing safety and quality … IT Portfolio supports the Agency’s broad mission by demonstrating where health IT improves quality, safety

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