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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/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/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/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/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
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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/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/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/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
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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/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
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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.
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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
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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
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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.
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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