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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
January 01, 2022 - Preventing Wrong-Drug and Wrong-Patient Errors with Indication Alerts in CPOE Systems – Final Report … and wrong-patient errors. … Wrong Patient Errors. … and wrong-patient retract and reorder events; wrong-drug and wrong-
patient abandon-and-reorder events … Wrong Drug Definition.
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems … and wrong-patient errors persist. … and wrong-patient errors. … patient retract and reorder (WP-RAR), wrong drug retract and reorder (WD-RAR), wrong patient abandon … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report.
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/final-report
January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems - Final Report … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient
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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 - Wrong-patient orders in obstetrics. … Wrong-patient orders in obstetrics.
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/beyond
January 01, 2023 - Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … pubmed.ncbi.nlm.nih.gov/35927018/
Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug … and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Technology
Clinical Decision
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/effect
January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … pubmed.ncbi.nlm.nih.gov/29025090/
Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug … and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Technology
Computerized
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
January 01, 2023 - Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open
Project … Compare the incidence of wrong-patient orders in a “restricted environment” that limits its providers … Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report. … Having multiple EHRs open simultaneously does not increase wrong-patient orders. … “Placing orders on the wrong patient should never happen.
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/automated
January 01, 2023 - Automated detection of wrong-drug prescribing errors. … Automated detection of wrong-drug prescribing errors.
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digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
July 31, 2023 - for identifying wrong-patient orders that is endorsed by major patient safety organizations. … Wrong patient orders were identified by using the Wrong-Patient Retract-and-Reorder Measure (WP-RAR), … a validated, reliable, and automated method for identifying wrong-patient orders developed by Dr. … Having multiple EHRs open simultaneously does not increase wrong-patient orders. … “Placing orders on the wrong patient should never happen.
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/indication
January 01, 2023 - pubmed.ncbi.nlm.nih.gov/34957491/
Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug … and Wrong-Patient Errors With Indication Alerts in CPOE Systems
Technology
Clinical Decision
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023704-adelman-final-report-2019.pdf
January 01, 2019 - The primary outcome was wrong-patient order sessions, including at least one wrong-
patient order identified … Wrong-patient order sessions per 100,000 122.5 139.2 1.00 (0.68 to 1.46) 1.00
Wrong-patient order … Critical care
Wrong-patient orders per 100,000 117.7 120.8
Wrong-patient orders 215 301
Total … orders 182,698 249,252
Pediatrics
Wrong-patient orders per 100,000 54.4 58.6
Wrong-patient … Wrong-patient order sessions per 100,000 112.2 150.5 0.73 (0.50 to 1.06) .10
Wrong-patient order
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digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
January 01, 2023 - Wrong patient orders can harm patients While digital solutions like computerized provider order entry … systems have reduced medical errors and improved patient safety, the risk of placing orders for the wrong … “Orders placed on the wrong patient should be a ‘never event,’ as in it should never happen,” said Dr … Wrong patient orders were identified by using the Wrong-Patient Retract-and-Reorder Measure (WP-RAR), … a validated, reliable, and automated method for identifying wrong-patient orders developed by Dr.
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/citation/assess
January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … 29025090
Principal Investigator
Adelman, Jason Stuart
Project Name
Assess Risk of Wrong-Patient
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digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open/final-report
January 01, 2023 - Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report … Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open - Final Report. … Principal Investigator
Adelman, Jason Stuart
Project Name
Assess Risk of Wrong-Patient
-
digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights
January 01, 2023 - , wrong-medication, wrong-route, and wrong-frequency electronic orders in an acute care setting, by extending … Conduct a multisite observational study describing the overall frequency of wrong-patient, wrong-dose … , wrong-medication, wrong-route, and wrong-frequency electronic orders, and describe the frequency in … These measures identify electronic order errors including wrong dosage, wrong route, wrong frequency, … or wrong medication.
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digital.ahrq.gov/principal-investigator/lambert-bruce
January 01, 2023 - Lambert, Bruce
Preventing Wrong-Drug and Wrong-Patient Errors With Indication … Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient
-
digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
January 12, 2025 - Wrong-Patient Error in 1820
63
Cause of Wrong-Patient Errors
64
Wrong Patient Retract-and-Reorder … Wrong-Patient Orders, by Order Wrong-Patient Orders, by Patient Wrong-Patient Orders, by Set
Total … Dose 20,153
Wrong Frequency 12,353
Wrong Route 5,556
Wrong PRN 1,626
Wrong Duration 418
Other/Unknown … New RAR measures
identify wrong dose, wrong frequency, and wrong route medication errors. … X
Wrong-Patient Error in 1820
Cause of Wrong-Patient Errors
Wrong Patient Retract-and-Reorder (WP-RAR
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digital.ahrq.gov/technology/computerized-provider-order-entry-system
January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient … Principal Investigator
Lambert, Bruce
Project Name
Preventing Wrong-Drug and Wrong-Patient
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - ,
wrong-medication, wrong-route, and wrong-frequency electronic orders, and describe the frequency in … -
Reorder measure can be applied to detect wrong-dose, wrong-medication, wrong-route, wrong-frequency … Dose 20,153 23.6 369.0
Wrong Frequency 12,353 14.4 226.2
Wrong Route 5,556 6.5 101.7
Wrong PRN 1,626 … ), Wrong-Dose Pediatrics (age ≤21 years), Wrong-Frequency, Wrong-PRN, and Wrong-Route
RAR measures. … near-miss order errors to develop and validate Wrong-Dose, Wrong-Frequency, Wrong-PRN, and Wrong-
Route
-
digital.ahrq.gov/program-overview/research-stories/automated-retract-and-reorder-measures-improve-medication-safety
January 01, 2023 - (RAR) Measure to identify wrong-patient electronic orders. … The Wrong-Patient RAR measure enabled systematic and objective identification of wrong-patient orders … These measures identify electronic order errors including wrong dosage, wrong route, wrong frequency, … or wrong medication. … Are there differences in frequency by type of errors, for example, wrong-patient versus wrong-dose errors