-
digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast
January 01, 2023 - A lot can go wrong. In fact, it does.
-
digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - Measurement - Diabetes
• We can agree that controlling Diabetes is an
important goal, but what is wrong … Measurement - Diabetes
• We can agree that controlling Diabetes is an
important goal, but what is wrong
-
digital.ahrq.gov/sites/default/files/docs/page/2_DimensionsofBusinessPractices_1.pdf
June 16, 2021 - bottom
indicating that the fax is intended only for the party listed and that if it is
received by the wrong
-
digital.ahrq.gov/sites/default/files/docs/page/2_DimensionsofBusinessPractices_0.pdf
June 16, 2021 - bottom
indicating that the fax is intended only for the party listed and that if it is
received by the wrong
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs020316-garfield-final-report-2014.pdf
January 01, 2014 - that kind of run through your
mind that you’re just thinking, ‘What if I do something wrong?’” … These “what if’s” and the fear of
doing something wrong or harmful to the infant were heightened by … risky and
uncertain, that “we’re not in the hospital, we’re first time parents…I fear doing something wrong
-
digital.ahrq.gov/sites/default/files/docs/page/2017-ahrq-hit-annual-report.pdf
January 01, 2017 - For example,
the Assess Risk of Wrong Patient Errors in an EMR That Allows Multiple Records Open project … Errors in Computerized
Provider Order Entry Systems PA-14-001
Adelman, Jason Stuart Assess Risk of Wrong … Matching in Support of Operational Health
Information Exchange PA-14-291
Lambert, Bruce Preventing Wrong-Drug … and Wrong-Patient Errors with Indication
Alerts in Computerized Provider Order Entry Systems PA-14-
-
digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - Weingart,
Arch Int Med 2003; LaPane, J Gen Int Med 2008)
• Possibility of new errors
– Selecting wrong
-
digital.ahrq.gov/sites/default/files/docs/survey/the-commonwealth-fund-2012-international-survey-of-primary-care-doctors.pdf
January 01, 2012 - 3 Our health care system has so much wrong with it that we need to completely rebuild it.
2.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
January 01, 2010 - setting.1,3-7 Data from outpatient
malpractice claims2,8,9 consistently rank missed, delayed, and wrong … The wrong diagnosis: identifying causes of
potentially adverse events in general practice using
incident
-
digital.ahrq.gov/sites/default/files/docs/page/2013-2015-ahrq-hit-summary-report.pdf
January 01, 2015 - Grant Highlight: Assessing Risk of
Wrong Patient Errors in an EMR
That Allows Multiple Records Open … of
medical records open at the time of
placing an order, and the risk of placing
an order on the wrong … https://healthit.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open … Investigator Project Title
Funding
Opportunity
Announcement
Adelman, Jason Stuart Assess Risk of Wrong
-
digital.ahrq.gov/sites/default/files/docs/page/2016-ahrq-hit-annual-report.pdf
January 01, 2016 - Principal Project Title
Funding
Opportunity
Announcement
Adelman, Jason Stuart Assess Risk of Wrong … Principal Investigator Project Title
Funding
Opportunity
Announcement
Lambert, Bruce Preventing Wrong-Drug … and Wrong-Patient Errors with Indication
Alerts in Computerized Provider Order Entry Systems PA-14-291
-
digital.ahrq.gov/sites/default/files/docs/page/e-prescribing-toolset-pharmacy.pdf
January 01, 2020 - because they may
be new to using the e-prescribing system and may have inadvertently selected the
wrong … For example, there may be a greater ease for the
physician to inadvertently to select a wrong drug on … Most e-prescription issues are caused by user error, as when the
prescriber selects the wrong item from … The pharmacist contacts the prescriber and learns that the prescriber
inadvertently selected the wrong … electronic prescription, it may be prudent
to check with the prescriber, who might have selected the wrong
-
digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
September 13, 2018 - If we know that three days after discharge, half of the patients are taking the wrong regimen.
-
digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
January 01, 2008 - paper records on a very busy nursing unit, who is very apt
to mis-file a patient’s record into the wrong … Subsequently the physician may very
well treat the patient based on wrong information, which could
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs026584-pitts-final-report-2022.pdf
January 01, 2022 - adjustment, and failure to communicate discontinuation of
previous prescriptions may result in the wrong
-
digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - likely to occur took place
during the ordering and administration (e.g., ordering/administering the wrong … medication
for/to the wrong patient). … Lab results were being attached to the wrong patient
records. … fortuitous, timely intervention (e.g., a nurse
happens to realize that a physician wrote an order in the wrong
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
January 01, 2019 - 80% to 90%,15,16 non-
reporting of symptoms to clinicians, misinterpreting symptoms and taking the wrong … symptoms, but he doesn’t want it to ever get that far – “by that time, I’ve already crossed
into the wrong
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - However, POC alerts are often wrong because they do not capture
4
available exclusion criteria … In addition, alerts are often wrong because an exclusion criterion
was never captured in an electronic
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017220-wolf-final-report-2012.pdf
January 01, 2012 - call to see if they filled their prescription,
and secondary adherence was considered as missed or wrong … also treated as a binary variable with 80% or
greater adherence in the past week (based on missed/wrong
-
digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
January 01, 2013 - Crossing the Quality Chasm, 2000
Right
Wrong
“… 44,000 to 98,000 deaths ...”