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Total Results: 218 records

Showing results for "wrong".

21. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/indication-based
    January 01, 2023 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order … Indication-based prescribing prevents wrong-patient medication errors in computerized provider order

22. Adelman, Jason Stuart | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/adelman-jason-stuart
    July 24, 2024 - Principal Investigator Adelman, Jason Stuart Project Name Assess Risk of Wrong-Patient … Wrong-patient orders in obstetrics. … Association of display of patient photographs in the electronic health record with wrong-patient order … Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units … Principal Investigator Adelman, Jason Stuart Project Name Assess Risk of Wrong-Patient

23. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient/citation/association
    January 01, 2023 - Association of display of patient photographs in the electronic health record with wrong-patient order … Association of display of patient photographs in the electronic health record with wrong-patient order

24. Time Series | Digital Healthcare Research
    digital.ahrq.gov/research-method/time-series
    January 01, 2023 - and Wrong-Patient Errors With Indication Alerts in CPOE Systems - Final Report Citation Lambert … 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 … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department … Principal Investigator Lambert, Bruce Project Name Preventing Wrong-Drug and Wrong-Patient

25. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/develop-and-validate-health-it-safety-measures-capture-violations-five-rights/citation/risk
    January 01, 2023 - Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units … Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units

26. Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024713-adelman-final-report-2023.pdf
    January 01, 2023 - Background The problem of wrong-patient orders. … ID Verification Alerts to prevent wrong-patient orders. … alerts significantly reduced wrong-patient orders. … Wrong-Patient Retract-and-Reorder Measure for identifying wrong-patient errors. … 1 wrong-patient order.

27. Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety | Digital Healthcare Research
    digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
    January 01, 2018 - Wachter, Murray, and Adler-Milstein 4 Wrong-patient errors can affect any patient in any healthcare … Retract-and-Reorder (RAR) Measure that he developed to evaluate the frequency of wrong-patient errors … Having multiple EHRs open simultaneously does not increase wrong-patient orders. … “Placing orders on the wrong patient should never happen. … While no differences in wrong-patient orders were observed between those clinician groups, there was

28. An Etiology for Medication Ordering Errors in CPOE Systems - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
    January 01, 2020 - patient, wrong drug). … Wrong Drug An order indicating the wrong medication for the patient. … (7%, n=64), wrong drug (7%, n=56), wrong encounter (1%, n=11), or other (<1%, n=5). … Drug 56 (6.6%) Wrong Encounter 11 (1.3%) Wrong Patient 94 (11.1%) Wrong Route/Dose/Strength 189 ( … type of errors, while cognitive factors predominantly contributed to wrong drug, wrong patient and wrong

29. USA, IL, Evanston | Digital Healthcare Research
    digital.ahrq.gov/location/usa-il-evanston
    January 01, 2023 - USA, IL, Evanston Preventing Wrong-Drug and Wrong-Patient Errors With … found a significant increase in problem placement rates, a modest increase in order abandonment (when a wrong … patient error was detected), and a slight increase in order retractions (when a wrong drug error was

30. Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
    January 01, 2019 - Cases of interest across five error types (including wrong route, wrong weight and wrong dose among … Each of the error types (Wrong Route, Wrong Weight, etc.) will be explored in greater detail below. … the wrong route. … Wrong Side Wrong sided surgeries are a never event in modern healthcare yet they continue to happen … Order written for wrong patient and then voided with reason "wrong patient/wrong encounter".

31. Health IT Hazard Manager Beta-Test Appendix B: Revised Hazard Manager Ontology (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - mental models/expectations and HIT • Other Data Quality • IT contributed to entry of data in the wrong … patient’s record • Organizational policy contributed to entry of data in the wrong patient’s record … • Patient information/results routed to the wrong recipient • Discrepancy between database and displayed … or display ○ Loss of clinical data ○ Medication error—software related ○ System returns or stores wrong … • Failure of wired or wireless network • Ergonomics ○ Alert fatigue/alarm fatigue ○ Data entry (wrong

32. Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
    January 01, 2023 - , wrong-medication, and wrong-route errors.  … Five error types were explored: wrong-route errors, wrong-weight errors, wrong-sided errors, free-text … order errors, and wrong-route-order errors. … EHR “bloat” For example, one analysis done was around acetaminophen (Tylenol) errors involving the wrong … These ‘wrong route’ errors can be catastrophic in some circumstances and are a focus of patient safety

33. Northwestern University | Digital Healthcare Research
    digital.ahrq.gov/organization/northwestern-university
    January 01, 2023 - Principal Investigator(s) Garcia, Sofia Penedo, Frank Preventing Wrong-Drug … and Wrong-Patient Errors With Indication Alerts in CPOE Systems Description This research … found a significant increase in problem placement rates, a modest increase in order abandonment (when a wrong … patient error was detected), and a slight increase in order retractions (when a wrong drug error was

34. Knowledge Creation | Digital Healthcare Research
    digital.ahrq.gov/goal/knowledge-creation
    January 01, 2023 - Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems Description … found a significant increase in problem placement rates, a modest increase in order abandonment (when a wrong … patient error was detected), and a slight increase in order retractions (when a wrong drug error was

35. Editorial | Digital Healthcare Research
    digital.ahrq.gov/document-type/editorial
    January 01, 2024 - Improve Patient Outcomes Beyond mixed case lettering: Reducing the risk of wrong … Beyond mixed case lettering: Reducing the risk of wrong drug errors requires a multimodal response. … Principal Investigator Lambert, Bruce Project Name Preventing Wrong-Drug and Wrong-Patient

36. Murphy Diagram | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
    January 01, 2023 - Diagram Description Murphy diagrams are based on the premise that "if something can go wrong … , it will go wrong."

37. DATAFORM 3 Medication Error and Near Miss Classification Form (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
    June 16, 2021 - Weight Error 10.01 Weight omitted 10.02 Weight wrong 10.03 Weight units missing 11. … Substitution 13.01 Wrong drug given 13.02 Wrong patient received drug 13.03 … Wrong drug ordered 15.

38. Risk Assessment | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
    January 01, 2023 - Description A potential problem analysis (PPA) is a systematic method for determining what could go wrong … Murphy Diagram Description Murphy diagrams are based on the premise that "if something can go wrong … , it will go wrong."

39. Health IT Hazard Manager Beta-Test Appendix F: “Other (specify)” Entries (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
    June 16, 2021 - confusingly 4 “Data Quality” Human error- faulty update of provider file 1 “Data Quality” Data linked to wrong … user 1 “Data Quality” Information documented on wrong patient 1 “Data Quality” Data sent to wrong … documentation of provider on record 1 “Data Quality” Incorrect information displayed 1 “Data Quality” Wrong

40. Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
    January 01, 2009 - sometimes resulted in errors, such as the selection of incorrect medication or the input of data into the wrong … Typical errors reported by most study participants (>60%) were typos, adding information to the wrong … above or below the desired item...Study participants described two common scenarios for adding to the wrong … "A number of study participants reported discovering they had written in the wrong patient's chart only … Similarly, study participants sometimes realized they had prescribed the wrong medication when concerned