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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2012
January 01, 2012 - An example of a hazard would be entering an order for the wrong patient, which could be caused by user
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digital.ahrq.gov/principal-investigator/patel-vimla-l
January 01, 2023 - Project Name
Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open
Develop
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digital.ahrq.gov/2020-year-review/research-summary/anesthesiology-control-tower-air-traffic-control-operating-rooms
January 01, 2020 - A lot can go wrong. In fact, it does.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - they’re prepared to provide additional support
Plan for what to do if things go really wrong
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digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
January 01, 2018 - Health IT Safety Measures To Capture Violations of the Five Rights of Medication Safety ; Assess Risk of Wrong-Patient
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digital.ahrq.gov/sites/default/files/docs/resource/James_Veline_IQHIT_Q6_Compliance_and_Adherence_Patient_Handout.pdf
June 16, 2021 - • Take a pill at the wrong time of the day.
• Take someone else's medicine.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
January 01, 2003 - information systems have been proposed as one means to reduce medical errors of commission (doing the wrong
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
January 01, 2011 - Drug name confusion causes patients to receive the wrong drugs.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - alert or reminder is
consistently “clickedthrough,” it could be that
the alert: (1) appears at the wrong … time in an
encounter, (2) is set to display to the wrong
person, (3) is written ambiguously, or (4
-
digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - https://digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems … 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
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/SurveyOnPatientSafetyCulture.doc
January 01, 2008 - The wrong chart/medical record was used for a patient
(1
(2
(3
(4
(5
(6
(9
Charts/Medical Records … Medical information was filed, scanned, or entered into the wrong patient’s chart/medical record
(1
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2012
January 01, 2012 - Drug name confusion causes patients to receive the wrong drugs.
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digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-patient-survey.pdf
June 16, 2021 - from my
doctor
My doctor would be less likely to
make mistakes (for example:
prescribing the wrong … medication or
making the wrong diagnosis)
I would have better access to my
medical information
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
January 01, 2008 - that the software would alert a nurse about a potential error before s/he actually administered the wrong
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sittig-df-et-al-2006
January 01, 2006 - "Several alerts that come up at the wrong point in the work flow, for example, alerts that display whenever
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_TheExcellenceReport_FAQs.pdf
January 01, 2007 - Finally, we want to hear from you if you think our
numbers are wrong.
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
January 01, 2008 - At the nursing level, errors occur in administration (e.g., wrong patient,
wrong drug, wrong route, … wrong time, wrong amount, wrong rate). … primary new error noted in the interviews
was an increased potential to administer medication at the wrong
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digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
November 01, 2004 - Create stories
– Generate action
– A feedback loop
Huge opportunity to waste time, money,
and promote wrong
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digital.ahrq.gov/ahrq-funded-projects/developing-and-using-valid-clinical-quality-metrics-health-information
January 01, 2023 - only will incorrect data be reported, but financial incentives and penalties could be given to the wrong
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safetyquality-health-information-technology-implementation
January 01, 2023 - included: operative and post-operative complications and infections, medication errors, patient falls, wrong-site