U.S. Department of Health & Human Services
Electronic Health Records
PATIENT SAFETY PRIMERS
Device-related Complications (1)
Diagnostic Errors (17)
Identification Errors (9)
Discontinuities, Gaps, and Hand-Off Problems (61)
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Medication Safety (78)
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Special or Theme Issue (3)
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Epidemiology of Errors and Adverse Events (49)
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Latent Errors (33)
Approach to Improving Safety
Electronic Health Records
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Non-Health Care Professionals (167)
Setting of Care
Residential Facilities (4)
Ambulatory Care (63)
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Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.
Wakefield DS, Ward MM, Loes JL, O'Brien J, Sperry L. Am J Health Syst Pharm. 2010;67:2052-2057.
Wrist tag 'offers drug warning.'
BBC News. August 9, 2005.
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
Medicines reconciliation using a shared electronic health care record.
Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.
Medication errors with electronic prescribing (eP): two views of the same picture.
Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.
Taylor SP, Ledford R, Palmer V, Abel E. BMJ Qual Saf. 2014;23:584-588.
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.
Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
Electronic health records and adverse drug events after patient transfer.
Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.
Medication administration quality and health information technology: a national study of US hospitals.
Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.
Effect of a weight-based prescribing method within an electronic health record on prescribing errors.
Ginzburg R, Barr WB, Harris M, Munshi S. Am J Health Syst Pharm. 2009;66:2037-2041.
Forster A. AHRQ WebM&M [serial online]. December 2004.
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.
Medication Reconciliation Victory after an Avoidable Error
Cutler TW. AHRQ WebM&M [serial online]. February/March 2009.
A long-term follow-up evaluation of electronic health record prescribing safety.
Abramson EL, Malhotra S, Osorio SN, et al. J Am Med Inform Assoc. 2013;20:e52-e58.
Wherry R. Forbes Magazine. June 20, 2005.
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.
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