AHRQ Patient Safety Network

The Collection > Clinical Information Systems

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (31)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (90)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (351)

•Medical Complications (26)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (17)

•Transfusion Complications (2)

•Psychological and Social Complications (5)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (14)

Resource Types

•Clinical Guideline (1)

•Journal Article (488)

•Legislation/Regulation (9)

•Meeting/Conference (3)

•Newspaper/Magazine Article (83)

•Press Release/Announcement (1)

•Special or Theme Issue (6)

•Tools/Toolkit (2)

•Web Resource (5)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (138)

•Active Errors (107)

•Latent Errors (45)

•Near Miss (3)

Approach to Improving Safety
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Clinical Information Systems

•Computerized Provider Order Entry (CPOE) (279)

•Computerized Decision Support (126)

•Electronic Health Records (180)

Clinical Areas

•Allied Health Services (2)

•Medicine (390)

•Nursing (28)

•Pharmacy (145)

Target Audience

•Health Care Providers (427)

•Health Care Executives and Administrators (488)

•Non-Health Care Professionals (448)

•Patients (36)

Setting of Care

•Hospitals (340)

•Psychiatric Facilities (1)

•Residential Facilities (8)

•Ambulatory Care (113)

•Outpatient Surgery (2)

1 - 20 of 624

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STUDY

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

STUDY

The management of test results in primary care: does an electronic medical record make a difference?

Elder NC, McEwen TR, Flach J, Gallimore J, Pallerla H. Fam Med. 2010;42:327-333.

STUDY

Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting.

Menachemi N, Ford EW, Chukmaitov A, Brooks RG. Am J Manag Care. 2006;12:738-744.

STUDY

Improving medication safety in primary care using electronic health records.

Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.

MEASUREMENT TOOL/INDICATOR

Prevention Quality Indicators.

AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; September 2005.

STUDY

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

STUDY

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

O'Leary KJ, Liebovitz SM, Feinglass J, et al. J Hosp Med. 2009;4:219-225.

STUDY

Electronic results management in pediatric ambulatory care: qualitative assessment.

Ferris TG, Johnson SA, Co JP, et al. Pediatrics. 2009;123(suppl 2):S85-S91.

STUDY

Electronic health record-based surveillance of diagnostic errors in primary care.

Singh H, Giardina TD, Forjuoh SN, et al. BMJ Qual Saf. 2012;22:93-100.

STUDY

Medication errors reported by US family physicians and their office staff.

Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290.

COMMENTARY

Unintended errors with EHR-based result management: a case series.

Yackel TR, Embi PJ. J Am Med Inform Assoc. 2010;17:104-107.

STUDY

An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.

Staroselsky M, Volk LA, Tsurikova R, et al. Int J Med Inform. 2008;77:153-160.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

A mixed method study of the merits of e-prescribing drug alerts in primary care.

Lapane KL, Waring ME, Schneider KL, Dubé C, Quilliam BJ. J Gen Intern Med. 2008;23:442-446.

STUDY

A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.

Matheny ME, Sequist TD, Seger AC, et al. J Am Med Inform Assoc. 2008;15:424-429.

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