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Electronic Err. AHRQ WebM&M icon

Tang PC. AHRQ WebM&M [serial online]. October 2004.

After an admitting physician bases the dosages of medication on an outdated electronic medication list, the patient's heart nearly stops.

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Related Resources

COMMENTARY

Deciphering the Code

Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.

STUDY

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Poon EG, Blumenfeld B, Hamann C, et al. J Am Med Inform Assoc. 2006;13:581-592.

NEWSPAPER/MAGAZINE ARTICLE

Keeping track of aging patients’ medications.

Cooney E. Worcester Telegram & Gazette. January 28, 2008;Living section:E1.

BOOK/REPORT

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.

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Resource Type

Commentary

Target Audience

Physicians

Facility and Group Administrators

Information Professionals

Safety Target

Discontinuities, Gaps, and Hand-Off Problems

Medication Errors/Preventable Adverse Drug Events

Error Types

Latent Errors

Approach to Improving Safety

Computerized Provider Order Entry (CPOE)

Electronic Health Records

Medication Reconciliation

Origin/Sponsor

Agency for Healthcare Research and Quality (AHRQ)