AHRQ-Funded Projects
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An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems
This project will evaluate a computerized provider order entry (CPOE)-based function—medication voiding—that can be used to prospectively identify and document medication ordering errors.
Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open
This project compared the risk of orders placed on the wrong electronic patient record when providers were limited to having one patient record open at a time versus up to four and found no difference in errors between the two.
Enhancing Medication CPOE Safety and Quality by Indications-Based Prescribing
This project convened stakeholder panels to inform the development of an indications-enabled computerized prescriber order entry system.
Tools for Optimizing Medication Safety (TOP-MEDS)
This Centers for Education and Research on Therapeutics-funded project was focused on the improvement of patient safety through the development and refinement of tools for safer medication use.
Improving Management of Test Results that Return After Hospital Discharge
This project developed, implemented, and evaluated the impact of a computerized tool to automatically identify tests with pending results at hospital discharge, and assist in communicating those to followup providers.
Electronic Health Record Implementation for Continuum of Care in Rural Iowa
Shared an electronic medical records system that improved patient safety and quality of care. Also served as a critical learning tool for clinicians in a coalition of three large health organizations and 24 primary care clinics in northern Iowa.
Evaluating the Impact of an ACPOE/CDS System on Outcomes
Implemented an ambulatory computer physician order entry (ACPOE) system with clinical decision support capabilities in an ambulatory, community-based, integrated health-system; evaluated the impact of the system both internally, on organizational processes and human factors, and externally, on patient safety as measured by medication errors and adverse drug events.
Impact of Health Information Technology on Clinical Care
Evaluated the effects of staggered installation of an Epic health IT system that includes an EMR with provider order entry and clinical decision support in primary care settings on quality, safety, and resource use within a large integrated delivery system on cohort of 780,000 members with chronic illnesses.
Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs)
Assesses the implementation of CPOE/ EHR systems in 4 intensive care units (ICUs) and evaluates the value and outcomes of patient safety involving medication errors; quality of care; end users' job tasks, perceptions, and attitudes; and financial impact.