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121. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events

122. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
     January 01, 2024 - teams; ethical issues in pediatric drug development; measuring child-reported outcomes; and preventing adverse … drug events in pediatric populations. … Adverse Drug Reactions in Children: The Impact on Clinical Care and Prescribing Practices (Jennifer … Communication in Pharmacy Settings Speakers: Delesha Carpenter, Julia Gilmartin, Oksana Pyzik 13 4.38 0.65 Adverse … Drug Reactions in Children: The Impact on Clinical Care and Prescribing Practices Speaker: Jennifer

123. Guide Promotional Postcard (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
     April 01, 2018 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse … drug event An estimated 160 million medication errors occur each year in primary care

124. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/corbett.html
     August 01, 2017 - Drug Events During Transfer of Care from Hospital to Home Cynthia F. … drug events (ADEs) are multifactorial and are attributed to both human and system errors. … Adverse drug reactions in older people. Rev Clin Gerontol 2010; 20(3):246-59. 18. … Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … National burden of preventable adverse drug events associated with inpatient injectable medications:

125. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
     January 01, 2024 - One study cited in the report found that almost two percent of admissions experienced a preventable adverse … drug event (medication error), resulting in average increased hospital costs of approximately $4,700 … that, if these findings were generalized, the increased hospital cost resulting from preventable adverse … drug events affecting inpatients was about $2 billion annually for the US. … The Costs of Adverse Drug Events in Hospitalized Patients. JAMA. 1997; 277:307-311. 4.

126. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Hospital-Acquired Condition Rate Partnership for Patients Hospital-Acquired Conditions Source Measure Adverse … Drug Event (ADE) MPSMS ADE Associated With Digoxin MPSMS ADE Associated With Hypoglycemic Agents

127. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/refs.html
     May 01, 2016 - Patient reporting of suspected adverse drug reactions: a review of published literature and international

128. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - Incidence and preventability of adverse drug events in nursing homes. … Systems analysis of adverse drug events. JAMA 1995;274:35–43. 20.

129. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/875.html
     August 01, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis .

130. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food and…

131. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
     January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…

132. Slide 1
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
     January 01, 2010 - measures the average severity of each delivery with an adverse event (Mann, et al., 2006) Reduced rate of adverse … drug events Improved medication reconciliation at patient admission (Haig, et al., 2006) TEAMSTEPPS

133. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Her team found that 10 percent of children with leukemia or lymphoma experienced adverse drug events

134. Table of Contents: Volume 1. Assessment (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     December 22, 2008 - Initiative: Collaboration, Evidence-Based Best Practices and “Smart” Technology Help Avert High-Risk Adverse … Drug Events and Improve Patient Outcomes Ray R. … Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse … Drug Events: Study Methods Andrew L.

135. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     December 22, 2008 - Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse … Drug Events and Improve Patient Outcomes Ray R. … Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse … Drug Events: Study Methods Andrew L.

136. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
     January 01, 2018 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … drug events (ADEs), although declines in other HACs also contributed significantly to deaths averted

137. Looking for Trouble in All the Right Places: The Legal Implications Associated with “Electronic Signatures” and High-risk Clinical Situations (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
     February 01, 2005 - Electronic identification mechanisms, which are more efficient, have been defined for adverse drug events … drug events (ADEs) among 36,653 hospitalized patients over an 18-month period. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Systems analysis of adverse drug events. ADE Prevention Study Group. … The incident reporting system does not detect adverse drug events: a problem for quality improvement

138. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
     January 01, 2003 - Patient safety: adverse drug events in ambulatory care.

139. Articulate Word Output (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
     May 10, 2018 - Articulate Word Output Primary Prevention of Cardiovascular Disease (CVD) Events with Statins 1 Primary Prevention of Cardiovascular Disease (CVD) Events with Statins 2 Welcome by Michael Pignone, MD, MPH Hi, my name is Dr. Michael Pignone. I’m a General Internist and faculty member at The Univer…

140. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     ce.effectivehealthcare.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
     January 01, 2004 - drug events.6 Drugs that have a narrow therapeutic window and require long-term management with frequent … drug events at rates disproportionate to its use,6 routinely identifying discordance and developing … drug events (particularly among the elderly),6 there is a need for providers to communicate with patients … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in ambulatory care. NEJM 2003 348(16):1556– 64. 19.