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21. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
    January 01, 2024 - Injury due to a known DDI is a preventable adverse drug event and constitutes a serious medication … Injury due to a known DDI is a preventable adverse drug event and serious medication error. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Drug-drug interactions among elderly patients hospitalized for drug toxicity. … Gender differences in drug toxicity. Trends Pharmacol Sci. Mar 2010;31(3):108-114.

22. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
    June 01, 2018 - Preventing Adverse Drug Reactions Preventable adverse drug events cause significant mortality each … drug events. … LDS Hospital in Salt Lake City, Utah, has taken steps to improve its rate of adverse drug events. … These efforts led to a 75-percent decline in adverse drug reactions related to antibiotics. … drug reactions by 30 percent or more.

23. Using Home Visits to Understand Medication Errors in Children (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
    May 28, 2008 - A medication error causing injury to the patient (preventable adverse drug event). 2. … Incidence and impact of adverse drug events in pediatric inpatients. … Medication errors and adverse drug events in pediatric inpatients. … Adverse drug events resulting from patient errors in older adults. … Incidence of adverse drug events and potential adverse drug events: Implications for prevention.

24. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - The cost of adverse drug events in hospitalized patients. JAMA 1997;227(4):307–12. 7. … Using information technology to screen for adverse drug events. … Reporting adverse drug reactions in ambulatory care setting. … Identifying hospital admissions due to adverse drug events using a computer-based monitor. … Comparison of medication errors, adverse drug events, and intercepted errors Table 2.

25. Declines in Hospital Acquired Conditions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
    June 04, 2018 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 8,000 deaths and saved $2.9 billion between 2014 … Adverse Drug Events CAUTI* *CAUTI - Catheter-Associated Urinary Tract Infections CLABSI+ Clostridium

26. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Table of Contents Adverse Drug Events (ADEs): General Medication Topics ADEs: Harms Due to Anticoagulants … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms … ) MHS III (2020) Computer Adverse Drug Event Detection and Alerts Summary of Evidence (Not reviewed … Drug Events Summary of Evidence Update (Not reviewed) Protocols for High-Risk Drugs: Reducing … Adverse Drug Events Related to Anticoagulants Summary of Evidence Update (Not reviewed) The

27. Declines in Hospital-Acquired Conditions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
    January 01, 2019 - in Hospital- Acquired Conditions National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 … Adverse Drug Events -28% CAUTI* -5% CLABSI+ -6% Clostridioides difficile Infections -37%

28. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/infographics/hac-rates_2019.html
    July 01, 2020 - (PDF, 11.1 MB) Text Description: National efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014 … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease.

29. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - The cost of treating an adverse drug event in a hospital averages $3,244 to $5,857 per case.47, 48, … 49, 50 3 Adverse Drug Events: Common, Serious, and Costly Adverse drug events (ADEs) are the … Adverse drug reactions as cause of admission to hospital: Prospective analysis of 18,820 patients. … The costs of adverse drug events in hospitalized patients. … Can the frequency and risks of fatal adverse drug events be determined?

30. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Adverse Drug Events (anticoagulants, opioids, and hypoglycemic agents) 2. … “drug overdose”[mh] OR “Drug-related side effects and adverse reactions”[mh] OR “adverse drug event … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[ … Clinical and economic impact of adverse drug reactions in hospitalized patients. … Adverse Drug Events Exhibit D2. Catheter-Associated Urinary Tract Infection Exhibit D2.

31. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
    January 01, 2004 - Timely analysis of such feedback revealed omissions of medications, diagnoses, and adverse drug reactions … Similarly, “missing” adverse drug reactions noted by clinicians were confirmed by chart review as not … One comment highlighted an instance where an adverse drug reaction (ADR) reaction to a substance was … Incorrect adverse drug reaction (ADR) notification 1 Error in the data conversion, leading to the

32. Serious Reportable Adverse Events in Health Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
    December 01, 2000 - Serious Reportable Adverse Events in Health Care 339 Serious Reportable Adverse Events in Health Care Kenneth W. Kizer, Melissa B. Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and mortality in the United States, although there is no national reporting of such…

33. 2017Qdr-Patsafchartbook (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - drug event to warfarin (Adverse drug events) …  Adverse drug events. … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin Adult hospital patients with an anticoagulant-related adverse drug … Drug Events Adverse Events With Hypoglycemic Agents Adverse Drug Events With Warfarin Patient Safety

34. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - Study Identifier: 2015-09 AHRQ Product(s): Research Topic(s): Adverse … Drug Events (ADE), Outcomes, Patient Safety, Provider: Pharmacist Geographic

35. Prologue: 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/Advances-Prologue_Grady_Vol4.pdf
    July 25, 2008 - We are already using health IT in a number of ways: to help prevent medical errors, including adverse … drug events; reduce costs through streamlining processes and providing more targeted, efficient care … Medication errors are a frequent cause of adverse drug events, and they can occur at any point in the … drug events, ranging from increased involvement of pharmacists, to e-prescribing technologies, to computer-based … drug events.

36. Clinical Pharmacists in Emergency Medicine (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
    February 21, 2008 - adverse drug events that occur in the ED are a significant public health problem and need to be reduced … Adverse drug events in emergency department patients. Ann Emerg Med 2002; 39: 258-267. 1. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … The clinical pharmacist’s role in preventing adverse drug events.

37. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - ; and Bates and colleagues4 estimated the cost of Expenditures and Outcomes in Medicare 425 adverse … drug events using 247 adverse drug events in 207 hospitalized patients in 2 hospitals in Boston over … The costs of adverse drug events in hospitalized patients. JAMA 1997;277(4):307–11. 5.

38. Chartbook on Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - The exclusion criteria for Medication or Other Substance reports are: ■ Adverse drug reaction with … ); radiopharmaceuticals; drug-drug, drug-food, or adverse drug reaction as a result of a prescription … ); radiopharmaceuticals; drug-drug, drug-food, or adverse drug reaction as a result of a prescription … ); radiopharmaceuticals; drug-drug, drug-food, or adverse drug reaction as a result of a prescription … ); radiopharmaceuticals; drug-drug, drug-food, or adverse drug reaction as a result of a prescription

39. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - At the LDS Hospital in Salt Lake City, Utah, a quality improvement program decreased adverse drug reactions … Overuse of antibiotics imposes unnecessary health care costs, places patients at risk for adverse drug … In fact, the authors of the study estimated that preventable adverse drug events would cost an additional … drug events would be $2 billion annually. … drug reactions (ADRs), and led to similar or better outcomes than the more expensive alternatives (

40. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - drug events, and injuries due to procedures, as well as pressure ulcers and falls. … For example, measured adverse drug events continued to drop from 2014 to 2016, while measured pressure … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Drug Event MPSMS ADE Associated With Digoxin 6,164 0.21 MPSMS ADE Associated With Hypoglycemic Agents … Drug Event MPSMS ADE Associated With Digoxin 6,164 0.21 761 0.03 153 0.01 MPSMS ADE Associated