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teamstepps.ahrq.gov/research/findings/evidence-based-reports/search.html
April 01, 2024 - Status: Final
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events Date: February 2024
Report Type: Rapid Evidence Product Affiliation: Southern California … International—University of North Carolina at Chapel Hill Report Status: Final
Reducing Adverse … Drug Events Related to Anticoagulant Use in Adults Date: January 2024
Report Type: Rapid Evidence
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - three-quarters of these could have been prevented or
ameliorated.1 Common post-discharge complications
include adverse … drug events, hospital-acquired infections,
and procedural complications.1 Many of these
complications
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications
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teamstepps.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Normalized to 32,750,000 Discharges— Based on 2010 Baseline)
2012 PFP Measured HACs per 1,000 Discharges
Adverse … Drug Event (ADE)
MPSMS
ADE Associated With Digoxin
9,400
0.29
11,000
0.32
MPSMS
ADE
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … drug reaction
∗ Death associated with medication error
∗ Death associated with medical device … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … drug event
∗ Death related to medical device
∗ Healthcare-associated infection
∗ Fall during hospitalization
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teamstepps.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
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teamstepps.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
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teamstepps.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 .
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teamstepps.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
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
April 05, 2022 - Change, Environmental Justice and AHRQ
October 5, 2021
Drug Label Changes Could Reduce Adverse … Drug Reactions Among Older Adults
September 29, 2021
AHRQ Views Blog Post: AHRQ Initiatives
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Skip to main content
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teamstepps.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.
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those
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teamstepps.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors and Adverse … Drug Events
AHRQ PSNet Primer: Medication Reconciliation
AHRQ PSNet Perspective: Patient Safety
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teamstepps.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
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teamstepps.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse … Drug Events (ADE),
Care Coordination,
Chronic Conditions,
Clinician-Patient Communication
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teamstepps.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 billion), adverse … drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have been estimated to
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that “A…