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21. Advances in Patient Safety and Medical Liability | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/reports/liability/index.html
    August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home In October 2009, AHRQ launched … Bolkan Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital

22. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharge s Adverse … Drug Event (ADE) MPSMS ADE Associated With Digoxin 9,400 0.29 11,000 0.32 MPSMS ADE Associated

23. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Antibiotic use:  Toolkit To Improve Antibiotic Use in Acute Care Hospitals Adverse drug events: Medications

24. Return on Investment Tool (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
    January 01, 2013 - For many components of the CPOE, the number of estimated adverse drug events (ADEs) averted was multiplied … printers, software, network, leadership, and training Returns (numerator) $28.5 million Averted adverse … drug events; medication cost savings; decreased laboratory test usage for redundant or unnecessary … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality

25. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … 2014 If 2014 Goal Met Projected Reductions in Deaths Associated With HACs in 2014 If 2014 Goal Met Adverse … Drug Events 1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500 Catheter-Associated … [4] For example, one focus of efforts to reduce adverse drug events associated with anticoagulants

26. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    www.monahrq.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

27. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - structured protocol and software tool, to determine whether any of 21 types of adverse events—such as adverse … drug events, falls, and pressure ulcers—occurred. … effects on estimates of the deaths averted and cost savings come from declines in pressure ulcers and adverse … drug events. … drug events (ADEs) with an excess mortality of 20 deaths per 1,000 and excess costs of $5,000/case.

28. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
    www.monahrq.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

29. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
    www.monahrq.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

30. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    www.monahrq.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

31. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.monahrq.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

32. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.monahrq.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

33. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.monahrq.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:

34. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    www.monahrq.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

35. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
    www.monahrq.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 .

36. Slide 1
    www.monahrq.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

37. AHRQ News Now | Agency for Healthcare Research and Quality
    www.monahrq.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

38. Articulate Word Output (pdf file)
    www.monahrq.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…

39. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/news/newsletters/e-newsletter/899.html
    February 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

40. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    www.monahrq.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.