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41. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Medication safety program reduces adverse drug events in a community hospital. … Adverse drug events among hospitalized patients: epidemiology and national estimates from a new approach … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29.

42. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - drug events, and injuries due to procedures, as well as pressure ulcers/pressure injuries and falls … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Drug Events 33.7 30.0 27.1 24.2 -28% Catheter-Associated Urinary Tract Infections 5.7 6.4 5.7 … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Drug Event MPSMS ADE Associated With Digoxin 6,204 0.21 795 0.03 169 0.01 2,671 0.09 MPSMS ADE

43. Tennessee Hospital Association Uses AHRQ Tools To Boost Patient Safety, Saving $17 Million | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
    March 01, 2017 - Among others, these safety challenges included: Adverse drug events. … Patient Safety Organization (PSO), Re-Engineered Discharge (RED) Topic(s): Adverse … Drug Events (ADE), Healthcare Costs, Healthcare-Associated Infections (HAIs), Quality of

44. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
    November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Drug Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections … drug events (ADEs), although declines in other HACs also contributed significantly to deaths averted … Drug Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections … Drug Events 1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500 Catheter- Associated

45. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Incidence of adverse drug events and potential adverse drug events. JAMA 1995; 274: 29-34. 5. … The incident reporting system does not detect adverse drug events: A problem for quality improvement

46. Risk of Concurrent Use of Prescription Drugs with Herbal and Dietary Supplements in Ambulatory Care (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-Graham_77.pdf
    March 05, 2008 - drug events (ADEs) related to drug-HDS interactions. … drug events (ADEs) related to HDS. … Adverse Drug Events Among Herbal and Dietary Supplement Users Twenty-nine (29 percent) of the 101 HDS … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 15. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

47. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - 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

48. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Drug Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections … drug events (ADEs), although declines in other HACs also contributed significantly to deaths averted … Drug Events Catheter-Associated Urinary Tract Infections Central Line-Associated Bloodstream Infections … Drug Events 1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500 Catheter- Associated

49. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - Relationship between medication errors and adverse drug events. … Reducing adverse drug events. Boston: Institute for Healthcare Improvement; 1998. 20. … drug events, and adverse drug reactions. … Systems analysis of adverse drug events. JAMA 1995 Jul 5;274(1):35–43. 40. Leape LL. … Adverse drug events in hospitalized patients.

50. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - 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

51. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Preliminary 2017 2019 Goal (20% Reduction of each HAC) Adverse Drug Events 33.7 30.0 27.1 … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Preliminary 2017 Percent Change in HACs, 2014 vs Preliminary 201714 Adverse Drug Events 1,001,000 … Drug Event MPSMS ADE Associated With Digoxin 6,204 0.21 795 0.03 169 0.01 2,671 0.09 MPSMS ADE

52. Methodological Challenges in Describing Medication Dosing 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/vol2/McPhillips.pdf
    January 01, 2004 - Errors in medication ordering are the most common cause of preventable adverse drug events in hospitalized … patients.1, 7 In one adult study, half of all preventable adverse drug events occurred at the physician … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Medication errors and adverse drug events in pediatric inpatients. … A computer alert system to prevent injury from adverse drug events: development and evaluation in a

53. Antibiotic Side Effects (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
    June 01, 2021 - Antibiotic Side Effects Risk of antibiotic side effects and adverse reactions • Antibiotic use is the most important risk factor for developing multidrug-resistant infections, which contribute to over 35,000 deaths in the United States each year • Antibiotic-associated adverse events are one of the most common rea…

54. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
    March 01, 2020 - Reducing Adverse Drug Events in Older Adults: Deprescribing Drug burden index scores Adverse drug … Reducing Adverse Drug Events in Older Adults: Using the Screening Tool of Older Persons’ Potentially … drug events. … Infusion Pumps/Medication Error : Staff Education and Training Adverse drug events Nurse adherence … drug events, and nursing-sensitive conditions.

55. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
    December 01, 2004 - These points are illustrated by a Advances in Patient Safety: Vol. 2 58 recent study of adverse … drug events among elderly patients in an ambulatory setting. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in high risk older outpatients. [See Comment.]

56. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/references.html
    July 01, 2022 - The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.

57. Appendix E | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
    April 01, 2018 - Thrombosis and Thromboembolism 0 414 Medication Safety 126 416  -- Medication Errors/Preventable Adverse … Drug Events 96 420  ---- Administration Errors 14 419  ---- Dispensing Errors 11 448 … --- Ordering/Prescribing Errors 6 418  ---- Transcription Errors 5 415  -- Side Effects/Adverse … Drug Reactions 17 421  -- Specific to High-Risk Drugs 18 422  ---- Anticoagulants 3

58. Appendix | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - in Measured HACs c Projected Cost Savings in 2013 d Projected Reductions in Deaths in 2013 e Adverse … Drug Events 1,621,000 1,320,000 301,000 19% $1,505,000,000 6,020 Catheter- Associated … Drug Events 1,900,000 50% 50% 25% 475,000 $5,000 Catheter-Associated Urinary Tract Infections … 2014 if 2014 Goal Met Projected Reductions in Deaths Associated With HACs in 2014 if 2014 Goal Met Adverse … Drug Events .020 $2,375,000,000 9,500 Catheter-Associated Urinary Tract Infections .023

59. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - drug events. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Medication safety program reduces adverse drug events in a community hospital. … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29.

60. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
    June 05, 2008 - Systems analysis of adverse drug events. JAMA 1995; 274: 35-43. 6. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting.