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41. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    preventiveservices.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…

42. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Deprescribing Report Protocol Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events Report Protocol Failure To Rescue—Rapid Response Systems Report Protocol

43. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - drug events.2 Effective communication regarding medications can help avoid medication-related errors3 … drug events at rates disproportionate to its use,2 routinely identifying discordance and developing … drug events. … Adverse drug events in ambulatory care. N Engl J Med 2003;348(16):1556–64. 2. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

44. Improving Medication Safety for Older Adults | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
    March 01, 2022 - As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according

45. Understand the Science of Safety for Perinatal Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
    July 01, 2023 - Incidence of adverse drug events and potential adverse drug events. JAMA 1995;274(1):29–34.

46. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
    March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety …

47. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
    October 01, 2014 - As a result of the intervention, Eddy Heritage staff have identified and resolved potential adverse drug … events.

48. AHRQ’s Work Helps Convince Army Medical Center to Reinstate E.D. Clinical Pharmacist | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/201519.html
    July 01, 2015 - with underdose and overdose prevention, but I also perform medication therapy consults on patients, adverse … drug reaction consults, toxicology consults, therapy change recommendations, resident education, discharge

49. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
    January 01, 2023 - patient) • Near fall – loss of balance that does not result in a fall Medication or Other Substance • Adverse … drug reaction with no apparent incorrect action • Patient food (not suspected in drug-food interactions … decision to prescribe medication despite known drug-drug interaction) • Drug-drug, drug-food, or adverse … drug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission

50. Data Infographics | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/data/infographics/index.html
    March 01, 2024 - Family Premiums for Employer-Sponsored Health Insurance Growing Pain of Spinal Stenosis Adverse … Drug Events Occurring in U.S.

51. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - 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 …

52. AHRQ-Funded Patient Safety (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
    June 01, 2023 - ■ A pharmacy barcode system* for medications at Brigham and Women’s Hospital resulted in fewer adverse … drug events from dispensing errors and an annual savings of $2.23 million … in hospital-related settings is associated with a greater than 50 percent decline in preventable adverse … drug events (pADEs).

53. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
    September 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting

54. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html?page=0
    February 01, 2024 - User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,

55. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/index.html
    February 01, 2024 - User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) Adverse … Drug Events (ADE) (5) Asthma (2) Behavioral Health (16) Blood Clots (15) Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,

56. Glossary | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/questions/resources/glossary.html
    November 01, 2020 - 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 …

57. Resource List - AHRQ Hospital Survey (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … of the medication use pathway—prescribing, transcribing, dispensing, and administration—to prevent adverse … drug events (ADEs). … Drug Events Patient Safety Primer: Missed Nursing Care Patient Safety Primer: Reporting Patient Safety … Patient Safety Primer: Medication Errors and Adverse Drug Events 23.

58. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
    June 01, 2023 - These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse … drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors

59. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    July 12, 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 80%

60. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
    December 01, 2020 - Importance of Patient Safety Mortality Prevalence Cost Findings on Patient Safety Improving Trend: Adverse … Drug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants