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  1. teamstepps.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 AdverseDrug Events Report Protocol Failure To Rescue—Rapid Response Systems Report Protocol Prevention
  2. teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
    December 01, 2023 - a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adversedrug events in emergency department (ED) patients.
  3. teamstepps.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 …
  4. teamstepps.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - published in the journal Cancer found that 10 percent of children with leukemia or lymphoma experienced adversedrug events due to outpatient medication errors.
  5. teamstepps.ahrq.gov/data/infographics/index.html
    March 01, 2024 - Family Premiums for Employer-Sponsored Health Insurance Growing Pain of Spinal Stenosis AdverseDrug Events Occurring in U.S.
  6. teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators Final Topic Refinement Document Home Mechanical Ventilators ID: PULT0717 Agency for Healthcare Research and Quality Technology Assessment Program Mayo Clinic Evidence-based Practice Center 16 October 2017 Preliminary Key Questions (KQs) …
  7. teamstepps.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
  8. teamstepps.ahrq.gov/news/newsroom/case-studies/index.html
    February 01, 2024 - User Liaison Program (ULP) (4) WebM&M (5) Topics Access to Care (14) AdverseDrug 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, AdverseDrug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,
  9. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - occurred across all types of medications and in 41% of cases sampled in this study may have caused adversedrug events. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adversedrug event (ADE), the severity of the ADE (i.e., serious, significant, minor), the potential health … drug event (ADE), the severity of the ADE (i.e., serious, significant, minor), the potential health
  10. teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - Lessons from a patient partnership intervention to prevent adverse drug events. … Consensus building for development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events in hospital patients. … Overview of the First Natural Language Processing Challenge for Extracting Medication, Indication, and AdverseDrug Events From Electronic Health Record Notes (MADE 1.0).
  11. teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
    February 01, 2019 - 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 …
  12. teamstepps.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 adversedrug 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.
  13. teamstepps.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 adversedrug event, such as overdosing, underdosing, or missing medications, or other important contextual factors
  14. teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 - measures that improved most reflect fewer adverse events in nursing homes (two measures) and fewer adversedrug events involving the blood thinner heparin in hospital settings.
  15. teamstepps.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: AdverseDrug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
  16. teamstepps.ahrq.gov/news/newsletters/e-newsletter/874.html
    August 01, 2023 - Articles featured this week include: Anticoagulation-associated adverse drug events in hospitalized
  17. teamstepps.ahrq.gov/news/newsletters/e-newsletter/884.html
    October 01, 2023 - Risk factors for opioid-related adverse drug events among older adults after hospitalization for major
  18. teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
    March 01, 2017 - Antibiotic Stewardship Slides, Part 2 Antibiotic Stewardship AHRQ Pub. No. 16(17)-0003-22-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today’s educational session on antibiotic stewardship. This module is part of the Agency for Healthcare Research and Quality (or AHRQ) Safety Progra…
  19. teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
    December 21, 2023 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare *List current as of December 21, 2023 Name Department/Agency Title Craig A. Umscheid, M.D., M.S. AHRQ Director, Center for Quality Impr…
  20. teamstepps.ahrq.gov/research/findings/studies/index.html?page=480
    January 01, 2024 - 1279) 2015 (1430) 2014 (662) 2013 (195) Topics Access to Care (417) AdverseDrug Events (ADE) (321) Adverse Events (736) Alcohol Use (61) Ambulatory Care and Surgery … Keywords: Opioids, Medication, Substance Abuse, Screening, Adverse Drug Events (ADE), Adverse Events

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