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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 Adverse … Drug Events
Report
Protocol
Failure To Rescue—Rapid Response Systems
Report
Protocol
Prevention
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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 adverse … drug events in emergency department (ED) patients.
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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 …
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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 adverse … drug events due to outpatient medication errors.
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teamstepps.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.
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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) …
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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
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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)
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,
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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 adverse … drug events. … transitioning from hospital to home care to determine the
potential for discrepancies to result in an adverse … drug 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
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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 Adverse … Drug Events From Electronic Health Record
Notes (MADE 1.0).
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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
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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 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.
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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 adverse … drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors
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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 adverse … drug events involving the blood thinner
heparin in hospital settings.
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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: Adverse … Drug Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - Articles featured this week include:
Anticoagulation-associated adverse drug events in hospitalized
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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
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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…
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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…
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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)
Adverse … Drug 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