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41. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.qualitymeasures.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

42. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
    December 15, 2016 - medication reconciliation and medication management are well documented.2-5 One study found that adverse … drug events result in as many as 4.5 million ambulatory visits (office and emergency department) each … It will also help you identify patient behaviors that may be putting them at risk for an adverse drug … event, such as over- or underdosing, missing medications, and other important contextual factors limiting … Adverse drug events in U.S. adult ambulatory medical care.

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

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

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

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

47. Slide 1
    www.qualitymeasures.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

48. AHRQ News Now | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

49. Articulate Word Output (pdf file)
    www.qualitymeasures.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…

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

51. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
    www.qualitymeasures.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 …

52. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those

53. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/resources/improve-discharge/index.html
    July 01, 2022 - Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: Medication Errors and Adverse … Drug Events AHRQ PSNet Primer: Medication Reconciliation AHRQ PSNet Perspective: Patient Safety

54. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
    May 01, 2017 - Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34.

55. Program-Dev-Facilitator-Guide (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Developing an Antibiotic Stewardship Program Long-Term Care Slide Title and Commentary Slide Number and Slide Developing an Antibiotic Stewardship Program Long-Term Care SAY: Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…

56. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Team Training Falls Pressure Ulcers Diagnostic Safety Blood Clot Prevention and Treatment Adverse … Drug Events AHRQ Quality Indicators (QIs) Page last reviewed February

57. Antibiotic Stewardship Program (ASP) Development
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
    June 01, 2021 - Antibiotic Stewardship Program (ASP) Development Developing an Antibiotic Stewardship Program Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Developing a Program 1 Objectives Name the goals of antibiotic stewardship and why it is important in long-term care (LT…

58. Acknowledgments | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/acknowledgements.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 Advances in Patient Safety

59. FileNewTemplate
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
    March 01, 2010 - Reduced rate of adverse drug events Improved medication reconciliation at patient admission Haig, K. … index, which measures the average severity of each delivery with an adverse event; reduced rate of adverse … drug events; and improved medication reconciliation at patient admission. 9 Does TeamSTEPPS Work?

60. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/900.html
    February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .