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61. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Hospital Labor and Delivery Units Perinatal Safety Toolkit About the Toolkit How To Use the Too…

62. AHRQ News Now | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 30, 2024 - SHARE: Filter the Results News Newsroom Blog Newsletter AHRQ News Now Events AHRQ News Now Sign up: AHRQ News Now email updates AHRQ News Now is a weekly newsletter that highlights agency research and program…

63. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    pcmh.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) …

64. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
    April 12, 2018 - . ■ Answer your questions. 1 in 9 emergency department admissions are related to an adverse drug … event.

65. Antibiotic Stewardship | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
    February 01, 2019 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria Comprehensive Unit-based Safety Program (CUSP) Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers …

66. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 1 Learning Objectives 2 AHRQ Safety Program for Perinatal Care Safe Med. Admin. 2 Safe Administration of Medications in L&D T…

67. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    pcmh.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

68. Safemed Facguide (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Safe Medication Administration Safe Medication Administration SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of implementing safeguards for their administ…

69. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
    pcmh.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).

70. Resource List - AHRQ Hospital Survey (pdf file)
    pcmh.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.

71. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
    pcmh.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%

72. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
    pcmh.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.

73. Improving Antipsychotic Appropriateness in Dementia Patients (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
    January 01, 2014 - Improving Antipsychotic Appropriateness in Dementia Patients …

74. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
    pcmh.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

75. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/888.html
    November 01, 2023 - Adverse drug event prevention and detection in older emergency department patients .

76. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
    November 01, 2022 - The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital

77. Antibiotic Stewardship Slides, Part 2
    pcmh.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…

78. Implementation Quick Start Guide: Create a Safe Medicine List Together (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
    April 04, 2018 - implementors and use them as peer coaches. 6 Evaluate your progress Evaluate effectiveness � How many adverse … drug events occur pre- and post-implementation?

79. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
    April 01, 2018 - Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

80. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    pcmh.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…