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61. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Adverse Drug Events (anticoagulants, opioids, and hypoglycemic agents) 2. … “drug overdose”[mh] OR “Drug-related side effects and adverse reactions”[mh] OR “adverse drug event … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[ … Clinical and economic impact of adverse drug reactions in hospitalized patients. … Adverse Drug Events Exhibit D2. Catheter-Associated Urinary Tract Infection Exhibit D2.

62. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
    www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
    November 01, 2017 - Adverse Drug Events (anticoagulants, opioids, and hypoglycemic agents) 2. … “drug overdose”[mh] OR “Drug-related side effects and adverse reactions”[mh] OR “adverse drug event … ”[tiab] OR “adverse drug events”[tiab] OR “adverse drug reaction”[tiab] OR “adverse drug reactions”[ … Clinical and economic impact of adverse drug reactions in hospitalized patients. … Adverse Drug Events Exhibit D2. Catheter-Associated Urinary Tract Infection Exhibit D2.

63. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
    January 01, 2007 - Incidence of adverse drug events and potential adverse drug events. JAMA 1995; 274: 29-34. 5. … The incident reporting system does not detect adverse drug events: A problem for quality improvement

64. Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/studies/index.html?page=321
    January 01, 2024 - They concluded that NSAID therapeutic use can be limited by adverse drug reactions (ADRs); about 1 in … Keywords: Electronic Health Records (EHRs), Medication, Risk, Health Systems, Adverse Drug Events (ADE … Keywords: Adverse Drug Events (ADE), Medical Errors, Medication: Safety, Medication, Provider: Pharmacist … E-prescribing and adverse drug events: an observational study of the Medicare part D population with … Keywords: Adverse Drug Events (ADE), Electronic Prescribing (E-Prescribing), Diabetes, Medicare, Medication

65. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
    January 01, 2024 - drug events. … Although an adverse drug event in this setting may be directly linked to a “human error,” the root cause … Relationship between Nurse Staffing, Health Inspection Deficiencies and Adverse Drug Events in Nursing … drug event incidence. … Dementia and the Incidence of Adverse Drug Events in the Nursing Home.

66. 2017Qdr-Patsafchartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
    October 01, 2018 - drug event to warfarin (Adverse drug events) …  Adverse drug events. … Adverse Drug Events • An adverse drug event (ADE) is an injury—including physical harm, mental harm, … Adverse Drug Events With Warfarin Adult hospital patients with an anticoagulant-related adverse drug … Drug Events Adverse Events With Hypoglycemic Agents Adverse Drug Events With Warfarin Patient Safety

67. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
    January 01, 2024 - drug events; medical liability; risk management; quality of care; patient safety Purpose The overall … drug events, and medical liability during hospital-to- community transitions within a complex healthcare … Research indicates that rates of adverse drug events (ADEs) in ambulatory care may be up to four times … drug events (ADRs) and 2) evaluate the medical liability risk associated with the ADRs when applied … Adverse drug events in ambulatory care. New England Journal of Medicine, 348, 1556–1564.

68. Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
    January 01, 2024 - drug events (p=0.020). … In other chronic disease states, adverse drug events have been clearly established as a major risk factor … Therefore, early recognition of adverse drug events in kidney transplant recipients will likely help … drug events. … Incidence and impact of adverse drug events contributing to hospital readmissions in kidney transplant

69. Clinical Pharmacists in Emergency Medicine (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
    February 21, 2008 - adverse drug events that occur in the ED are a significant public health problem and need to be reduced … Adverse drug events in emergency department patients. Ann Emerg Med 2002; 39: 258-267. 1. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … The clinical pharmacist’s role in preventing adverse drug events.

70. Prologue: Technology and Medication Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
    July 25, 2008 - We are already using health IT in a number of ways: to help prevent medical errors, including adverse … drug events; reduce costs through streamlining processes and providing more targeted, efficient care … Medication errors are a frequent cause of adverse drug events, and they can occur at any point in the … drug events, ranging from increased involvement of pharmacists, to e-prescribing technologies, to computer-based … drug events.

71. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - ; and Bates and colleagues4 estimated the cost of Expenditures and Outcomes in Medicare 425 adverse … drug events using 247 adverse drug events in 207 hospitalized patients in 2 hospitals in Boston over … The costs of adverse drug events in hospitalized patients. JAMA 1997;277(4):307–11. 5.

72. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
    January 01, 2024 - Both usual-care and intervention homes experienced a decline in potential adverse drug event related … 4.4 (.56) 4.0 (.88) -9.1 Adverse Drug Event Related Hospitalization based on Primary Diagnosis … Heightened awareness of adverse drug events may have occurred in the intervention homes. … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Incidence and preventability of adverse drug events in nursing homes.

73. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
    January 01, 2024 - On the other hand, an ADE may have resulted from an ME or from adverse drug reactions not associated … drug events (ADEs) was as follows: no potential for ADE (5%), potential for significant ADE (68%), … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Impact of basic computerized prescribing on outpatient medication errors and adverse drug events. … Adverse drug events in ambulatory care.

74. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - Study Identifier: 2015-09 AHRQ Product(s): Research Topic(s): Adverse … Drug Events (ADE), Outcomes, Patient Safety, Provider: Pharmacist Geographic

75. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
    January 01, 2004 - Timely analysis of such feedback revealed omissions of medications, diagnoses, and adverse drug reactions … Similarly, “missing” adverse drug reactions noted by clinicians were confirmed by chart review as not … One comment highlighted an instance where an adverse drug reaction (ADR) reaction to a substance was … Incorrect adverse drug reaction (ADR) notification 1 Error in the data conversion, leading to the

76. Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16463-Gurwitz-report.pdf
    January 01, 2011 - drug events. … Although an adverse drug event in this setting may be directly linked to a “human error,” the root cause … Relationship between Nurse Staffing, Health Inspection Deficiencies and Adverse Drug Events in Nursing … drug event incidence. … Dementia and the Incidence of Adverse Drug Events in the Nursing Home.

77. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - drug events, and injuries due to procedures, as well as pressure ulcers and falls. … For example, measured adverse drug events continued to drop from 2014 to 2016, while measured pressure … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS … Drug Event MPSMS ADE Associated With Digoxin 6,164 0.21 MPSMS ADE Associated With Hypoglycemic Agents … Drug Event MPSMS ADE Associated With Digoxin 6,164 0.21 761 0.03 153 0.01 MPSMS ADE Associated

78. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
    January 01, 2024 - Medication errors, including preventable adverse drug events, are especially common in the inpatient … In contrast to nonpreventable adverse drug reactions (due to the inherent properties of the agent … A computer alert system to prevent injury from adverse drug events: development and evaluation in a … Drug Events Data Sources & Measures. … Although most of the adverse drug events that occur during the study period will be linked to a specific

79. Making Healthcare Safer III | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
    April 01, 2020 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … Harms Due to Anticoagulants (PDF, 2 MB) Harms Due to Diabetic Agents (PDF, 1.6 MB) Reducing Adverse … Drug Events in Older Adults (PDF, 415.7 KB) Harms Due to Opioids (PDF, 2.1 MB) Patient Identification

80. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19552-Corbett-draft-1.pdf
    December 31, 2011 - drug events; medical liability; risk management; quality of care; patient safety Purpose The overall … drug events, and medical liability during hospital-to- community transitions within a complex healthcare … Research indicates that rates of adverse drug events (ADEs) in ambulatory care may be up to four times … drug events (ADRs) and 2) evaluate the medical liability risk associated with the ADRs when applied … Adverse drug events in ambulatory care. New England Journal of Medicine, 348, 1556–1564.