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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - The incident
reporting system does not detect adverse drug events:
A problem for quality improvement … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug
events in primary care. N Engl J Med. 2003; 348:
1556-1564.
15.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
July 01, 2004 - system of the Food and Drug
Administration (FDA) includes reports of medical errors among the 300,000
adverse … drug event reports it receives each year,4 investigators cannot use these
reports to evaluate the frequency … care organizations before and after release of results of
Women’s Health Initiative
Detection of adverse … drug
reactions (funded by AHRQ)
Utilize the Patient Safety dataset to evaluate the performance
of … Incidence of
adverse drug events and potential adverse drug events.
Implications for prevention.
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/828.html
August 01, 2022 - Drug-drug interactions are responsible for up to 14 percent of adverse drug reactions in hospitalized
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … /23
A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Outreach Tools
Patient Safety Primer: Culture of Safety
Patient Safety Primer: Medication Errors and Adverse … Drug Events
Patient Safety Primer: Teamwork Training
Plan-Do-Study-Act (PDSA) Steps and Worksheet
Professional … Patient Safety Primer: Medication Errors and Adverse Drug Events
9.
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ce.effectivehealthcare.ahrq.gov/data/resources/index.html?page=0
Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
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ce.effectivehealthcare.ahrq.gov/topics/medication-safety.html
Safety
AHRQ offers patient education materials for healthcare professionals to reduce risks related to adverse … drug events, including links to fact sheets, research, and government initiatives.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - Anticholinergic side-effects of drugs in elderly people.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/index.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
In October 2009, AHRQ launched … Bolkan
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - 32,750,000
Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Adverse … Drug
Event (ADE)
MPSMS ADE Associated With
Digoxin
9,400 0.29 11,000 0.32
MPSMS ADE Associated
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - Importance: Adverse effects of medical care can arise from medical and surgical procedures as well as from adverse … drug reactions.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
October 01, 2016 - The
adverse consequences of unnecessary antibiotic use include adverse drug reactions or
interactions
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
January 01, 2024 - an incidence ranging from 7.8% to 21% in the published
literature.5-10 The details about errors and adverse … drug events associated with the prescribing
process have been well described in recent Institute of … drug events each year, which would prevent nearly 1.3 million provider visits and about
14 preventable … adverse drug events per provider each year.15
The use of e-prescribing systems adds an additional level … Impact of Basic Computerized Prescribing on
Outpatient Medication Errors and Adverse Drug Events.
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. … The costs of adverse drug events in hospitalized patients. … Adverse Drug Events in Hospitalized Patients: Excess Length of Stay, Extra Costs, and Attributable Mortality … Breakthrough Series Guide: Reducing Adverse Drug Events .
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ce.effectivehealthcare.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Antibiotic use: Toolkit To Improve Antibiotic Use in Acute Care Hospitals
Adverse drug events: Medications
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - For many components of the CPOE, the number of estimated adverse drug events (ADEs) averted was multiplied … printers, software, network, leadership, and training
Returns (numerator)
$28.5 million
Averted adverse … drug events; medication cost savings; decreased laboratory test usage for redundant or unnecessary tests … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
January 01, 2013 - For many components of the CPOE, the number
of estimated adverse drug events (ADEs) averted was multiplied … printers, software,
network, leadership, and training
Returns (numerator) $28.5 million Averted adverse … drug events; medication
cost savings; decreased laboratory test
usage for redundant or unnecessary … The cost of adverse drug events in hospitalized patients.
JAMA 1997;277:307-11. … Adverse drug events in hospitalized patients: excess
length of stay, extra costs, and attributable mortality
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations
259
Developing a Veterans Health Administration
(VHA) Serious Injury Surveillance System that
Includes Adverse Event Hospitalizations
Robert R. Campbell, Douglas D. Bradham, Aurora S…
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ce.effectivehealthcare.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … 2014 If 2014 Goal Met
Projected Reductions in Deaths Associated With HACs in 2014 If 2014 Goal Met
Adverse … Drug Events
1,900,000
50%
50%
25%
475,000
$5,000
.020
$2,375,000,000
9,500
Catheter-Associated … [4] For example, one focus of efforts to reduce adverse drug events associated with anticoagulants
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/852.html
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