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digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard/annual-summary/2012
January 01, 2012 - Patient safety problems, such as adverse drug events, monitoring failures, and lack of followup on abnormal
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - days between
discharge and first PCP appointment
• Designed to
– Enhance adherence
– Monitor for adverse … events
– Prevent adverse events
• Identifying post‐dc “confusion”
and rectify
• Screening system … Massachusetts Medical School and the
Associate Director of the Meyers Primary Care Institute
Adverse … home
(change in clinical status,
new medications,
new monitoring needs,
at high risk of adverse … Transitions In Care
Adverse Drug Events�injury resulting from a medical intervention related to a drug
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digital.ahrq.gov/ahrq-funded-projects/individualized-drug-interaction-alerts
January 01, 2023 - Existing software fails to incorporate factors that influence the risk of an adverse drug reaction, such … systems also ignores patient-specific characteristics that influence an individual’s susceptibility to adverse
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017258-gardner-final-report-2010.pdf
January 01, 2010 - We assessed the patients for
adverse events during home visits at baseline and 1, 2, and 3 months. … Existing clinical strategies for
monitoring potential drug adverse events rely on frequent psychiatric … If the
screen was a false positive (meaning, no adverse event is occurring), the nurse logged the data … adverse events
as determined by an examiner blind to the patient’s randomization. … We predict higher agreement
between chart-documented adverse events and examiner-determined adverse
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics
January 01, 2023 - voice response (IVR) tool that provided the support of a live pharmacist to detect patient-reported adverse … ×
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Screening for adverse … Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist … The national cost of adverse drug events resulting from inappropriate medication-related alert overrides … The costs of adverse drug events in community hospitals.
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Of the five who said it harmed a patient, four said it was “minor adverse effect
likely to be temporary … ” and 1 said “minor adverse event likely to be chronic” because
radiation exposure is cumulative. … Two sites chose major adverse effect likely to be
chronic while the other five chose major adverse effect … Of those four sites, two classified the
patient harm as minor adverse event likely to be temporary, … one as minor adverse effect
resolved, and one as minor adverse effect likely to be chronic.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025984-malone-final-report-2023.pdf
January 01, 2023 - Structured Abstract
Purpose: Drug-drug interactions (DDIs) are responsible for 5-14% of adverse … For example, reporting odds ratios (ROR) of adverse consequences due to
colchicine-related interactions … events (AEs) that are responsible for 5–
14% of adverse drug reactions (ADRs) in hospitalized patients … We also conducted
analyses using the Food and Drug Administration’s Federal Adverse Event Reporting … Adverse events of interest
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digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support
January 01, 2023 - frequency of appropriate laboratory monitoring of hemoglobin A1c in diabetics, incidence of outpatient adverse
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - drug-drug interactions, avoiding potential drug-disease interactions and
monitoring or prevention of adverse … inappropriate dosing, drug-drug interactions,
drug-disease interactions and monitoring or prevention of adverse … drug-drug interactions, avoiding potential drug-disease interactions
and monitoring or prevention of adverse … Monitoring/Preventing Potential Adverse Drug Events
• Annual serum creatinine monitoring for ACE-inhibitor … Drug-Disease Interactions
Avoiding Potentially Inappropriate Therapy
Monitoring/Preventing Potential Adverse
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
January 01, 2023 - Physician
Type of Care
Primary Care
Specialty Care
Health Care Theme
Adverse … prescribers and staff; and 2) Evaluate the impact of the system on medication safety - medication errors and adverse
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digital.ahrq.gov/medication-reconciliation
January 01, 2023 - Outcomes Improved Workflow and Clinical Processes Improved Decisionmaking and Communication
Reduce adverse … Medication reconciliation for reducing drug-discrepancy adverse events.
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digital.ahrq.gov/research-method/analysis
January 01, 2023 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
January 01, 2012 - These cross-disciplinary cores supported projects soliciting information from patients about adverse … telephony to ask outpatients identified from electronic health record (EHR) data if they are experiencing adverse … medication reconciliation module in ambulatory EHRs to reduce postdischarge medication discrepancies and adverse
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - In addition, ATSM identified
previously undetected potential adverse events and actual adverse events … events and actual adverse events among all
ATSM participants. … Adverse and potential adverse events among a low-
income, urban, ambulatory population with diabetes. … Adverse outpatient drug events--a
problem and an opportunity. … Adverse and potential adverse events
among a low-income, urban, ambulatory population
with diabetes
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digital.ahrq.gov/sites/default/files/docs/Annotated%20Bibliography_Final.pdf
June 27, 2008 - A Computer Alert System to Prevent Injury From Adverse Drug Events. JAMA. 1998;280:1317-
1320. … Adverse Drug Events
Occurring Following Hospital Discharge. J Gen Int Med.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - almost all overrides of alerts were clinically appropriate and that overrides rarely caused serious adverse … In one study, adverse consequences almost never occurred even when the highest level drug-drug interactions
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2012
January 01, 2012 - Specific Aims:
Develop and apply a multivariate person-time logistic regression model for large-scale adverse … statistical methods: one allowing time-varying propensity scores; the other able to treat the drug-adverse
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records
January 01, 2023 - ADE Incident Identification Form Description:
This form identifies an adverse … Data Collection Form
Chart Review Form Description:
This is a chart review form for an adverse … and Near Miss Classification Form Description:
This is a near miss classification form for an adverse … Screening Form Description:
This is a form to classify prescriptions based on type and what adverse
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digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
January 01, 2021 - Using real-time patient-reported outcomes of hospitalized patients has the potential to reduce adverse … healthcare team via an electronic patient safety event reporting platform has the potential to reduce adverse … Patient Safety in Palliative Care
Including virtual pharmacists in palliative care teams can reduce adverse … potential to improve prehospital risk assessment of stroke during the critical window that reduces adverse
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digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - So it is no surprise that 19 percent of patients have a post-discharge adverse event. And as Dr. … events, and to identify potentially adverse events and to identify who it is that needs
a phone call … from a real person for things that are either confusing or for potential adverse events and those sorts … And real quickly, we began by looking at adverse drug events over the course of the year among older … With each adverse drug event that we found, we tracked that
to try to figure out if that adverse drug