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digital.ahrq.gov/location/usa-co-aurora
January 01, 2023 - patient-centric tool called the Surgical Risk Preoperative Assessment System to estimate the risk of adverse
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digital.ahrq.gov/organization/university-illinois-chicago
January 01, 2023 - home at discharge, and compared health information technology to usual care for benefits outcomes, adverse
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digital.ahrq.gov/principal-investigator/meguid-robert
January 01, 2023 - patient-centric tool called the Surgical Risk Preoperative Assessment System to estimate the risk of adverse
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2012
January 01, 2012 - February 2012
AHRQ Funding Amount
$990,640
Summary: Medication errors and preventable adverse
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2011
January 01, 2011 - February 2012
AHRQ Funding Amount
$990,640
Summary: Medication errors and preventable adverse
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digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
January 01, 2023 - Discuss the factors associated with the use of a clinical decision support tool to reduce risk of adverse
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Drug-allergy alerts that are triggered by a low threshold for defining a clinically meaningful adverse … Some providers felt that a minor adverse reaction to a medication, such as nausea or a headache, did … Systems analysis of adverse drug events. JAMA 1995; 274:35-43.
4. … Patient safety: adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556-64.
5.
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication
January 01, 2023 - Nurse
Nurse Practitioner
Type of Care
Tertiary Care
Health Care Theme
Adverse … Poor communication between physicians and nurses is a known cause of adverse events and a major root
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digital.ahrq.gov/organization/university-colorado-denver
January 01, 2023 - patient-centric tool called the Surgical Risk Preoperative Assessment System to estimate the risk of adverse
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digital.ahrq.gov/organization/massachusetts-general-hospital
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision
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digital.ahrq.gov/care-setting/integrated-delivery-network
January 01, 2023 - to support the characterization of hazards and communicate their potential and actual causality in adverse
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digital.ahrq.gov/sites/default/files/docs/behavior-change-slides-07172025.pdf
July 17, 2025 - pressure is a factor in ~500,000
deaths per year
• Tight control of high blood pressure reduces
major adverse … cardiovascular and
cerebrovascular events (e.g., heart attacks
and strokes), but
• Tight control increases adverse … effects from
lowered blood pressure
SPRINT Trial
Serious adverse events of hypotension, electrolyte … ended
Diagnosis and/or
Medication
Recommend action
Message to team
Acknowledge event
Reminders
Adverse
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - six-month ambulatory follow-up period, we reviewed
medical records to determine whether MR and any adverse … hospital, we then reviewed medical
records to determine whether medication reconciliation and any adverse … Adverse drug events were also identified. … We are analyzing approximately 4,400 medication records and 370 observations for
potential adverse drug
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - According to the Institute of Medicine (IOM), total national costs of preventable
adverse events are … The incidence and severity of adverse events
affecting patients after discharge from the hospital. … Adverse events among medical patients after
discharge from hospital. … Detecting adverse events using information
technology. … National surveillance of emergency
department visits for outpatient adverse drug events.
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digital.ahrq.gov/ahrq-funded-projects/understanding-and-honoring-patients-multiple-chronic-conditions
January 01, 2023 - tend to be older, often receive conflicting medical advice, and experience worse quality of life, more adverse … the needs of these patients, and trying to combine guidelines for individual conditions can lead to adverse
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digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions
January 31, 2025 - Incomplete discharge planning puts patients at increased risk of care disruption, complications, and adverse
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digital.ahrq.gov/principal-investigator/samore-matthew
January 01, 2023 - for acute respiratory infections, frequency of hemoglobin A1c in diabetics, incidence of outpatient adverse
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digital.ahrq.gov/sites/default/files/docs/page/2006Wang_051611comp.pdf
January 01, 2006 - School of Medicine - Department of Emergency Medicine
“How Can a Life-Saving Intervention
Lead to Adverse … “Is Poor Outcome Due to
Adverse Events and Errors?”
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017786-ritchie-final-report-2012.pdf
January 01, 2012 - transition from hospital to home-based care is a vulnerable
period, placing the patient at high risk for adverse … Approximately 20% of recently discharged patients experience adverse events [1, 2] often
precipitated … In one study, two-thirds of post-discharge adverse events were
due to adverse drug events. [1] Clearly … The Incidence
and Severity of Adverse Events Affecting Patients
after Discharge from the Hospital. … Tsilimingras D, Bates DW: Addressing postdischarge
adverse events: a neglected area.
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digital.ahrq.gov/sites/default/files/docs/page/final-eqm-report-6-21-12.pdf
May 01, 2012 - Title EQM FOA Objectives
Kilbridge, Peter and
Bailey, Thomas
Washington University Surveillance for Adverse … as
surveillance of rare, hard-to-identify events that may
have catastrophic consequences, such as adverse … • Lazarus created an a vaccine adverse event report-
ing system that prospectively integrates diagnostic … A physician reviews potential adverse events
to confirm their existence, which can then be
reported … Health-Level 7 message to the
Centers for Disease Control and Prevention
(CDC) National Vaccine Adverse