-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
January 01, 2011 - medical
information at care transition points is responsible for 50% of medication errors and 20% of
adverse … Medicine reported that inaccurate medication
lists in ambulatory clinics caused a larger number of fatal adverse … Two studies have
.
4
reported a rate of Potential Adverse Drug Events (PADEs) caused by medication … Incidence of
adverse drug events and potential adverse drug events.
Implications for prevention. … Role of
pharmacist counseling in preventing adverse drug
events after hospitalization.
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - Nearly half of these adverse events were
categorized as preventable and the most common type of patient … 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than
previously … Understanding adverse events: Human factors. Qual Health Care. 1995;4(2):80-89.
PMC1055294.
33. … Adverse events in hospitals:
a quarter of medicare patients experienced harm in October 2018. … WHO draft guidelines for adverse event reporting and learning systems: from
information to action.
-
digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/adhd-diagnosis-and-assessment
January 01, 2023 - Plan
Counseled in behavior modification techniques; Counseled about expected benefits and possible adverse
-
digital.ahrq.gov/ahrq-funded-projects/implementation-ddinteract-shared-decision-making-tool-anticoagulant-drug-drug
August 15, 2023 - Patient
Stakeholder
Type of Care
Specialty Care
Health Care Theme
Adverse
-
digital.ahrq.gov/sites/default/files/docs/clinical-care-slides-10142020.pdf
October 14, 2020 - Describe how data mining and machine learning can help forecast adverse outcomes
among surgical patients … or research questions
• Examples:
► Identify LVEF recorded in
echocardiogram reports
► Identify adverse … 2020.pdf
The 3 AIMS of ACTFAST
• Aim 1: Develop, refine, and validate forecasting algorithms
for adverse
-
digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - 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
15
providers felt that a minor adverse reaction to a medication, such as nausea or a headache … 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.
-
digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - 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
15
providers felt that a minor adverse reaction to a medication, such as nausea or … 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.
-
digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - the potential to better engage patients and families in their
healthcare post-discharge and reduce adverse … better
support the patient’s transition from hospital to home to primary
care followup, and to reduce adverse … The team will study the app’s
effectiveness, noting whether its use decreases falls, adverse
medication … Based Health Information
Technology Tools to
Optimize Critical Care
Pharmacist Resources
Through Adverse … Dalal (PI),
Kaitlyn Konieczny
(presenter)
Real-Time Symptom Monitoring
Using ePROs to Prevent Adverse
-
digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
January 01, 2023 - Currently, nearly one-third of medical errors and adverse events in healthcare can be tied to miscommunication
-
digital.ahrq.gov/health-care-theme/chronic-disease-management
January 01, 2023 - affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse
-
digital.ahrq.gov/principal-investigator/avidan-michael
October 14, 2020 - Description
The research team developed and tested algorithms that can predict postoperative adverse
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025005-snyder-final-report-2019.pdf
January 01, 2019 - needs different medication and 4) dose too low; safety-related MTPs included 5)
dose too high and 6) adverse … Specific alerts targeting safety-related
MTPs included 19 related to “adverse drug reaction” and 1 related … Needs additional medication therapy
Needs different medication product
Dose too low
Adverse … Needs additional medication therapy
Needs different medication product
Dose too low
Adverse … Needs additional medication therapy
Needs different medication product
Dose too low
Adverse
-
digital.ahrq.gov/medical-condition/colorectal-cancer
January 01, 2024 - affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse
-
digital.ahrq.gov/document-type/editorial
January 01, 2024 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - implementation of health information technology (health IT) targeting medication safety,
ambulatory adverse … SCOPE
Background and Context
Adverse drug events (ADEs) prompt four million people to seek medical … Adverse drug events in the outpatient setting: an 11-
year national analysis. … Adverse drug events in U.S. adult ambulatory medical
care. … The cost of adverse drug events in ambulatory
care. AMIA Annu Symp Proc. 2007:90-93.
4.
-
digital.ahrq.gov/2019-year-review/research-summary/high-tech-high-touch-using-infosage-connect-caregivers-and-older
January 01, 2019 - These transitions represent times where the risk of adverse events due to potential miscommunication
-
digital.ahrq.gov/sites/default/files/docs/page/adhd_dx_assessment_final_1.pdf
June 16, 2021 - Plan
Counseled in behavior modification techniques; Counseled about expected benefits and possible adverse
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goldman-re-soran-cs
January 01, 2023 - to patients' awareness of the importance of fulfilling recommended therapeutic monitoring to prevent adverse
-
digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Cullen et al (1997) showed that the large
number of medication errors and adverse drug events (ADEs … Incidence of
Adverse Drug Events And Potential Adverse Drug
Events: Implications for Prevention. … Preventable
adverse drug events in hospitalized patients: a
comparative study of intensive care and
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs023696-bates-final-report-2019.pdf
January 01, 2019 - patient safety problems in hospitals
suggest that medication safety remains the leading category of adverse … anticipated
benefits, suggesting that HIT products also have unintended risks of harm.8 Many of the adverse … Fatal orders
are ones that have killed patients in the past or caused a severe adverse drug event; … “Global trigger tool” shows that adverse events in
hospitals may be ten times greater than previously … High Rates of Adverse Drug
Events in a Highly Computerized Hospital.