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preventiveservices.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html
August 01, 2022 - access to Common Formats (uniform definitions and reporting formats for collecting information about adverse
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201519.html
July 01, 2015 - with underdose and overdose prevention, but I also perform medication therapy consults on patients, adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Staff can use this decision tree when analyzing an
error or adverse event in an organization to help … a multi-disciplinary team approach, known as
Root Cause Analysis (RCA) to study healthcare-related adverse … health professionals
standardize the process and improve the way they investigate medical errors, adverse … Staff can use this decision tree when
analyzing an error or adverse event in an organization to help … //psnet.ahrq.gov/primers/primer/23
A growing evidence base supports specific strategies to prevent adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
May 22, 2013 - • Nearly 20 percent of patients experience an adverse event
within a month of discharge, of which ¾ … could be prevented
• Common complications post-discharge are adverse drug
events, hospital-acquired
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - Watson
Senior Vice President
Michigan Health & Hospital
Association
3
of adverse events and discussion … Exploring relationships between hospital patient safety culture
and adverse events.
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preventiveservices.ahrq.gov/research/publications/search.html
January 01, 2024 - enrich clinicians’ understanding of patient and family experience and reduce the harms that follow adverse
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preventiveservices.ahrq.gov/diagnostic-safety/research/index.html
March 01, 2024 - Learning more about the link between diagnostic errors and outcomes, including adverse events.
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preventiveservices.ahrq.gov/health-literacy/improve/pharmacy/tools.html
January 01, 2024 - (MTM) is a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse
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preventiveservices.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
September 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - learning from defects for oxytocin administration include—
Debriefing and analyzing near misses and adverse … safety elements of learning from defects are the same as for oxytocin:
Debriefing near misses and adverse … Consider these factors:
Unit data suggesting adverse events or near misses related to oxytocin, magnesium
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
March 01, 2020 - setting.44 The period after
discharge for patients is a critical time when changes in medications, adverse … They identified
drug therapy problems, including inappropriate medications, adverse reactions, difficulty … Addressing post-discharge adverse events: a neglected
area. … Evaluation of adverse drug events and medication
discrepancies in transitions of care between hospital … The incidence and severity of adverse events
affecting patients after discharge from the hospital.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - As a result, adverse drug events (ADEs) are frequent, costly, and potentially life-threatening,” according
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201903.html
April 01, 2019 - “Miscommunication is a leading cause of adverse events in hospital patients’ care, which is why optimizing
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preventiveservices.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
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preventiveservices.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Nurse shift changes require the successful transfer of information between nurses to prevent adverse
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Importance of Patient Safety
Mortality
Prevalence
Cost
Findings on Patient Safety
Improving Trend: Adverse … Drug Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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preventiveservices.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - These projects sought to improve patient safety by measuring safety problems, characterizing adverse
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preventiveservices.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Skip to main content
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - and is defined as harm to the patient after
discovery of the incident and any attempts to minimize adverse … For example, Medication or Other Substance events that were reported as
Adverse reaction in patient … extent of harm to the patient after discovery of the
incident and after any attempts to minimize adverse … extent of harm to
the patient after discovery of the incident and after any attempts to minimize adverse … decision to
prescribe medication despite known drug-drug interaction)
• Drug-drug, drug-food, or adverse