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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - Nevertheless adverse drug events are common,1–4 often preventable,5–9 and
costly.10–15 Preventable adverse … We examined medication
events that led to patient harm (adverse drug events) and potential adverse drug … adverse drug event rates. … adverse drug events). … adverse
drug reaction reports.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix I
Glossary
Adverse safety event: a deviation … Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient. … Event review: the overall process of assessing an adverse safety event to determine contributing factors … Latent hazard: the hidden problems within health care systems that contribute to adverse events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - to think of adverse
events. … Causes of adverse events. … )
Theme of adverse events due to negligencea
Theme of negligence onlyb
(not sustaining an adverse … )
Theme of adverse events due to negligencea
Theme of negligence onlyb
(not sustaining an adverse … )
Theme of adverse events due to negligencea
Theme of negligence onlyb
(not sustaining an adverse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - Overview of Adverse Event Reporting
The realization that medical adverse events are a leading negative … events in U.S. health care, adverse event reporting was largely
ignored. … Systems analysis
of adverse drug events. JAMA 1995; 274: 35-43.
6. … Communicating
with patients about medical adverse events. … Views of
practicing physicians and the public on medical
adverse events.
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www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - Adverse Drug Events in Ambulatory Care. … The criteria for this rule had terms including “adverse drug event,” “adverse drug reaction,”
“adverse … The nature of adverse events in
hospitalized patients. … The Canadian Adverse Events Study: the
incidence of adverse events among hospital patients in Canada. … Hospital admissions due to adverse drug reactions.
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www.ahrq.gov/topics/safety-net.html
Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools
System Redesign
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www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ) shows that rates of in-hospital adverse … Researchers found significant decreases in in-hospital adverse event rates for heart attack, heart failure … Researchers of this study tracked a total of 21 adverse events over the study period. … Tracking the rates of adverse events is a common way of measuring changes in patient safety. … In the study, researchers examined the rates of adverse events by looking at the raw (observed) rates
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Due to the narrative nature of device adverse event
reports, research using them is limited. … Overall, we found that the number of adverse event reports increased significantly over time. … Vaccine adverse event
text mining system for extracting features from vaccine safety reports.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention provides a strategy for preventing adverse … uses electronic medical records to develop weekly reports that identify residents at risk of common adverse … Adverse Events
Pressure Ulcer Prevention .
Pressure Ulcer Healing .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
October 01, 2011 - AE
codes were grouped into six categories to facilitate analysis: adverse drug events, surgical
adverse … Methods
ICD-9-CM Adverse Event Classification
The report “Adverse Events related to Medical Care … events, and other adverse events. … Adverse effects. … Four distinct adverse effects of antibiotics codes (including adverse effects
caused by penicillins
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - Hospitalizations for adverse events associated with medical care, or
medication adverse events, represented … “poisonings due to antidepressants” were also problematic drug adverse events. … Incidence
and types of adverse events and negligent care in Utah
and Colorado. … Adverse events related
to medical care, Utah: 1995–99. … Adverse events in
New Zealand public hospitals I: occurrence and
impact.
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Notification of Adverse Event: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022
Adverse Events Among In-Hospital … Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022
Adverse Events
Among In-Hospital … Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - and 38 potential adverse events. … Adverse Events and Potential
Adverse Events
Overall, potential AEs were most commonly
identified … Incidence of
adverse drug events and potential adverse drug events.
JAMA 1995; 274: 29-34.
5. … Comparison of three methods for estimating rates of
adverse events and rates of preventable adverse … Adverse consequence: Delayed evaluation and treatment.
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
August 01, 2024 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … 415.4 KB) Harms Due to Anticoagulants (PDF, 2 MB) Harms Due to Diabetic Agents (PDF, 1.6 MB) Reducing Adverse
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www.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - Study of Adverse Events (ENEAS). … The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. … Incidence and types of adverse events and negligent care in Utah and Colorado. … Adverse events in British hospitals: preliminary retrospective record review. … What can hospitalized patients tell us about adverse events?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
November 11, 2019 - Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. … Adverse Drug Events in U.S. … Terms used to find deprescribing
literature included “deprescribing,” “adverse reactions/PC,” “adverse … Reducing Adverse Drug Events in Older Adults 9-21
Figure A.2: Reducing Adverse Drug Events in Older … Reducing Adverse Drug Events in Older Adults 9-27
Table B.2: Reducing Adverse Events in Older Adults
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. … Adverse Drug Events in U.S. … Terms used to find deprescribing
literature included “deprescribing,” “adverse reactions/PC,” “adverse … Reducing Adverse Drug Events in Older
Adults PRISMA Diagrams
Figure A.1: Reducing Adverse Drug Events … Reducing Adverse Drug Events in Older Adults Evidence
Tables
Table B.1: Reducing Adverse Drug Events
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Medication safety program reduces adverse drug events in a community hospital. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29. … Impact of a comprehensive strategy on obstetric adverse events.