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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Condition Rate
Partnership for Patients
Hospital-Acquired
Conditions
Source
Measure
Adverse … Drug Event (ADE) MPSMS ADE Associated With Digoxin
MPSMS ADE Associated With Hypoglycemic Agents
MPSMS
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those
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healthcare411.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors and Adverse … Drug Events
AHRQ PSNet Primer: Medication Reconciliation
AHRQ PSNet Perspective: Patient Safety
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healthcare411.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Initiative: Collaboration, Evidence-based Best Practices and "Smart" Technology Help Avert High-risk Adverse … Drug Events and Improve Patient Outcomes ( PDF , 486 KB ) Ray Maddox, et al. … Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse … Drug Events: Study Methods ( PDF , 646 KB ) Andrew L.
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healthcare411.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Team Training
Falls
Pressure Ulcers
Diagnostic Safety
Blood Clot Prevention and Treatment
Adverse … Drug Events
AHRQ Quality Indicators (QIs)
Page last reviewed February
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/819.html
June 01, 2022 - this week include:
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse … drug events and health care expenditures .
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healthcare411.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Final Report
APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Principal Investigator: Wilson D. Pace, MD*
Key Personnel: David West, PhD *
Deborah S. Main, PhD*
John Westfall, MD*
Daniel Harris, PhD**
Organizational Aff…
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healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent Adverse … Drug Events in the Nursing Home ( application/pdf 471675 ) Principal Investigators: Kane-Gill, … 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September 2018
Reducing Adverse … Drug Events from Anticoagulants, Diabetes Agents and Opioids in Primary Care ( application/pdf 470629
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .
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healthcare411.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive
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healthcare411.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9 billion), adverse … drug events ($4.1 billion), and falls ($1.5 billion), while diagnostic errors have been estimated to
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healthcare411.ahrq.gov/patient-safety/reports/national-action-plans.html
February 01, 2018 - National Action Plan for Adverse Drug Events identifies the Federal Government’s highest priority strategies
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that “A…
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healthcare411.ahrq.gov/news/newsroom/case-studies/202301.html
March 01, 2023 - AHRQ Product(s):
SHARE Approach
Topic(s):
Access to Care,
Adverse … Drug Events (ADE),
Care Coordination,
Chronic Conditions,
Clinician-Patient Communication
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healthcare411.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication Errors and Adverse … Drug Events
Report
Protocol
Failure To Rescue—Rapid Response Systems
Report
Protocol
Prevention
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healthcare411.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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healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety …
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healthcare411.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - implementation of electronic alerts and change to a “no blame” culture, McLeod Medical Center reduced adverse … drug event rates by 90%.29 However, several publications have commented on the failure to spread success … in designated cardiac,
neurosurgery, and orthopedic procedures35 and a 34.5% reduction in overall adverse … drug events. … Incidence of adverse drug events and potential adverse drug events.
Implications for prevention.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - • Adverse drug events
• Unsafe medicine issues
• Medicine adherence
• Satisfaction
• Reported use … We will use several measures to evaluate effectiveness:
How many adverse drug events occur pre- and