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pbrn.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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pbrn.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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pbrn.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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pbrn.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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pbrn.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - drug events.6 Drugs that have a
narrow therapeutic window and require long-term management with frequent … drug events at rates disproportionate to its use,6
routinely identifying discordance and developing … drug events (particularly
among the elderly),6 there is a need for providers to communicate with patients … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug
events in ambulatory care. NEJM 2003 348(16):1556–
64.
19.
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pbrn.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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pbrn.ahrq.gov/news/blog/ahrqviews/comments-pso-draft-report.html
February 01, 2021 - Although we still see too many events such as adverse drug reactions, infections, or falls, momentum
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pbrn.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - process can detect and avert most medication discrepancies, potentially avoiding a large number of adverse … drug events and related costs for care of affected patients.
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pbrn.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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pbrn.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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pbrn.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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pbrn.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse … drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - Reduced rate of adverse drug events
Improved medication reconciliation at patient admission
Haig, K. … index, which measures the average severity of each delivery with an adverse event; reduced rate of adverse … drug events; and improved medication reconciliation at patient admission.
9
Does TeamSTEPPS Work?
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pbrn.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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pbrn.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - User Liaison Program (ULP)
(4)
WebM&M
(5)
Topics
Access to Care
(14)
Adverse … Drug Events (ADE)
(5)
Asthma
(2)
Behavioral Health
(16)
Blood Clots
(15)
Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,
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pbrn.ahrq.gov/data/infographics/index.html
March 01, 2024 - Family Premiums for Employer-Sponsored Health Insurance
Growing Pain of Spinal Stenosis
Adverse … Drug Events Occurring in U.S.
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pbrn.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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pbrn.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - SHARE:
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pbrn.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - (Source: JAMA Network Open , Complications, Adverse Drug Events, High Costs, and Disparities in Multisystem
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pbrn.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