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pbrn.ahrq.gov/news/newsletters/e-newsletter/884.html
October 01, 2023 - Risk factors for opioid-related adverse drug events among older adults after hospitalization for major
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pbrn.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - Articles featured this week include:
Anticoagulation-associated adverse drug events in hospitalized
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pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Hospital Labor and Delivery Units
Perinatal Safety Toolkit
About the Toolkit
How To Use the Too…
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - SHARE:
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Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
Comprehensive Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery Centers …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators
Final Topic Refinement Document
Home Mechanical Ventilators
ID: PULT0717
Agency for Healthcare Research and Quality
Technology Assessment Program
Mayo Clinic Evidence-based Practice Center
16 October 2017
Preliminary Key Questions (KQs) …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
April 12, 2018 - .
■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug … event.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Safe Med. Admin.
2
Safe Administration of Medications in L&D
T…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Lessons
from a patient partnership intervention to prevent adverse drug events. … Consensus building for
development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events
in hospital patients. … Overview of the First Natural Language Processing Challenge
for Extracting Medication, Indication, and Adverse … Drug Events From Electronic Health Record
Notes (MADE 1.0).
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Safe Medication Administration
SAY:
The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of implementing safeguards for their administ…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - occurred across all types of
medications and in 41% of cases sampled in this study may have
caused adverse … drug events. … transitioning from hospital to home care to determine the
potential for discrepancies to result in an adverse … drug event (ADE), the severity of the ADE
(i.e., serious, significant, minor), the potential health … drug event
(ADE), the severity of the ADE (i.e., serious, significant, minor), the potential health
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
January 01, 2014 - Improving Antipsychotic Appropriateness in Dementia Patients
…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
July 12, 2018 - diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissions
are related to an
adverse … drug event
An estimated
160
million
medication
errors occur
each year in
primary care
80%
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - measures that improved most reflect fewer adverse events
in nursing homes (two measures) and fewer adverse … drug events involving the blood thinner
heparin in hospital settings.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
April 01, 2023 - Patient Safety Primer: Medication Errors and Adverse Drug Events
https://psnet.ahrq.gov/primers/primer … of the medication use
pathway—prescribing, transcribing, dispensing, and administration—to prevent adverse … drug
events (ADEs). … Drug Events
Patient Safety Primer: Missed Nursing Care
Patient Safety Primer: Reporting Patient Safety … Patient Safety Primer: Medication Errors and Adverse Drug Events
23.
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pbrn.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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pbrn.ahrq.gov/news/newsletters/e-newsletter/888.html
November 01, 2023 - Adverse drug event prevention and detection in older emergency department patients .
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital
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pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-roster-2023dec.pdf
December 21, 2023 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
*List current as of December 21, 2023
Name Department/Agency Title
Craig A. Umscheid, M.D.,
M.S.
AHRQ Director, Center for Quality Impr…
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pbrn.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Hospital Labor and Delivery Units
Emergency Department
Long Term Care
Ambulatory Care
End…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
April 04, 2018 - implementors and use them
as peer coaches.
6 Evaluate your progress
Evaluate effectiveness
� How many adverse … drug events occur pre-
and post-implementation?