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101. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
     January 01, 2024 - Medical error and adverse drug events are uncomfortable topics for many clinicians. … The effect of computerized physician order entry on medication errors and adverse drug events in pediatric … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … A computer alert system to prevent injury from adverse drug events. JAMA 1998;280(1317):1320. … The effect of computerized physician order entry on medication errors and adverse drug events in pediatric

102. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
     January 01, 2024 - Finally, they coded the NRE for the presence of both binary (e.g., injury, impact, near miss, adverse … drug event), and categorical elements. … Cooper J, Demonaco HJ, Gallivan T, Hallisey R, Ives J, Laird N, Laffel G, et a: Systems analysis of adverse … drug events.

103. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
     June 01, 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).

104. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/refs.html
     May 01, 2016 - Patient reporting of suspected adverse drug reactions: a review of published literature and international

105. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
     March 05, 2008 - The incident reporting system does not detect adverse drug events: A problem for quality improvement … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in primary care. N Engl J Med. 2003; 348: 1556-1564. 15.

106. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … /23 A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Outreach Tools Patient Safety Primer: Culture of Safety Patient Safety Primer: Medication Errors and Adverse … Drug Events Patient Safety Primer: Teamwork Training Plan-Do-Study-Act (PDSA) Steps and Worksheet Professional … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

107. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
     November 29, 2004 - Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in ambulatory care. N Engl J Med. 2003 Apr 17;348(16):1,556–64. 9. … Comparative study of prospective surveillance and voluntary reporting in determining the incidence of adverse … drug reactions.

108. Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
     September 01, 2015 - Importance: Adverse effects of medical care can arise from medical and surgical procedures as well as from adverse … drug reactions.

109. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
     January 01, 2025 - drug events. … Adverse Drug Events in U.S. Adult Ambulatory Medical Care. … Medication Errors and Adverse Drug Events. … Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. … Adverse Drug Events | health.gov [Internet]. [cited 2020 Dec 13].

110. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - drug events and harm. … drug events and harm. … Adverse drug events and medication errors in Australia. … Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

111. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34.

112. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.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)

113. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2011-12.html
     January 01, 2018 - 32,750,000 Discharges— Based on 2010 Baseline) 2012 PFP Measured HACs per 1,000 Discharges Adverse … Drug Event (ADE) MPSMS ADE Associated With Digoxin 9,400 0.29 11,000 0.32 MPSMS

114. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
     April 01, 2004 - However, this has largely not been done; case definitions for most clinical entities as well as for adverse … drug events are usually implemented without formal evaluation,22, 35, 36 and revisions may occur based

115. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
     January 01, 2024 - Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors 1. TITLE PAGE Project Title: Clinical importance of the drug interaction between statins and CYP3A inhibitors Principal Investigator: Brian L. Strom, MD, MPH Team members: Christopher G. Rowan, PhD Steven M. B…

116. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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.

117. Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202301.html
     October 01, 2024 - AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication

118. Return on Investment Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
     January 01, 2013 - For many components of the CPOE, the number of estimated adverse drug events (ADEs) averted was multiplied … printers, software, network, leadership, and training Returns (numerator) $28.5 million Averted adverse … drug events; medication cost savings; decreased laboratory test usage for redundant or unnecessary tests … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality

119. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
     January 01, 2024 - Key Words: Medication safety, adverse drug events, statistical methods, opioid dosing, simulation, drug … Develop and apply a multivariate person-time logistic regression model for large-scale adverse drug … event screening. 2. … drug reactions. … drug events (ADEs) in the hospital setting; and (3) to evaluate the effect of simulation training on

120. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=5
     January 01, 2024 - 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