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141. Implementation Quick Start Guide: Medication Management (Half-Page) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
     December 15, 2016 - medication reconciliation and medication management are well documented.2-5 One study found that adverse … drug events result in as many as 4.5 million ambulatory visits (office and emergency department) each … It will also help you identify patient behaviors that may be putting them at risk for an adverse drug … event, such as over- or underdosing, missing medications, and other important contextual factors limiting … Adverse drug events in U.S. adult ambulatory medical care.

142. New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/949.html
     March 01, 2025 - therapy, the authors found that death occurred in 8.7 percent of delayed broad-spectrum treatment cases, adverse … drug events in 8.4 percent and readmission in 10.5 percent. … In contrast, after early treatment, death occurred in 9.5 percent of cases, adverse drug events in 7.2

143. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
     January 01, 2024 - Using computerized data to identify adverse drug events in outpatients. … Strategies for Detecting Adverse Drug Events Among Older Persons in the Ambulatory Setting.

144. A Study of Adverse Occurrences and Major Functional Impairment Following Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
     March 15, 2004 - Adverse drug events in hospitalized patients. … The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997;277(4):307–11. 25.

145. AHRQ-Supported Publications and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/coronavirus/ahrq-publications.html
     July 01, 2023 - Face of the COVID-19 Pandemic: Insights From AHRQ's Learning Community  (Jan 2023) Complications, Adverse … Drug Events, High Costs, and Disparities in Multisystem Inflammatory Syndrome in Children vs COVID-19

146. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
     March 01, 2013 - with adverse events and treatment misadventures, including death, disability (permanent or temporary), adverse … drug events, or preventable harm requiring further treatment; missed diagnoses and delayed treatment … . 7 This document lists key measures of success in improving outcomes, including: Reduction in adverse … drug events.

147. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
     March 01, 2013 - with adverse events and treatment misadventures, including death, disability (permanent or temporary), adverse … drug events, or preventable harm requiring further treatment; missed diagnoses and delayed treatment … . 7 This document lists key measures of success in improving outcomes, including: Reduction in adverse … drug events.

148. 2018 National Healthcare Quality and DIsparities Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
     September 01, 2019 - Findings on Patient Safety Adverse Events With Knee Replacement Adverse Events With Hip Replacement Adverse … Drug Events With Heparin and Factor Xa Home Health Provider Checking Medication Trends in Care Coordination … Fibrinolytic Medication for Heart Attack Disparities for Asians Largest Disparities Anticoagulant-Related Adverse … Drug Events Treatment by Home Health Providers Providers With Language Assistance Trends in Quality

149. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … Adverse drug events in elderly patients receiving home health services following hospital discharge … Systems analysis of adverse drug events. JAMA 1995;274(1): 35–43. 21. Helmreich R, Schaefer HG. … Impact of emerging technologies on medication errors and adverse drug events.

150. Use of Electronic Health Records | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
     June 01, 2018 - CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) ( Ammenwerth, et al., 2008 ). … CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) ( Ammenwerth, et al., 2008 ).

151. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
     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 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations 259 Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations Robert R. Campbell, Douglas D. Bradham, Aurora S…

152. National Action Plans | Agency for Healthcare Research and Quality
     www.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

153. Table of Contents: Volume 1. Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     January 01, 2025 - Initiative: Collaboration, Evidence-Based Best Practices and “Smart” Technology Help Avert High-Risk Adverse … Drug Events and Improve Patient Outcomes Ray R. … Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse … Drug Events: Study Methods Andrew L.

154. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     January 01, 2025 - Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse … Drug Events and Improve Patient Outcomes Ray R. … Evaluation of a Medication Therapy Management Program in Medicare Beneficiaries at High Risk of Adverse … Drug Events: Study Methods Andrew L.

155. Final Progress Report: Dissemination of the PPRNet Model for Improving Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/wessell-report.pdf
     January 01, 2024 - GFR <20 mL/min • NSAID in peptic ulcer disease • Thiazolidinediones in CHF Monitoring of Potential Adverse … Drug Events • Annual serum creatinine for ACE inhibitor, ARB, digoxin, diuretics, metformin, NSAID, … avoiding potentially inappropriate dosing and drug-disease interactions and monitoring of potential adverse … drug events.

156. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     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 - Using MPSMS data, AHRQ determined that national efforts to reduce hospital-acquired conditions such as adverse … drug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014

157. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
     January 01, 2010 - three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications

158. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
     January 01, 2024 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. … Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. … Preventable adverse drug events in hospitalized patients: A comparative study of intensive care … Medication errors and adverse drug events in an intensive care unit: Direct observation approach … drug events: A computer simulation approach.

159. Final Report: Improving Drug Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
     January 01, 2024 - renal insufficiency are at risk of having these drugs accumulate, with resulting increases in risk of drug … toxicity.

160. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - drug events than traditional reporting methods. … drug events related to narcotics showed a 49% reduction in narcotic-related adverse drug events, resulting … Healthcare-acquired infections (108 [28.5%]) and adverse drug events (64 [16.9%]) were the next most … managed by physicians who receive active medication monitoring alerts have more adverse drug events … drug event (ADE) detection and management in nursing homes.