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161. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ref.html
     September 01, 2015 - Reducing the risk of adverse drug events in older adults.

162. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
     April 01, 2019 - Meeting Minutes, November 2018 National Advisory Council Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 18, 2018, Meeting Summary Director's Welcome and Update Update on AH…

163. Tool 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
     March 01, 2013 - may result in the patient failing to take needed medicine, taking duplicate medicine, or experiencing adverse … drug events or natural remedy interactions.

164. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/index.html
     October 01, 2024 - Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

165. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.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…

166. Patient and Family Engagement in Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/interventions/index.html
     June 01, 2023 - These tools will also help to identify risks for an adverse drug event, such as overdosing, underdosing

167. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
     April 01, 2018 - Reconciliation Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.

168. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
     August 01, 2022 - discrepancies collected in this previous study 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

169. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Kenneth E.F.

170. Safe Medication Administration: Magnesium Sulfate | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
     July 01, 2023 - Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…

171. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - Incidence of adverse drug events and potential adverse drug events. JAMA . 1995;274(1):29-34.

172. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…

173. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. Slide 1 Say: Obje…

174. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
     July 01, 2023 - Safe Medication Administration: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: 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 …

175. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.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 …

176. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Steven Crane, Phillip D Sloane

177. Approaches to Address Health Risks for Older Adults
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
     March 15, 2025 - Approaches to Address Health Risks for Older Adults National Center for Excellence in Primary Care 1 National Center for Excellence in Primary Care Research Presents Approaches to Address Health Risks for Older Adults January 16, 2025 Presented by: Lisa Kern, MD, MPH Alberta K. Tran, Ph.D., RN, CCRN Yu-J…

178. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     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

179. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - 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

180. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
     June 01, 2024 - as a model for improving the safety of other medications associated with high rates of preventable adverse … drug events and for improving safety for vulnerable nursing home residents at special risk for medication-related