-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - The following are excluded from Medication or Other Substance event type
reporting:
■ Adverse drug … reaction with no apparent incorrect action
■ Patient food (not suspected in drug-food interactions … decision to
prescribe medication despite known drug-drug interaction)
■ Drug-drug, drug-food, or adverse … drug reaction as a result of a prescription and/or
administration of a drug and/or food prior to admission
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - drug
events, or pressure ulcers. … drug events do not result in clinical harm. … drug events, or
general clinical topics, such as preventing pressure ulcers;
and PSPs designed to … Practices Designed for a Specific Patient Safety Target
Adverse Drug Events
High-alert drugs: patient … drug events; brief review
Common/Low Moderate-to-
high
Low High Little/Moderate
The Joint Commission
-
www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … drug events (ADEs), although declines in other HACs also contributed significantly to deaths averted
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions
-
www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - structured protocol and software tool, to determine whether any of 21 types of adverse events—such as adverse … drug events, falls, and pressure ulcers—occurred. … effects on estimates of the deaths averted and cost savings come from declines in pressure ulcers and adverse … drug events. … drug events (ADEs) with an excess mortality of 20 deaths per 1,000 and excess costs of $5,000/case.
-
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.
-
www.ahrq.gov/patient-safety/reports/liability/preface.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
Since the Institute of Medicine
-
www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - Anticholinergic side-effects of drugs in elderly people.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.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
-
www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
January 01, 2024 - many healthcare organizations have the health information technology to improve their
detection of adverse … drug events, medication errors and/or near misses, they rarely use the data
from reporting systems … A classification for adverse drug events. J Qual
Clin Pract. 1999; 19(1):23-26.
23. … Physicians' attitudes and adverse drug reaction
reporting: a case-control study in Portugal, Drug Saf
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - involving the
pharmacist in medication renewals contributed to a significant reduction in
preventable adverse … drug reactions. … Pharmacist on rounding teams reduce preventable
adverse drug events in hospital general medicine units
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … drug reaction
∗ Death associated with medication error
∗ Death associated with medical device … department within 3 days of discharge
∗ Death associated with drug reaction
∗ Death associated with adverse … drug event
∗ Death related to medical device
∗ Healthcare-associated infection
∗ Fall during hospitalization
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … Adverse drug events from antibiotics are very common.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Escobar.pdf
February 01, 2005 - Electronic identification mechanisms, which are more efficient, have been
defined for adverse drug events … drug events (ADEs)
among 36,653 hospitalized patients over an 18-month period. … Incidence of
adverse drug events and potential adverse drug events.
Implications for prevention. … Systems
analysis of adverse drug events. ADE Prevention
Study Group. … The incident
reporting system does not detect adverse drug events:
a problem for quality improvement
-
www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety
Search All Impact Case Studies
June 2025
Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - Among a sample of elderly patients, Gurwitz, et al.,6 found
that many adverse drug events were due to … Adverse drug
events in ambulatory care. N Engl J Med 2003; 348:
1556-1564.
3. … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting.