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www.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - The
IOM estimates that preventable adverse drug events resulted in approximately $2
billion in increased … computerized
physician/provider order entry (CPOE) system with decision support reduced the
incident of adverse … drug events related to antibiotic administration by 75
percent.25
Facility designs at St. … Systems
analysis of adverse drug events. JAMA
1995;288:501–13.
3. Borden S. U.S.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - Adverse effects of medical care can arise from medical and surgical procedures as well as from adverse … drug reactions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices
319
Making Information Technology a Team
Player in Safety: The Case of Infusion Devices
Christopher Nemeth, Mark Nunnally, Michael O’Connor,
P. Allan Klock, Richard Cook
Abstract
Objective: To fulfill the promise of infor…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - The incident reporting system
does not detect adverse drug events: a problem for
quality improvement … Identifying adverse drug events: development
of a computer-based monitor and comparison with
chart
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
January 01, 2018 - replacement -12.31 0.0 0.014 MPSMS 8 (2009-
2016)
Hospital patients with an anticoagulant-related adverse … drug event to
low-molecular-weight heparin (LMWH) and factor Xa
-11.33 0.0 0.00 MPSMS 8 (2009-
2016 … drug events with hypoglycemic agents
-6.8 0.0 0.00 MPSMS 8 (2009-
2016)
Adults age 65 and over who … drug event with IV heparin in adult hospital patients who
received an anticoagulant
-6.08 0.0 0.014 … drug event to
warfarin
-2.74 0.028 0.366 MPSMS 8 (2009-
2016)
Bloodstream infection in adult patients
-
www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - ED researchers do use various classifications for specific
types of AEs, such as adverse drug events … Adverse drug events in emergency
department patients. Ann Emerg Med 2002;39:3 258-67.
8. … Performance of the adverse drug event trigger tool and the
global trigger tool for identifying adverse … drug events: experience in a Belgian hospital.
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - As a result of the intervention, Eddy Heritage staff have identified and resolved potential adverse drug … events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks
Medical Product Safety Network (MedSun)
Collaborates with Medical Product Users to Create
Specialty Subnetworks
Donna Engleman, BSN; Suzanne Rich, RN, MA, CT; Tina Powell, BA; Marilyn Flack, M.A.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - hospital setting, Kaushal and colleagues5, 6 found that serious
pediatric medication errors (potential adverse … drug events and preventable adverse
drug events) occurred at a three-fold higher rate in children than … Incidence of adverse
drug events and potential adverse drug events:
implications for prevention. … Adverse drug
events in hospitalized patients. JAMA 1997;277:301–
6.
3. … Medication
errors and adverse drug events in hospitalized
children.
-
www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
January 01, 2025 - Medication errors, critical incidents, adverse drug events, and more: examining patient safety-related
-
www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
January 01, 2024 - monitor patient after admin
Other
Not available in ED
Not available in pharmacy
Allergic reaction/adverse … drug event
Figure 4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
January 01, 2017 - Healthcare-Acquired Conditions (HACs)
Series 1 VAPs SSIs CLABSI Other HACs Pressure Ulcers Post-op DVTs Falls Adverse … Drug Events Obstetric Adverse Events CAUTI 21001 21000 17000 17000 17000 8000 7234 5000 3000 1000 … 17,000
Other HACs $ 17,000
Pressure Ulcers $ 17,000
Post-op DVTs $ 8,000
Falls $ 7,234
Adverse … Drug Events $ 5,000
Obstetric Adverse Events $ 3,000
CAUTI $ 1,000
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
April 01, 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Condition Rate
Partnership for Patients
Hospital-Acquired
Conditions
Source
Measure
Adverse … Drug Event (ADE) MPSMS ADE Associated With Digoxin
MPSMS ADE Associated With Hypoglycemic Agents
MPSMS
-
www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults
AHRQ Grant Final Progress Report
Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-
Related Hospitalizations in Older Adults
Principal Investigat…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
135
Lessons Learned from the Evolution of
Mandatory Adverse Event Reporting Systems
Ellen Flink, C. Lynn Chevalier, Angelo Ruperto, Peg Dameron,
Frederick J. Heigel, Ruth Leslie, Janet Mannion, Robert J. Panzer
Abstract
New Yor…
-
www.ahrq.gov/patient-safety/reports/liability/prologue.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 Sands, Alan Woodward
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Developing an Antibiotic Stewardship Program
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Developing an Antibiotic Stewardship Program
Long-Term Care
SAY:
Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…
-
www.ahrq.gov/topics/index.html?page=1
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Health Literacy Health literacy occurs when health information and serv…