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Showing results for "adverse drug events".
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221. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
     June 02, 2025 - Adverse drug events Unsafe medicine issues Medicine adherence Satisfaction Reported use Bring in medicines … We will use several measures to evaluate effectiveness: How many adverse drug events occur pre- and

222. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
     January 01, 2003 - Incidence and preventability of adverse drug events in nursing homes. … Systems analysis of adverse drug events. JAMA 1995;274:35–43. 20.

223. Practice-Based Research Networks (PBRNs) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/otherwebsites/PBRN/pbrn.html
     September 01, 2018 - Field testing of a new ambulatory care electronic Medication Errors and Adverse Drug Events Reporting

224. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
     July 18, 2008 - drug events, and ineffective communication and information flow. … Problems with medications: Adverse drug events (ADEs). … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 18. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … National surveillance of emergency department visits for outpatient adverse drug events.

225. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - Key Words: medication reconciliation, medication errors, adverse drug events, health literacy, medication … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

226. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - Purpose: To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool: Review the guide information when developing and implementing a systems approaching to event investigation and analysis. T…

227. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
     January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program 223 Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner Abstract The U.S. Food an…

228. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix C. Sample Search Strategies Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introductio…

229. Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
     March 01, 2004 - based on ICD-9-CM codes, followed by retrospective chart review using explicit criteria to detect adverse … drug events (ADEs), or adverse events related to medications. … For subcategories within “any ADE,” increases for clinical side effects of drugs (1,659, 0.72 percent … Detecting adverse drug events using ICD-9-CM codes.

230. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
     June 18, 2008 - monitoring helped clinicians identify opioid-associated respiratory depression and prevent a potential adverse … drug event. … response to opioid analgesics, even when correctly programmed, therapeutic doses can result in an adverse … drug event.2 While some patient populations are at higher risk of an opioid-related event, clinical

231. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
     January 01, 2024 - Beyond the prescription: medication monitoring and adverse drug events in older adults.

232. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
     January 01, 2024 - In a survey of US cancer centers, pharmacy directors reported serious oral chemotherapy-related adverse … drug events at one quarter of the centers and serious near-miss errors at one third. … stakeholders. 6.0 RESULTS 6.1 Specific Aim #1 In the incident reporting substudy, we identified 99 adverse … drug events (ADEs), 322 near misses, and 87 medical errors with low risk of harm. 7 Of the 99 ADEs … toxicity.

233. Articulate Word Output (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
     June 02, 2025 - Articulate Word Output Primary Prevention of Cardiovascular Disease (CVD) Events with Statins 1 Primary Prevention of Cardiovascular Disease (CVD) Events with Statins 2 Welcome by Michael Pignone, MD, MPH Hi, my name is Dr. Michael Pignone. I’m a General Internist and faculty member at The Univer…

234. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
     January 01, 2024 - drug events (ADEs). … drug events, or medication adherence. … 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;348:1556-1564 4. … National Surveillance of Emergency Department Visits for Outpatient Adverse Drug Events.

235. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
     January 01, 2024 - initial ED evaluation that led to a missed diagnosis that was discovered by the subsequent shift; an adverse … drug event (allergic reaction); and a case in which definitive treatment was delayed because of a reported … Medication not available in ED 3 Ordering – delay or failure 2 Administration – delay or failure 2 Adverse … drug event 1 (1) Medication not available from pharmacy 1 Ordering – wrong dose 1 Ordering – wrong time

236. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - Evidence suggests that over 1 million at-risk older adults may experience an adverse drug event (ADE) … drug event if our Senior Section were implemented nationwide. … Incidence and preventability of adverse drug events among older persons in the ambulatory setting. … National action plan for adverse drug event prevention. Washington, DC, 2014. 12. … Adverse drug events in ambulatory care. N Engl J Med. 2003;348(16):1556-1564. 22. Guirguis K.

237. Information to Help Hospitals Get Started
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - within a month of discharge, of which ¾ could be prevented Common complications post-discharge are adverse … drug events, healthcare-associated infections, and procedural complications Many complications can be … these events could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, healthcare-associated infections, and procedural complications.

238. I. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/intro1.html
     May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events I. Introduction Previous Page Next Page Table of Contents Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events Pr…

239. Final Progress Report: The Value of Hospital-Related Patient-Safety Interventions to Key Stakeholders (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
     January 01, 2024 - drug events. … One is entitled “The Effectiveness of Computerized Order Entry at Reducing Preventable Adverse Drug … Events and Medication Errors in Hospital Settings: A Systematic Review and Meta-Analysis is in press … drug events, pADEs). … Drug Events in Hospital Settings: A Systematic Review and Meta-Analysis.

240. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
     May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…