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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/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
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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.
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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…
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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
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-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
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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…
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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
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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.
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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…
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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
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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…
-
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.
-
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…
-
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.
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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.
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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/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
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www.ahrq.gov/topics/index.html?page=1
January 01, 2012 - Topics
Information on AHRQ's most-searched topics are included below and in the A to Z menu above. Results
Topics 11 - 19 of 19 displayed
Pagination
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1
2
Health Literacy Health literacy occurs when health information and serv…
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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.