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  1. 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/adversedrug event Figure 4.
  2. 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 AdverseDrug Event (ADE) MPSMS ADE Associated With Digoxin MPSMS ADE Associated With Hypoglycemic Agents MPSMS
  3. 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 adversedrug 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 adversedrug events (ADEs), 322 near misses, and 87 medical errors with low risk of harm. 7 Of the 99 ADEs … toxicity.
  4. 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…
  5. 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
  6. 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 adversedrug events and injuries from falls helped prevent 20,700 deaths and saved $7.7 billion between 2014
  7. 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…
  8. 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
  9. 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 adversedrug 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.
  10. 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…
  11. 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 AdverseDrug 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 AdverseDrug Events $ 5,000 Obstetric Adverse Events $ 3,000 CAUTI $ 1,000
  12. 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…
  13. 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 adversedrug 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.
  14. 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…
  15. 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.
  16. 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.
  17. www.ahrq.gov/patient-safety/reports/liability/prologue.html
    August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential AdverseDrug Events During Transfer of Care from Hospital to Home Kenneth Sands, Alan Woodward
  18. 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
  19. 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 « first « First ‹ previous ‹‹ 1 2 Health Literacy Health literacy occurs when health information and serv…
  20. 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.

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