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281. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Final Report APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) Principal Investigator: Wilson D. Pace, MD* Key Personnel: David West, PhD * Deborah S. Main, PhD* John Westfall, MD* Daniel Harris, PhD** Organizational Aff…

282. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
     May 01, 2025 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events (Feb. 9,

283. Advances in Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances/index.html
     July 01, 2022 - Elizabeth Duthie, Barbara Favreau, Angelo Ruperto, Janet Mannion, Ellen Flink, Ruth Leslie Reporting of Adverse … Drug Events: Examination of a Hospital Incident Reporting System (   PDF , 287 KB) Radhika Desikan … Glasgow Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (

284. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
     www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
     July 01, 2004 - pneumonia Postoperative DVT/PE* Hospital acquired UTI** Ventilator associated pneumonia** Adverse … drug events ** Pressure ulcers* Postoperative cardiac events* Hospital falls** Angiographic

285. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
     July 01, 2004 - pneumonia Postoperative DVT/PE* Hospital acquired UTI** Ventilator associated pneumonia** Adverse … drug events ** Pressure ulcers* Postoperative cardiac events* Hospital falls** Angiographic

286. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
     January 01, 2024 - Finally, DOACs are leading contributors of adverse drug events leading to emergency department visits … promising anticoagulation stewardship intervention that aims to improve safe use of DOACs and reduce adverse … drug events. … National Action Plan for Adverse Drug Event Prevention. … National Action Plan for Adverse Drug Event Prevention2014. 23. Glasgow RE, Vogt TM, Boles SM.

287. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
     January 01, 2005 - Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

288. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - drug events. 16 Results from recent studies suggest that polypharmacy occurs in nearly 20% of patients … prescriptions per visit increases.9, 16 Research on elderly outpatients shows that, of all reported adverse … drug events (ADEs), 38% are life- threatening or fatal, and 42% of the life-threatening or fatal ADEs … drug events.9, 16, 17, 42 Fourth, the elderly have, compared to other adult age groups, higher rates … Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

289. Scientific Rationale | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-rationale.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Scientific Rationale Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Char…

290. The “Never Antibiotics” Diagnoses: ​Viral Acute Upper Respiratory Infection: ​the Common Cold – Slides
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
     September 01, 2022 - Safety Program for Improving Antibiotic Use – Ambulatory Care 4 Harm Associated With Antibiotics2,3 Adverse … drug events Antibiotic-associated diarrhea4,5 Yeast infections Rash Disruption of normal bacteria that

291. Final Progress Report: Shared Online Health Records for Patient Safety and Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
     January 01, 2024 - drug events (ADEs). … drug event, patient safety, health maintenance, family history, diabetes A. … drug events (ADEs), medication list accuracy, and patient medication knowledge. … drug events (ADEs). … The rate of preventable and ameliorable adverse drug events (ADEs) and medication and allergy list accuracy

292. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
     December 01, 2024 - Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … of the medication use pathway—prescribing, transcribing, dispensing, and administration—to prevent adverse … drug events (ADEs). … Drug Events Patient Safety Primer: Missed Nursing Care Patient Safety Primer: Reporting Patient Safety … Patient Safety Primer: Medication Errors and Adverse Drug Events 21.

293. Scientific Rationale | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-rationale.html
     September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Scientific Rationale Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale References Appendix A. Flow Char…

294. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/baker.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 David P.

295. Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
     January 01, 2025 - Create patient/family medication monitoring processes and communication with the clinic to prevent adverse … drug events.

296. Chapter-7 - Harm Due to Anticoagulants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
     March 01, 2020 - Anticoagulants have been consistently identified as the most common cause of adverse drug events (ADEs … thrombocytopenia (HIT) within hospitals.8,14,15 HIT is a “dangerous, potentially lethal, immunologically-mediated adverse … drug reaction to unfractionated heparin or, less commonly, low molecular weight heparin. … Advancing medication safety: establishing a national action plan for adverse drug event prevention.

297. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
     January 01, 2024 - Early work using the BI-OTT indicated that adverse drug events (ADEs) are the most common type of AE … ambulatory electronic health record (AEHR) by measuring the pre- and post-implementation AEHR frequency of adverse … drug events (ADEs), as detected by the BI-OTT. … Adverse drug events occurring following hospital discharge. J Gen Intern Med 2005;20:317-23. 4.

298. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
     October 01, 2019 - MPSMS is composed of 21 measures representing six types of adverse drug events (ADEs); six types of … Adverse event categories monitored by MPSMS include: • Adverse drug events. … difficile Adverse drug events 2004-2007 and 2009-2016 ADE - Digoxin Adverse drug events 2004-2007 … Adverse drug events 2004-2007 and 2009-2016 ADE - Low Molecular Weight Heparin Adverse drug events … Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a

299. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
     January 01, 2024 - Diagnostic E-codes for commonly-used, narrow therapeutic index medications poorly predict adverse … drug events. … Validity of discharge diagnoses for identifying adverse drug events.

300. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
     April 01, 2019 - Meeting Minutes, November 2018 National Advisory Council Minutes from the November 15, 2018, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 18, 2018, Meeting Summary Director's Welcome and Update Update on AH…