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301. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
     March 15, 2008 - appropriate, proper medication management by providers and patients is essential to prevent errors and adverse … drug events (ADEs). … 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.

302. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=12
     January 01, 2024 - 020322 Topic(s): Healthcare Facility Design Publication Date: February 2011 Surveillance for Adverse … Drug Events in Ambulatory Pediatrics ( application/pdf 1185188 ) Principal Investigators: Bailey

303. Antibiotic Stewardship | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
     February 01, 2019 - Antibiotic Stewardship AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Antibiotic Stewardship Slide 2: Objectives Upon completion of this webinar, participants will be able to— Describe how antibiotic stewardship is linked to infection prevention. Explain how overtreating urinary tra…

304. AHRQ Tools Help Wisconsin Hospitals Post Big Quality, Safety Gains | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201527.html
     September 01, 2015 - WHA achieved that goal for its work to improve adverse drug events and early elective deliveries.

305. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
     January 01, 2024 - Determine baseline medication safety practices (order entry, alerts to prevent adverse drug events and … Incidence of adverse drug events and potential adverse drug events. … The incidence of adverse drug events in two large academic long-term care facilities. … Incidence of preventability of adverse drug events in nursing homes.

306. Data Infographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/index.html
     July 01, 2025 - Single and Family Premiums for Employer-Sponsored Health Insurance Growing Pain of Spinal Stenosis Adverse … Drug Events Occurring in U.S.

307. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
     July 01, 2024 - ■ A pharmacy barcode system* for medications at Brigham and Women’s Hospital resulted in fewer adverse … drug events from dispensing errors and an annual savings of $2.23 million … CPOE in hospital-related settings is associated with a greater than 50 percent decline in preventable adverse … drug events (pADEs). … The primary benefit was a decrease in adverse drug events from dispensing errors, projected to be 517

308. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
     May 16, 2016 - http://www.who.int/surgery/publications/Postoperativecare.pdf • Anticoagulant Toolkit: Reducing Adverse … Drug Events, Institute for Healthcare Improvement http://www.ihi.org/knowledge/Pages/Tools/AnticoagulantToolkitReducingADEs.aspx

309. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
     May 16, 2016 - http://www.who.int/surgery/publications/Postoperativecare.pdf • Anticoagulant Toolkit: Reducing Adverse … Drug Events, Institute for Healthcare Improvement http://www.ihi.org/knowledge/Pages/Tools/AnticoagulantToolkitReducingADEs.aspx

310. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
     January 01, 2004 - of all medication orders, and only a fraction of these errors cause harm to patients in the form of adverse … drug events (ADEs).8–10 Leape, et al5 point out that it would be “incredibly difficult to mount a controlled … Cognitive activities include consideration of the patient's condition and history, as well as possible drug … side effects and interactions. … Systems analysis of adverse drug events. JAMA 1995 (274):35- 43. 37. Flynn EA, Barker KN.

311. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/index.html
     June 01, 2025 - Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,

312. Patient and Family Engagement in Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/interventions/index.html
     June 01, 2023 - These tools will also help to identify risks for an adverse drug event, such as overdosing, underdosing

313. 10 Patient Safety Tips for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
     December 01, 2009 - used incorrectly, blood thinners can cause uncontrollable bleeding and are among the top causes of adverse … drug events.

314. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - implementation of electronic alerts and change to a “no blame” culture, McLeod Medical Center reduced adverse … drug event rates by 90%.29 However, several publications have commented on the failure to spread success … in designated cardiac, neurosurgery, and orthopedic procedures35 and a 34.5% reduction in overall adverse … drug events. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

315. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
     November 03, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on Appropriations requested that “A…

316. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
     March 01, 2004 - UDOH evaluated ICD codes selected for their potential to identify adverse drug events (ADEs).

317. Clinical Inertia and Outpatient Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
     January 01, 2003 - Clinical Inertia and Outpatient Medical Errors 293 Clinical Inertia and Outpatient Medical Errors Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush, George Biltz Abstract Clinical inertia is defined as lack of treatment intensification in a patient not at evidence-based goals for …

318. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - medications are administered, a point stressed by AHRQ in the report, 3 Reducing and Preventing Adverse … Drug Event to Decrease Hospital Costs (AHRQ, 2001). … Reducing and preventing adverse drug events to decrease hospital costs. … Systems analysis of adverse drug events. JAMA. 1995;274:35-43.

319. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
     April 30, 2008 - Surveillance of methadone-related adverse drug events using multiple public health data sources.

320. Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
     January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications in spine surgery Developing a patient-centered model of the risk of perioperative complications in spine surgery John Ratliff, MD, PI Team members: Summer Han, PhD Richard Olshen, PhD Lu Tian, PhD Paola Suarez …