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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
June 15, 2005 - of these errors.1 An Institute of Medicine
(IOM) report2 suggests that medication errors leading to adverse … drug events (ADEs) are as
frequent or more frequent in the ambulatory setting. … Does a shared electronic medication list reduce medical errors and adverse drug events? … 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.
6.
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - The list
included: adverse drug events, acute postoperative myocardial infarction, bacteremia, perioperative … Adverse drug events were the highest type of
adverse event reported by patients and recorded in the
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
May 01, 2024 - functionality that sends electronic prescription cancellations from the EHR to pharmacies, to help reduce adverse … drug events in ambulatory care settings.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - Facilitator Guide: Science of Safety Training & Identifying Defects
Science of Improving Safety and Identifying Defects – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
The Science of Improving Patient Safety and Identifying Defects
SAY:
The topic of this module is the science of …
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
June 02, 2025 - .
■ Answer your questions.
1 in 9
emergency
department admissions
are related to an
adverse drug … event.
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www.ahrq.gov/research/findings/studies/index.html
January 01, 2025 - Keywords: Children/Adolescents, Medication, Chronic Conditions, Medication: Safety, Patient Safety, Adverse … Drug Events (ADE), Adverse Events
Ayers DC , Zheng H , Yang W The Chitranjan S. … broad-spectrum therapy group had lower mortality (8.7% vs 9.5%), fewer readmissions (10.5% vs 11.8%), but more adverse … drug events (8.4% vs 7.2%).
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
September 14, 2023 - diagnostic error annually
► 4.5 million ambulatory care visits annually in US may have been related to an
adverse … drug event … liquid concentration
► Narrow therapeutic windows
► Drug-drug interactions
• 5x higher odds of an adverse … drug event
(ADE) leading to an ED visit than other
children
► > 1 in 50 CMC ED visits are associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
April 28, 2008 - Patient risk
factors for adverse drug events in hospitalized
patients.
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www.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
-
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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Relationship between medication errors and adverse
drug events. … Systems
analysis of adverse drug events. JAMA 1995;274:35–
43.
11. Abood RR.
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www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - substantially reduce medication error rates, studies have not been powered
to detect differences in adverse … drug events and have evaluated a small number of
homegrown systems.” … If the patient has an
adverse drug reaction, the administration of the chemo is stopped, the reaction
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Safe Med. Admin.
2
Safe Administration of Medications in L&D
T…
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - occurred across all types of
medications and in 41% of cases sampled in this study may have
caused adverse … drug events. … transitioning from hospital to home care to determine the
potential for discrepancies to result in an adverse … drug event (ADE), the severity of the ADE
(i.e., serious, significant, minor), the potential health … drug event
(ADE), the severity of the ADE (i.e., serious, significant, minor), the potential health
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - occurred across all types of
medications and in 41% of cases sampled in this study may have
caused adverse … drug events. … transitioning from hospital to home care to determine the
potential for discrepancies to result in an adverse … drug event (ADE), the severity of the ADE
(i.e., serious, significant, minor), the potential health … drug event
(ADE), the severity of the ADE (i.e., serious, significant, minor), the potential health
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - transition points for patients from one
provider to another are responsible for many medical errors and adverse … drug events.1
There are substantial barriers, however, to the exchange of health information through … transition points is responsible for as many as
50 percent of all medication errors and up to 20 percent of adverse … drug events.1 Each time a
patient moves from one clinic or setting to another, clinicians need to review
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Antibiotic-associated adverse drug events then were
categorized into clinically significant and non-clinically
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-111921.pdf
March 11, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup: Improving Diagnostic Safety …
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project
Title:
Cook County & Rush Developmental Center for Research in Patient Safety:
Diagnosis Error Evaluation and Research (DEER) Project
Principal Investigator:
Gordon …