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  1. 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 adversedrug 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.
  2. 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
  3. 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 adversedrug events in ambulatory care settings.
  4. 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 …
  5. 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 adversedrug 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 adversedrug events (pADEs). … The primary benefit was a decrease in adverse drug events from dispensing errors, projected to be 517
  6. 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 drugevent.
  7. www.ahrq.gov/research/findings/studies/index.html
    January 01, 2025 - Keywords: Children/Adolescents, Medication, Chronic Conditions, Medication: Safety, Patient Safety, AdverseDrug 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 adversedrug events (8.4% vs 7.2%).
  8. 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 adversedrug event … liquid concentration ► Narrow therapeutic windows ► Drug-drug interactions • 5x higher odds of an adversedrug event (ADE) leading to an ED visit than other children ► > 1 in 50 CMC ED visits are associated
  9. 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.
  10. 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 adversedrug events.
  11. 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 adversedrug 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 adversedrug events. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.
  12. 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.
  13. 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 adversedrug 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
  14. 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…
  15. 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 adversedrug events. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adversedrug 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
  16. 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 adversedrug events. … transitioning from hospital to home care to determine the potential for discrepancies to result in an adversedrug 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
  17. 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 adversedrug 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 adversedrug events.1 Each time a patient moves from one clinic or setting to another, clinicians need to review
  18. 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
  19. 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 …
  20. 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 …

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