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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Safe Medication Administration: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Define high-alert medications.
Identif…
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www.ahrq.gov/sites/default/files/2024-07/overhage-report.pdf
January 01, 2024 - Keywords: Adverse drug events, Medical Records Systems, Computerized Ambulatory Care
Information Systems … , Adverse Drug Reaction Reporting Systems, Ambulatory care, Medication
errors, Medical errors, Quality
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Importance of Patient Safety
Mortality
Prevalence
Cost
Findings on Patient Safety
Improving Trend: Adverse … Drug Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: The Science of Improving Patient Safety and Identifying Defects
Say:
The topic of this module is the science of patient safety. The discussion will include the importance of unders…
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www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
January 01, 2024 - Incidence of adverse drug events and
potential adverse drug events: Implications for prevention. … Adverse drug reactions: A critical review. JAMA. 1975
1975;234:1236-1241.
14. … Systems analysis of adverse drug events.
JAMA. 1995;274:35-43.
15.
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www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
January 01, 2024 - prescriptions. (7) Choice of incorrect drug is also a common error, occurring in up to 5% of potential
adverse … drug events in one inpatient study. (8) The Institute for Safe Medication Practices publishes
LASA … Medication errors
and adverse drug events in pediatric inpatients.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators
Final Topic Refinement Document
Home Mechanical Ventilators
ID: PULT0717
Agency for Healthcare Research and Quality
Technology Assessment Program
Mayo Clinic Evidence-based Practice Center
16 October 2017
Preliminary Key Questions (KQs) …
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - The costs of adverse drug events in hospitalized patients. JAMA
1997;277(4):307-311.
6. … Systems analysis of adverse drug events. JAMA 1995;274(1):35-43.
7.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - patient)
• Near fall – loss of balance that does not result in a fall
Medication or Other Substance
• Adverse … drug reaction with no apparent incorrect action
• Patient food (not suspected in drug-food interactions … decision to
prescribe medication despite known drug-drug interaction)
• Drug-drug, drug-food, or adverse … drug reaction as a result of a prescription and/or
administration of a drug and/or food prior to admission
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-final508.pdf
June 02, 2025 - implementors and use them
as peer coaches.
6 Evaluate your progress
Evaluate effectiveness
� How many adverse … drug events occur pre-
and post-implementation?
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - In a study of ADEs in a 700-bed
hospital, adverse drug events (ADEs) and preventable ADEs were estimated
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www.ahrq.gov/research/findings/final-reports/index.html?page=0
December 01, 2024 - Empirical Evaluation of Labels Designed to Provide Older Users the Information They Need to Minimize Adverse … Drug Events ( application/pdf 777583 ) Principal Investigators: Becker and Bix Grant Number: R01
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www.ahrq.gov/research/findings/final-reports/index.html
September 01, 2024 - Empirical Evaluation of Labels Designed to Provide Older Users the Information They Need to Minimize Adverse … Drug Events ( application/pdf 777583 ) Principal Investigators: Becker and Bix Grant Number: R01
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Lessons
from a patient partnership intervention to prevent adverse drug events. … Consensus building for
development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events
in hospital patients. … Overview of the First Natural Language Processing Challenge
for Extracting Medication, Indication, and Adverse … Drug Events From Electronic Health Record
Notes (MADE 1.0).
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Lessons
from a patient partnership intervention to prevent adverse drug events. … Consensus building for
development of outpatient adverse drug event triggers. … Computerized surveillance of adverse drug events
in hospital patients. … Overview of the First Natural Language Processing Challenge
for Extracting Medication, Indication, and Adverse … Drug Events From Electronic Health Record
Notes (MADE 1.0).
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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/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/sites/default/files/publications/files/ambulatory-safety.pdf
July 01, 2010 - College of Cornell University, New
York, NY
Estimated Dates: 9/30/2007–6/29/2010
Surveillance for Adverse … Drug Events
in Ambulatory Pediatrics
Estimated Total Funding: $992,699
Uses a computerized system to … detect
and report adverse drug events (ADEs)
that occur in the outpatient setting, in
the emergency … drug events among geriatric
patients in a primary care setting;
examines the impact of the intervention … Drug Events
Estimated Total Funding: $1,180,772
Focuses on the transition between
hospitalization and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - incidence of specific patient injuries, including in-hospital cardiac
arrest, acute myocardial infarction, adverse … drug events, surgical site infection, central venous
line infection, and ventilator-associated pneumonia … Incidence of
adverse drug events and potential adverse drug events:
Implications for prevention.
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www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
January 01, 2025 - Anticoagulation Monitor
Methods: The Anticoagulation Monitor was developed to reduce adverse drug
events … Reporting of adverse drug events: Examination of a hospital incident reporting system.