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321. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - 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

322. CHIPRA 213: Section 5, Table 4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
     January 01, 2012 - CHIPRA 213: Section 5, Table 4 Table 4: Evidence Supporting Hydroxyurea Treatment for Children with Sickle Cell Disease TYPE OF EVIDENCE KEY FINDINGS LEVEL OF EVIDENCE (USPSTF RANKING*) CITATIONS Randomized controlled trial The Multicenter Study of Hydroxyurea in Sickle Cell Anemia (MSH), a ra…

323. Tool 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
     March 01, 2013 - may result in the patient failing to take needed medicine, taking duplicate medicine, or experiencing adverse … drug events or natural remedy interactions.

324. Tool 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
     March 01, 2013 - may result in the patient failing to take needed medicine, taking duplicate medicine, or experiencing adverse … drug events or natural remedy interactions.

325. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     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.

326. Risk-Based Patient Safety Metrics (pdf file)
     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.

327. 2021 National Healthcare Quality and Disparities Report: Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
     January 01, 2021 - measures that improved most reflect fewer adverse events in nursing homes (two measures) and fewer adverse … drug events involving the blood thinner heparin in hospital settings.

328. Antimicrobial Prophylaxis Recommendations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/075-antibiotic-prophylaxis-summary-table.pdf
     April 01, 2025 - Antimicrobial Prophylaxis Recommendations AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis Recommendations Surgical Services For: Cardiac, Hip and Knee Replacement, and Spinal Fusion Surgeries Goals of Prophylactic Antimicrobial Therapy for Surgical Prophylaxis • The best…

329. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
     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.

330. Imbedding Research in Practice to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
     May 07, 2008 - Drug toxicity. Study demonstrated importance of monitoring drugs with toxicity risk.

331. Chronic Obstructive Pulmonary Disease Exacerbations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
     June 02, 2021 - Chronic Obstructive Pulmonary Disease Exacerbations Diagnosis • A COPD exacerbation should be considered in a resident with a known history of COPD and increased cough, shortness of breath, or sputum production from baseline.1-3 • COPD exacerbations are commonly triggered by respiratory virus infections (e.g.…

332. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. Slide 1 Say: Obje…

333. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - internet-accessible database that hospitals and healthcare systems use to collect, report, track, and share adverse … drug reactions and medication errors in a standardized format.

334. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
     March 20, 2008 - practice efficiency and provider knowledge, improved drug- related decisionmaking, and prevention of adverse … drug events.11 Immediate access to necessary 8 drug information was reported as a key benefit

335. Antibiotic Stewardship | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/antibiotic-stewardship.html
     October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Antibiotic Stewardship Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tools & Resour…

336. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.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 Sallie J.

337. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
     June 02, 2025 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse … drug event An estimated 160 million medication errors occur each year in primary care 80%

338. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
     June 02, 2025 - diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse … drug event An estimated 160 million medication errors occur each year in primary care 80%

339. Appendix C: Other AHRQ Initiatives and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2025-annual-report/appendixc.html
     August 01, 2025 - Rapid Evidence Report:  Computerized Clinical Decision Support to Prevent Medication Errors and Adverse … Drug Events .

340. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - Systems analysis of adverse drug events. ADE Prevention Study Group. … Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and