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  1. 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…
  2. 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
  3. 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: AdverseDrug Events With Heparin and Factor Xa Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
  4. 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…
  5. 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.
  6. 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 adversedrug events in one inpatient study. (8) The Institute for Safe Medication Practices publishes LASA … Medication errors and adverse drug events in pediatric inpatients.
  7. 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) …
  8. 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.
  9. 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 • Adversedrug 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 adversedrug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission
  10. 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 adversedrug events occur pre- and post-implementation?
  11. 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
  12. 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 AdverseDrug Events ( application/pdf 777583 ) Principal Investigators: Becker and Bix Grant Number: R01
  13. 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 AdverseDrug Events ( application/pdf 777583 ) Principal Investigators: Becker and Bix Grant Number: R01
  14. 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 AdverseDrug Events From Electronic Health Record Notes (MADE 1.0).
  15. 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 AdverseDrug Events From Electronic Health Record Notes (MADE 1.0).
  16. 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 …
  17. 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
  18. 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 AdverseDrug 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
  19. 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, adversedrug 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.
  20. 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.

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