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341. Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/king-report.pdf
     January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF) Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022 Principal Investig…

342. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
     May 01, 2024 - drug events in ambulatory care settings. … California, San Francisco; School of Medicine, Family Medicine Develops a tool for patients to report adverse … drug events (ADEs) to their ambulatory care teams. … California, San Francisco; School of Medicine, Family Medicine Develops a tool for patients to report adverse … drug events (ADEs) to their ambulatory care teams.

343. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ref.html
     September 01, 2015 - Reducing the risk of adverse drug events in older adults.

344. Final Progress Report: Engaging Families in Bedside Rounds To Promote Pediatric Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
     January 01, 2024 - The most common medication topics raised by families were scheduling (24%) and adverse drug reactions … Adverse drug events, defined as harm resulting from use, nonuse, or misuse of medication, occur in 14% … of pediatric outpatients receiving a prescription.55 The majority of preventable adverse drug events … These changes typically addressed either adverse drug events or families’ concerns about the scheduling … Risk factors in preventable adverse drug events in pediatric outpatients.

345. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
     January 01, 2005 - Systems analysis of adverse drug events. ADE Prevention Study Group. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention.

346. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - Patient Safety Primer: Medication Errors and Adverse Drug Events https://psnet.ahrq.gov/primers/primer … /23 A growing evidence base supports specific strategies to prevent adverse drug events (ADEs). … Training Catalog Patient Safety Essentials Toolkit: Huddles Patient Safety Primer: Medication Errors and Adverse … Drug Events Person-Centered Care Plan-Do-Study-Act (PDSA) Steps Worksheet Pioneer Network Resource … Patient Safety Primer: Medication Errors and Adverse Drug Events 18. Person-Centered Care 19.

347. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
     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.

348. Digital Healthcare | Agency for Healthcare Research and Quality
     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.

349. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     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…

350. 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.

351. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     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 …

352. Developing a Community-Wide Electronic Shared Medication List (pdf file)
     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.

353. Innovative Use of Technology in Primary Care Delivery - Slide Presentation (pdf file)
     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

354. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
     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.

355. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     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

356. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     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

357. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
     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.

358. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
     February 24, 2008 - Preventing adverse drug events. Am J Health Syst Pharm 1995; 52: 379-382. 6. Leape LL. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

359. Making the Case That Improving Antibiotic Use Is a Patient Safety Issue (pdf file)
     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

360. Medication Management Strategy: Intervention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
     June 01, 2023 - These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse … drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors