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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/vol1/Advances-Henriksen_104.pdf
    January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton, FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE; David M. Gaba, MD;…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …
  3. www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
    July 01, 2018 - Incidence of adverse drug events and potential adverse drug events. JAMA . 1995;274(1):29-34.
  4. www.ahrq.gov/hai/pfp/haccost2017-ref.html
    May 01, 2023 - Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a
  5. www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
    January 01, 2024 - types of adverse events that commonly occur among hospitalized general medical patients, including adversedrug events, hospital acquired infections, pressure ulcers, and falls.
  6. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
    December 01, 2020 - MPSMS is composed of 21 measures representing six types of adverse drug events (ADEs); six types of … drug events 2004-2007 and 2009-2017 ADE - IV Heparin Adverse drug events 2004-2007 and 2009-2017 ADE … - Low Molecular Weight Heparin Adverse drug events 2004-2007 and 2009-2017 ADE - Warfarin Adverse drugevents 2004-2007 and 2009-2017 Catheter-Associated Urinary Tract Infection Infection 2005-2007 and … Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a
  7. www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
    January 01, 2024 - Final Progress Report: 1. TITLE PAGE Title of Project: Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings Principal Investigator: Christopher R. Friese, PhD, RN, AOCN®, FAAN Team Members: Louise Bedard, MSN, MBA Alex J. Fauer, PhD, RN, OCN® Jennifer J. Griggs, MD, MPH, FAC…
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/ref.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services References Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology Evaluation of…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - Preventable adverse drug events in hospitalized patients: A comparative study of intensive care and
  10. www.ahrq.gov/patient-safety/reports/liability/sands.html
    August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential AdverseDrug Events During Transfer of Care from Hospital to Home Kenneth E.F.
  11. www.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential AdverseDrug Events During Transfer of Care from Hospital to Home Steven Crane, Phillip D Sloane
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
    March 10, 2008 - Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium Hude Quan, MD, PhD; Saskia Drösler, MD; Vijaya Sundararajan, MD, MPH, FACP; Euge…
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
    January 01, 2025 - ■ A pharmacy barcode system* for medications at a research hospital resulted in fewer adverse drugevents from dispensing errors and annual savings of $2.23 million … 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
  14. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
    June 01, 2018 - CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adversedrug events (ADEs) ( Ammenwerth, et al., 2008 ). … CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adversedrug events (ADEs) ( Ammenwerth, et al., 2008 ). … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
    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 SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and d…
  16. www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
    January 01, 2024 - patient was admitted for drug-related problem (e.g., wrong medication, wrong dose, drug interaction, adversedrug reaction).
  17. www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Universal ICU Decolonization Protocol Overview Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationale Referenc…
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - This individual is able to view and manage all medication or adverse drug events reported in PEERs without
  19. www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
    February 01, 2017 - Measure Descriptions for Daily Early Mobility: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Measure Descriptions for Daily Early Mobility Slide 2: Learning Objectives After this session, you will be able…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
    April 01, 2014 - Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease Q‐METRIC SCD Measure 16, ED Pain Assessment U18HS020516 Page 1 Submitted April 2014 Table 5: Evidence Supporting Emergency Department Pain Assessment for Children with Sickle Cell Disease Type of Evi…

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