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www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
January 01, 2024 - Final Progress Report: Off-Label Prescribing: Comparative Evidence, Regulation, and Utilization
PI Name: Aaron S. Kesselheim, M.D., J.D., M.P.H.
Application ID: 5K08HS018465-05
Proposal Title: Off-label prescribing: Comparative evidence, regulation, and utilization
Title: Off-label prescribing: Comparative evidence…
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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, adverse … drug reaction).
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …
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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 adverse … drug 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 adverse … drug events (ADEs) ( Ammenwerth, et al., 2008 ). … The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
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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-Conlon_50.pdf
May 06, 2008 - This individual is able to view and manage all
medication or adverse drug events reported in PEERs without
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www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - Patient Safety Awareness Week 2020
Patient Safety Awareness Week is an annual health observance sponsored by the Institute for Healthcare Improvement (IHI). As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety among health professionals, patients, and fami…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Changing the System To Improve Patient Safety
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Changing the System To Improve Patient Safety
SAY:
Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.”
Sl…
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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-Emanuel-Berwick_110.pdf
July 02, 2008 - Systems
analysis of adverse drug events. JAMA 1995; 274:
35-43.
15.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Slides
Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
Sep…
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www.ahrq.gov/patient-safety/news-events/psaw-2019/index.html
July 01, 2022 - Patient Safety Awareness Week 2019
Patient Safety Awareness Week is an annual health observance sponsored by the Institute for Healthcare Improvement (IHI). As the Nation's patient safety agency, AHRQ supports this event to increase awareness about patient safety among health professionals, patients, and famili…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Magnesium Sulfate
Safe Medication Administration—Magnesium Sulfate
Purpose of the tool: This tool describes the key perinatal safety elements with examples for…
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www.ahrq.gov/news/newsletters/e-newsletter/927.html
August 01, 2024 - safety refers to the practices and measures implemented to minimize the risk of medication errors and adverse … drug events in various settings across the healthcare continuum.
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www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - Create processes for patient/family medication monitoring and communication with clinic to prevent
adverse … drug events. … Adverse drug event: An injury resulting from medication use. … drug events similar to that of
hospitalized children.2 An editorial about this study called for improved … Direct observation approach for detecting
medication errors and adverse drug events in a pediatric intensive
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www.ahrq.gov/nhguide/about/index.html
November 01, 2024 - About the Nursing Home Antimicrobial Stewardship Guide
What Is the Nursing Home Antimicrobial Stewardship Guide? The Nursing Home Antimicrobial Stewardship Guide (the Guide) provides toolkits to help nursing homes optimize their use of antibiotics. This page provides information about antimicrobial stewardshi…
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www.ahrq.gov/action-alliance/resources/type-harm.html
April 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety AHRQ Diagnostic Steward…
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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-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - Adverse Drug Events (ADEs), which can
result from a medication error, occur at a rate of 2.4% to 4.6%
-
www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
January 01, 2024 - research program, the evidence
demonstrating the positive impact of CPOE systems on medication errors and adverse … drug
events (ADEs) was largely limited to inpatient academic medical centers that had developed
their … entry (CPOE) has been shown to improve patient safety
by reducing medication errors and subsequent adverse … drug events (ADEs).
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship
Slide Presentation
Slide 1
Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship
CAPT Arjun Srinivasan, MD
Associate Director for Healthcare
Associated Infection Prevention Programs
Division of Healthcare Quality …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
ABCS
Aspirin Treatment for Secondary and
Primary Prevention ASCVD
Jennifer Bannon RN BSN MSHI
Table of Contents
Objectives
Cardiovascular Disease
Cardiovascular Disease (2)
ABCS-Aspirin when appropriate
Anatomy of a Performance Measure
Measure Exce…