-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - About 40 percent of the overall reduction is from adverse
drug events, about 28 percent from pressure … Drug Events
Catheter-Associated Urinary Tract
Infections
Central Line-Associated Bloodstream
Infections … drug events (ADEs),
although declines in other HACs also contributed significantly to deaths averted … Drug Events Catheter-Associated Urinary Tract Infections
Central Line-Associated Bloodstream Infections … Drug
Events
1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500
Catheter-
Associated
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Relationship between medication errors and adverse
drug events. … Reducing
adverse drug events. Boston: Institute for Healthcare
Improvement; 1998.
20. … drug events, and adverse drug reactions. … Systems
analysis of adverse drug events. JAMA 1995 Jul
5;274(1):35–43.
40. Leape LL. … Adverse drug
events in hospitalized patients.
-
www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - drug events. … drug events (ADEs). … drug events. … Monitoring/Preventing Potential Adverse Drug Events
• Annual serum creatinine monitoring for ACE inhibitor … Drug Events
*
*
*
* Indicates P < .05
Discussion
We were able to successfully achieve the three
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - However, resulting
publications pertained to the steps involved in adverse drug event (ADE) monitoring … drug events. … drug events. … drug events
(ADEs). … drug
events.
-
www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - Measured HACs c
Projected Cost Savings in 2013 d
Projected Reductions in Deaths in 2013 e
Adverse … Drug Events
1,621,000
1,320,000
301,000
19%
$1,505,000,000
6,020
Catheter- Associated … Goal for HAC Reduction b
PfP HAC Reduction Goal c
Estimated PfP Additional Cost* per HAC
Adverse … Drug Events
1,900,000
50%
50%
25%
475,000
$5,000
Catheter-Associated Urinary Tract … Drug Events
.020
$2,375,000,000
9,500
Catheter-Associated Urinary Tract Infections
.023
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - Errors in medication ordering are the most common cause of
preventable adverse drug events in hospitalized … patients.1, 7 In one adult study,
half of all preventable adverse drug events occurred at the physician … Incidence of
adverse drug events and potential adverse drug events.
Implications for prevention. … Medication
errors and adverse drug events in pediatric inpatients. … A
computer alert system to prevent injury from adverse
drug events: development and evaluation in a
-
www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
January 01, 2024 - drug events; medical liability; risk management; quality of care; patient safety
Purpose
The overall … drug events, and medical liability during hospital-to-
community transitions within a complex healthcare … Research indicates that rates of adverse drug events
(ADEs) in ambulatory care may be up to four times … drug events (ADRs) and 2) evaluate the medical liability risk associated with the ADRs when
applied … Adverse drug events in ambulatory care.
New England Journal of Medicine, 348, 1556–1564.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - For
example, measured adverse drug events continued to drop from 2014 to 2017, while measured
pressure … Preliminary
2017
2019 Goal
(20%
Reduction
of each
HAC)
Adverse Drug
Events
33.7 30.0 27.1 … Measures used to estimate the national HAC rate
HAC Type Source Measure
Adverse Drug
Event
MPSMS … Preliminary
2017
Percent
Change in
HACs, 2014 vs
Preliminary
201714
Adverse Drug Events 1,001,000 … Drug Event
MPSMS ADE Associated
With Digoxin
6,204 0.21 795 0.03 169 0.01 2,671 0.09
MPSMS ADE
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
December 01, 2004 - These points are illustrated by a
Advances in Patient Safety: Vol. 2
58
recent study of adverse … drug events among elderly patients in an ambulatory
setting. … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug events in high risk older outpatients.
[See Comment.]
-
www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - Risk factors for adverse drug events among nursing home residents. … Incidence and preventability of adverse drug events in nursing homes. … Epidemiology of adverse drug events in the nursing home setting. … Relationship between medication errors and adverse drug events. … Systems analysis of adverse drug events.
-
www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Towards internet-
age pharmacovigilance: extracting adverse drug reactions from user posts to health-
-
www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
January 01, 2024 - On the other hand, an ADE may have resulted from an ME or
from adverse drug reactions not associated … drug events (ADEs) was as follows:
no potential for ADE (5%), potential for significant ADE (68%), … Incidence and preventability of adverse drug
events among older persons in the ambulatory setting. … Impact of basic computerized prescribing on
outpatient medication errors and adverse drug events. … Adverse drug events in ambulatory care.
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - At the LDS Hospital in Salt Lake City, Utah, a quality improvement program decreased adverse drug reactions … Overuse of antibiotics imposes unnecessary health care costs, places patients at risk for adverse drug … In fact, the authors of the study estimated that preventable adverse drug events would cost an additional … drug events would be $2 billion annually. … drug reactions (ADRs), and led to similar or better outcomes than the more expensive alternatives (
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - The exclusion criteria for Medication or Other Substance reports are:
■ Adverse drug reaction with … ); radiopharmaceuticals; drug-drug, drug-food, or adverse
drug reaction as a result of a prescription … ); radiopharmaceuticals; drug-drug, drug-food, or adverse
drug reaction as a result of a prescription … ); radiopharmaceuticals; drug-drug, drug-food, or adverse
drug reaction as a result of a prescription … ); radiopharmaceuticals; drug-drug, drug-food, or adverse
drug reaction as a result of a prescription
-
www.ahrq.gov/patient-safety/reports/liability/index.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
In October 2009, AHRQ launched … Bolkan
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
June 01, 2018 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
-
www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - drug events. … drug
events
Medical records (as documented
by providers)
Patient reporting of adverse drug
events … drug events. … Care transitions pose high risk for adverse drug
events. … Risk factors for hospital
admissions associated with adverse drug events.
-
www.ahrq.gov/data/resources/index.html?page=0
Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
-
www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - Medication errors, including preventable adverse drug events, are especially common in the
inpatient … In contrast to nonpreventable
adverse drug reactions (due to the inherent properties of the agent … A computer alert system to
prevent injury from adverse drug events: development and evaluation in a … Drug Events
Data Sources & Measures. … Although most of the adverse drug events that occur during the
study period will be linked to a specific
-
www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
January 01, 2024 - The group also collected data
on adverse drug event rates and patient, staff, and physician satisfaction … The number of adverse
drug events decreased after the intervention. … Use Adverse Drug Event (ADE) trigger analysis research and the Hepler/Strand
Pharmaceutical Care Model … Prevalence: The prevalence of adverse drug events was 0.004% in FY06. … Prevalence: The prevalence of adverse drug events was 0.004% in FY06.