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www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Normalized to 32,750,000 Discharges— Based on 2010 Baseline)
2012 PFP Measured HACs per 1,000 Discharges
Adverse … Drug Event (ADE)
MPSMS
ADE Associated With Digoxin
9,400
0.29
11,000
0.32
MPSMS
ADE
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www.qualitymeasures.ahrq.gov/research/findings/making-healthcare-safer/index.html
July 01, 2023 - Harms such as adverse drug events, healthcare-associated infections, falls, and obstetric adverse events
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Drug Events During Transfer of Care from Hospital to Home
Cynthia F. … drug events (ADEs) are multifactorial and are attributed to both human and system errors. … Adverse drug reactions in older people. Rev Clin Gerontol 2010; 20(3):246-59.
18. … Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … National burden of preventable adverse drug events associated with inpatient injectable medications:
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/875.html
August 01, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis .
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www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - structured protocol and software tool, to determine whether any of 21 types of adverse events—such as adverse … drug events, falls, and pressure ulcers—occurred. … effects on estimates of the deaths averted and cost savings come from declines in pressure ulcers and adverse … drug events. … drug events (ADEs) with an excess mortality of 20 deaths per 1,000 and excess costs of $5,000/case.
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/index.html?page=2
April 05, 2022 - Change, Environmental Justice and AHRQ
October 5, 2021
Drug Label Changes Could Reduce Adverse … Drug Reactions Among Older Adults
September 29, 2021
AHRQ Views Blog Post: AHRQ Initiatives
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
January 01, 2010 - measures the average severity of each delivery with an adverse event (Mann, et al., 2006)
Reduced rate of adverse … drug events
Improved medication reconciliation at patient admission (Haig, et al., 2006)
TEAMSTEPPS
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www.qualitymeasures.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Hospital-Acquired Condition Rate
Partnership for Patients Hospital-Acquired Conditions
Source
Measure
Adverse … Drug Event (ADE)
MPSMS
ADE Associated With Digoxin
MPSMS
ADE Associated With Hypoglycemic Agents
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www.qualitymeasures.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - drug events.6 Drugs that have a
narrow therapeutic window and require long-term management with frequent … drug events at rates disproportionate to its use,6
routinely identifying discordance and developing … drug events (particularly
among the elderly),6 there is a need for providers to communicate with patients … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug
events in ambulatory care. NEJM 2003 348(16):1556–
64.
19.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
May 10, 2018 - Articulate Word Output
Primary Prevention of Cardiovascular Disease (CVD) Events with
Statins
1 Primary Prevention of Cardiovascular Disease (CVD) Events with Statins
2 Welcome by Michael Pignone, MD, MPH
Hi, my name is Dr. Michael Pignone. I’m a General Internist and faculty member at The
Univer…
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34.
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those
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www.qualitymeasures.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Patient Safety and Team Communication Through Daily Huddles
AHRQ PSNet Primer: Medication Errors and Adverse … Drug Events
AHRQ PSNet Primer: Medication Reconciliation
AHRQ PSNet Perspective: Patient Safety
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Developing an Antibiotic Stewardship Program
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Developing an Antibiotic Stewardship Program
Long-Term Care
SAY:
Hello and welcome to the presentation, “Developing an Antibiotic Stewardship Prog…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - Antibiotic Stewardship Program (ASP) Development
Developing an Antibiotic
Stewardship Program
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Developing a Program
1
Objectives
Name the goals of antibiotic stewardship and why it is important in long-term care (LT…
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www.qualitymeasures.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Team Training
Falls
Pressure Ulcers
Diagnostic Safety
Blood Clot Prevention and Treatment
Adverse … Drug Events
AHRQ Quality Indicators (QIs)
Page last reviewed February
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/acknowledgements.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
Advances in Patient Safety
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events .
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www.qualitymeasures.ahrq.gov/research/findings/factsheets/primary/pbrn/index.html
October 01, 2018 - pandemic influenza event. 4
Field testing of a new ambulatory care electronic Medication Errors and Adverse … Drug Events Reporting System (MEADERS). 5
For More Information
For more information on AHRQ's Primary … Field test results of a new ambulatory care Medication Errors and Adverse Drug Events Reporting System