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2921. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet
      psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program
      July 12, 2010 - About The Topic Health Care Executives and Administrators General Pediatrics Side Effects/Adverse … Drug Reactions Medication Errors/Preventable Adverse Drug Events Opiates/Narcotics View

2922. S108 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s108.pdf
      October 01, 2007 - drug reaction or other medical injury. … The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA. 1997;277:307–311. 21. … Adverse drug events in hospitalized patients. … Using a hospital information system to assess the effects of adverse drug events.

2923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49483/psn-pdf
      June 01, 2005 - Preventable adverse drug events are a common type of error seen in the ICU setting.(3-6) One recent … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

2924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47234/psn-pdf
      October 17, 2018 - Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System … -2006 This retrospective study reviewed serious and fatal adverse drug events (ADEs) reported to the … -2006 https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/ … /issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005

2925. Attending physician work hours: ethical considerations and the last doctor standing. | PSNet
      psnet.ahrq.gov/issue/attending-physician-work-hours-ethical-considerations-and-last-doctor-standing
      November 21, 2021 - November 16, 2022 Risk factors for hospital admissions associated with adverse drug events … September 24, 2014 The Research on Adverse Drug Events and Reports (RADAR) project.

2926. Saying goodbye. | PSNet
      psnet.ahrq.gov/issue/saying-goodbye
      September 11, 2019 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … drug events recognition and prevention in older inpatients - a multicenter interrupted time series study … January 23, 2019 The Research on Adverse Drug Events and Reports (RADAR) project.

2927. Full work analysis of resident work hours. | PSNet
      psnet.ahrq.gov/issue/full-work-analysis-resident-work-hours
      June 06, 2018 - March 13, 2013 The incidence of adverse drug events in two large academic long-term care … February 26, 2009 Adverse drug events in pediatric outpatients.

2928. Patient Safety Organizations: Hospital Participation, Value, and Challenges. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
      February 11, 2015 - Book/Report Patient Safety Organizations: Hospital Participation, Value, and Challenges. Citation Text: Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…

2929. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
      psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
      March 25, 2020 - The Commentary By Christian Bohringer MD This incident describes a common type of adverse drug … event that occurs because drugs are either available in ampules with different concentrations or they … This practice decreases the chance of an adverse drug event from different concentrations of the same … Similar adverse drug events related to different drug concentrations in same-size ampules also happen

2930. A comparison of hospital adverse events identified by three widely used detection methods. | PSNet
      psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
      January 04, 2012 - Executives and Administrators Safety Scientists Policy Makers Medication Errors/Preventable Adverse … Drug Events View More

2931. Creating Age-Friendly Health Systems: Implementing Decision Support in the ED to Improve Geriatric Prescribing Practices | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/creating-age-friendly-health-systems-implementing-decision
      January 01, 2019 - particularly those prescribed new medications upon discharge from an ED visit, are at an increased risk of adverse … drug events (ADEs).

2932. Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/thromboembolism-update-executive-170622.pdf
      June 01, 2017 - Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update Comparative Effectiveness Review Number 191 Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update Executive Summary Introduction Major orthopedic surgery carries a high risk for venous …

2933. Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/thromboembolism-update-executive-170622.pdf
      June 01, 2017 - Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update Comparative Effectiveness Review Number 191 Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update Executive Summary Introduction Major orthopedic surgery carries a high risk for venous …

2934. Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. | PSNet
      psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
      March 10, 2021 - computerized provider order entry (CPOE) identified significant decreases in medication errors   and adverse … drug events in inpatient settings but the authors note considerable variation in the magnitude of risk … Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse … drug events associated with transitions of care.

2935. The emergency department trigger tool: a novel approach to screening for quality and safety events. | PSNet
      psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events
      August 24, 2022 - and Safety Professionals Emergency Medicine Emergency Nursing Medication Errors/Preventable Adverse … Drug Events View More

2936. Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
      October 13, 2021 - Review Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. Citation Text: Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic …

2937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49617/psn-pdf
      January 01, 2011 - Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

2938. Annotated Bibliography (pdf file)
      digital.ahrq.gov/sites/default/files/docs/Annotated%20Bibliography_Final.pdf
      June 27, 2008 - A Computer Alert System to Prevent Injury From Adverse Drug Events. JAMA. 1998;280:1317- 1320. … Adverse Drug Events Occurring Following Hospital Discharge. J Gen Int Med.

2939. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      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.

2940. Focus on Computerized Provider Order Entry. | PSNet
      psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
      March 11, 2020 - March 11, 2020 Root causes of adverse drug events in hospitals and artificial intelligence … February 15, 2023 Electronic health record-based prediction models for in-hospital adverse … drug event diagnosis or prognosis: a systematic review.