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Showing results for "adverse drug events".
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  1. Over-the-Counter Oversight | PSNet

    psnet.ahrq.gov/web-mm/over-counter-oversight
    March 21, 2009 - complications, patients undergoing surgery represent a population that may be particularly vulnerable to adverse … drug events from medication errors.

  2. Improving the Value of Patient Safety Reporting Systems (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
    June 12, 2008 - Improving the Value of Patient Safety Reporting Systems Improving the Value of Patient Safety Reporting Systems Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD; Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS; Lisa H. Lubomski, PhD; Albert W. Wu, M…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867427/psn-pdf
    December 18, 2024 - The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls Falls are not a new issue, especially among older adults. The Centers for D…

  4. PEPTIC ULCER #11 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1512.pdf
    December 01, 2015 - PEPTIC ULCER #11 AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 11: Peptic Ulcer Disease and Dyspepsia Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 …

  5. Hypertension-Pulmonary-Arterial Research-Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypertension-pulmonary-arterial_research-protocol.pdf
    January 30, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: January 30, 2013 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Pulmonary Arterial Hypertension: Screening, Management, and Treatment Amendment Date(s): January 28, 2013 (Amendment Details – see Section VII) I. Back…

  6. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
    January 01, 2025 - Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995; 274: 35-43. 10.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49757/psn-pdf
    April 01, 2016 - Situational Awareness and Patient Safety April 1, 2016 Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety The Case A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…

  8. PULMONARY with "Discussions" in Exec Summary (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/13_pulmonary_potential_high_impact_june_2012.pdf
    January 01, 2012 - PULMONARY with "Discussions" in Exec Summary AHRQ Healthcare Horizon Scanning System – Potential High Impact Interventions Report Priority Area 13: Pulmonary Disease, Including Asthma Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gai…

  9. Progestogens-Preterm-Birth Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/progestogens-preterm-birth_executive.pdf
    September 01, 2012 - 1 Comparative Effectiveness Review Number 74 Progestogens for Prevention of Preterm Birth Executive Summary Introduction Burden of Preterm Birth Birth before completion of 37 weeks of pregnancy is considered preterm. These early births are associated with more than 85 percent of all perinatal morbidity an…

  10. 009-Antibiotic-Stewardship-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Antibiotic Stewardship and MRSA Reduction ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Antibiotic Stewardship and MRSA Reduction SAY: Welcome to this presentation on antibiotic stewardship as part of an overall approach to preventing MRSA in ICU and non-IC…

  11. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hepatitis-c-treatment-adherence_research-protocol.pdf
    September 13, 2011 - Evidence-based Practice Center Systematic Review Protocol Page 1 of 25 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Hepatitis C Treatment Adherence Interventions I. Background and Objectives for the Systematic Review Hepatitis C virus (HCV) infe…

  12. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
    December 01, 2017 - In 2008, we looked at data on outpatient visits to emergency departments for adverse drug events related … presented to an emergency room, and the attending clinician who saw them in the ER thought that they had an adverse … drug event attributed to antibiotics. … percentage of those were unnecessary, there's opportunities to prevent emergency department visits for adverse … drug events because many of these patients were probably getting antibiotics that they maybe didn't

  13. Departure From Central Line Ritual | PSNet

    psnet.ahrq.gov/web-mm/departure-central-line-ritual
    October 13, 2018 - Departure From Central Line Ritual Citation Text: Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndN…

  14. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - infusions further increase the likelihood of an IV medication error taking place and a subsequent adverse … drug event – The Institute for Safe Medication Practices (ISMP) reports that that 56% of medication … Analysis of risk factors for adverse drug events in critically ill patients.

  15. Final Progress Report: Diagnostic Error in Dystonia (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia 5R01HS018413-02 REVISED Tanner CM I FINAL PROGRESS REPORT Project Title: Principal Investigator: Team Members: Project Dates: Federal Project Officer: Acknowledgment of Agency Support and Grant Number: DIAGNOSTIC ERROR IN DYSTONIA Tanner, Caroline M., MD, …

  16. Data Reveal Uneven Impact of COVID-19 on Urban, Rural Hospitals | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/913.html
    May 01, 2024 - Application of trigger tools for detecting adverse drug events in older people: a systematic review and

  17. Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
    March 12, 2008 - time the medication was reviewed by pharmacy; whether there was a medication error or subsequent adverse … drug reaction (ADR); indication for medication administered; and whether the nurse scanned the medication

  18. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet

    psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - systematic review of the performance characteristics of clinical event monitor signals used to detect adverse … drug events in the hospital setting.

  19. Archived: Evidence Summary: Breast Cancer: Medications for Risk Reduction | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary27/breast-cancer-medications-for-risk-reduction-2013
    April 15, 2013 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary Breast Cancer: Medications for Risk Reduction April 15, 2013 Recommendations made by the USPSTF are independent of the U.S. government. They sho…

  20. In Conversation with…Gerald B. Hickson, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - In Conversation with…Gerald B. Hickson, MD December 1, 2009  Also Read an Essay Citation Text: In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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