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9441. Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
      October 01, 2024 - drug events among elderly patients exposed to polypharmacy, one study team estimated the costs (and … drug events.18 An informant also cited decreased malpractice costs as a financial benefit that can … In a study of preventable adverse drug events, researchers estimated the national costs of treating … drug events and the costs associated with acquiring, implementing, and operating the CDS intervention … The national cost of adverse drug events resulting from inappropriate medication-related alert overrides

9442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

9443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836879/psn-pdf
      April 27, 2022 - Is an adverse drug reaction a safety issue that could have been prevented or not?

9444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33864/psn-pdf
      January 01, 2019 - In 2007, the Institute of Medicine estimated that 1.5 million preventable adverse drug events occur

9445. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
      January 01, 2008 - Title Page Grant Final Report Grant ID: 1UC1HS015270 Improving Health Care Quality via Information Technology Inclusive Dates: 10/01/04 - 09/30/08 Principal Investigator: Avis Hayden, Ph.D. Team Members: Jean Bacon, Ph.D. Performing Organization: Southwestern Vermont …

9446. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
      January 01, 2024 - Cedar Rapids has a high proportion of elderly patients who are at particularly high risk for adverse … drug events (ADEs). … Adverse drug events (ADEs) were evaluated in both hospitals, and it was found that approximately 25% … • Decrease adverse drug events (ADEs) in the elderly by establishing consistent medication reconciliation

9447. Standardized Library of Asthma Outcome Measures (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-asthma.pdf
      April 01, 2019 - Standardized Library of Asthma Outcome Measures Research White Paper Standardized Library of Asthma Outcome Measures Research White Paper Standardized Library of Asthma Outcome Measures Prepared for: Agency for Healthcare Research and Quality Center for Outcomes and Ev…

9448. Biomarkers for Assessing and Managing Iron Deficiency Anemia in Late-Stage Chronic Kidney Disease: Future Research Needs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-kidney-disease-anemia_research.pdf
      January 01, 2013 - Biomarkers for Assessing and Managing Iron Deficiency Anemia in Late-Stage Chronic Kidney Disease: Future Research Needs Future Research Needs Paper Number 33 Biomarkers for Assessing and Managing Iron Deficiency Anemia in Late-Stage Chronic Kidney Disease: Future Research Needs Future Research Needs Paper Numb…

9449. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - Improving Patient Safety with the Military Electronic Health Record 23 Improving Patient Safety with the Military Electronic Health Record Marie-Jocelyne Charles, Bart J. Harmon, Pamela S. Jordan Abstract The United States Department of Defense (DoD) has transformed health care delivery in its use of infor…

9450. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - Misconnection Leading to Arterial Thrombosis Citation Text: Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bib…

9451. Disposition of Comments: CER 224, Treatment of Depression in Children and Adolescents: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-224-depression-children-comments.pdf
      April 10, 2020 - Disposition of Comments: CER 224, Treatment of Depression in Children and Adolescents: A Systematic Review Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Treatment of Depression in Children and Adolescents: A Systematic Review Draft review available for publ…

9452. High-Priority Evidence Gaps For Clinical Preventive Services: 7th Annual Report to Congress (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annual-report-to-congress-2017%20(2).pdf
      January 01, 2017 - High-Priority Evidence Gaps For Clinical Preventive Services: 7th Annual Report to Congress SEVENTH ANNUAL REPORT TO CONGRESS SUBMITTED BY: Dr. David C. Grossman, Chair Dr. Susan J. Curry, Vice Chair Dr. Douglas K. Owens, Vice Chair ON BEHALF OF THE U.S. PREVENTIVE SERVICES TASK FORCE High-Priority Evidence Gap…

9453. Resources by National Action Plan Foundational Area | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/foundational-area.html
      March 01, 2025 - Resources by National Action Plan Foundational Area Contents Culture, Leadership, and Governance Patient and Family Engagement Workforce Safety Learning Systems Culture, Leadership, and Governance AHRQ Patient Safety Net (PSNet) Primer: Safety Culture This resource provides an overview of patient safety culture…

9454. Liver-Cancer-Therapy Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/liver-cancer-therapy_research-protocol.pdf
      November 28, 2012 - Evidence-based Practice Center Systematic Review Protocol Project Title: Local Therapies for Unresectable Primary Hepatocellular Carcinoma: Comparative Effectiveness Review Amendment Date: September 27, 2012 Amendment Date: November 30,2012 (Amendments Details–see Section VII) I. Background and Object…

9455. The Effect of Health Information Technology on Healthcare Provider Communication - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
      January 01, 2019 - medication errors and adverse … drug events: A systematic review.

9456. Enabling E-Prescribing and Enhanced Management of Controlled Medications - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
      January 01, 2012 - EHR data on EPCSs will be available, models for assessing the impact on quality of care, including adverse … drug events and pick up compliance at the dispensing site should be more fully explored. … American Journal of Health System Pharmacy 2009 66(14):1311- 1316. 19 and the effect on rated of adverse … drug events (ADE), and 3) evaluate the effect of introducing EPCS on the diversion of controlled substances

9457. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/recombinant-factor-viia_disposition-comments.pdf
      June 01, 2010 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: June 1, 2010 Comparative Effectiveness Research Review Disposition of Comments Report Research Review Title: Comparative Effectiveness of In-Hospital Use of Recombinant Factor VIIa…

9458. Ch 6-User-Guide-To-Ocer 130129 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ch_6-user-guide-to-ocer_130129.pdf
      October 30, 2012 - 71 Abstract This chapter provides an overview of considerations for the development of outcome measures for observational comparative effectiveness research (CER) studies, describes implications of the proposed outcomes for study design, and enumerates issues of bias that may arise in incorporating the ascertainme…

9459. Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
      July 23, 2008 - Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Improving Clinical Communication and Patient Safety: Clinician-Recommended Solutions Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Denise Angst, PhD, RN; Susan C. Echiverri, MD; Daniel Johnson, MD; David F. Soglin, MD; Gop…

9460. Obesity (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - Obesity AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 10: Obesity Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. HHSA290…