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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Voluntary Adverse Event Reporting in Rural Hospitals
Voluntary Adverse Event Reporting in Rural Hospitals … The final list of event categories with definitions resulted from combination of similar
event types … drug reaction Adverse drug
reaction
Any adverse drug reaction, e.g., skin
rash, vomiting, or hypotension … Quarterly number and rate of adverse
event reports: West Virginia Patient
Safety Project – 2005-2007 … Comparison of three methods for estimating rates of
adverse events and rates of preventable adverse
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www.ahrq.gov/nursing-home/resources/vaccine-adverse-event-reporting.html
August 01, 2022 - Vaccine Adverse Event Reporting System Reporting Form
Resource: Vaccine Adverse Event Reporting … Reporting Form
This webpage hosts a writable PDF form that provides instructions for reporting a vaccine adverse … event.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
November 01, 2019 - Events
An antibiotic-related adverse event is any event or situation involving the prescription or administration … event, to reduce the likelihood that another patient will be harmed in the same way. … Identify the antibiotic-associated adverse event.
2. … Identify the negative and positive factors associated with the adverse event. … Adverse Event
Negative Factor
Positive
Factor
Patient Factors
(related to clinical or emotional
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care
Adverse Event-Directed … Key Words: trigger tool, adverse event, patient safety, ambulatory care
2
PURPOSE
The purpose of … event is and why
they think it is an adverse event. … Description of a computerized adverse drug event
monitor using a hospital information system. … Adverse drug event trigger tool: a practical methodology for
measuring medication related harm.
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www.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
August 01, 2022 - Notification of Adverse Event: Video
AHRQ Communication and Optimal Resolution Toolkit
Communication … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event.
-
www.ahrq.gov/topics/adverse-events.html
Topic: Adverse Events
AHRQ offers research, tools and resources for healthcare professionals to reduce … risks related to adverse events. … Adverse Events
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
135
Lessons Learned … from the Evolution of
Mandatory Adverse Event Reporting Systems
Ellen Flink, C. … Introduction
The evolution of an adverse event reporting system is complex, creates many
challenges … The report
also highlighted the importance of creating mandatory adverse event reporting
systems as … The first mandatory
adverse event reporting system, the Hospital Incident Reporting System (HIRS),
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Due to the narrative nature of device adverse event
reports, research using them is limited. … Overall, we found that the number of adverse event reports increased significantly over time. … Vaccine adverse event
text mining system for extracting features from vaccine safety reports.
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www.ahrq.gov/topics/adverse-drug-events-ade.html
Topic: Adverse Drug Events (ADE)
AHRQ offers research and resources for healthcare professionals to … better understand and reduce risks related to adverse drug events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health … The occurrence of a serious
preventable adverse event in health care—e.g., operating on the wrong patient … event, an event whose occurrence is not trivial. … Associated with means that it is reasonable to initially assume that the
adverse event was due to the … (This is in addition to the States that
have longstanding adverse event-reporting requirements.)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - antibiotic-associated adverse event is any event or situation that you would not want to happen again … event. … We use a simple four-step approach with the goal of turning a problem, near-miss, or adverse event into … Identify the antibiotic-associated adverse event. (What happened?)
Step 2. … Identify the antibiotic-associated adverse event. (What happened?)
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - How to use this tool: Use the checklist to ensure that appropriate action is taken following an adverse … event. … CANDOR Event Checklist
Communication and Optimal Resolution Toolkit
CANDOR Process Steps
Event Report … Receipt of Report
How report was received:
■ Hotline: Enter event report via the institution’s event … ■ Report any adverse event to the appropriate professional responsible for patient safety
events.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/identifying-antibiotic-adverse-events-form.docx
November 01, 2019 - Program for Improving Antibiotic Use
Identifying Antibiotic-Associated Adverse … To discuss issues that may result in unnecessary antibiotic administration or antibiotic-associated adverse … Please describe how you think the next patient in your unit or clinical area will be harmed by an event
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - System that
Includes Adverse Event Hospitalizations
Robert R. … The medical care costs for these injury and adverse event hospital discharges were
obtained from the … Results: Over the study
time frame, 153,153 injury and adverse event discharges occurred, with more … , time trends, and costs associated
with injury and adverse event hospitalizations. … Trends in VHA injury and adverse event hospitalizations: by discharge frequency
Table 2.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Medication Anticoagulant event – Intravenous unfractionated
heparin event
20
Module Adverse … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Medication Anticoagulant event – Intravenous unfractionated
heparin event
20
Module Adverse … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
January 01, 2024 - CRP Certification: Promoting Accountability and Learning After Adverse Events
FINAL PROGRESS REPORT … event was handled appropriately using CRP principles. … event was handled appropriately using the key principles of a CRP. … event and dissemination of lessons learned. … with the patient, event analysis and identification of gaps that contributed to
the event, demonstrated
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2023 - Trends in adverse event rates in hospitalized patients, 2010–2019. … Abbreviations: AE, Adverse event; CY, Calendar Year; QSRS, Quality and Safety Review System. … Abbreviations: AE, Adverse event; CY, Calendar Year; QSRS, Quality and Safety Review System.
D. … Abbreviations: AE, Adverse event; CY, Calendar Year; CI, Confidence Interval. … QSRS Adverse Events by Module
Module Adverse Event (AE) Outcome
1.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Medication Anticoagulant event – Intravenous unfractionated
heparin event
20
Module Adverse … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - After
pharmacy staff receives adverse drug event data from RMEES, they further
categorize the event … drug event rate is the total potential adverse drug event
rate of 43.4 per 1,000 patient days, with … adverse drug event rates. … adverse drug event rates varied from 0.00 to 3.15 (median = 0.37). … Scatter plot of RMEES potential adverse drug event rates versus preventable
adverse drug event rates