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  1. 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
  2. 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 adverseevent.
  3. 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
  4. 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.
  5. 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.
  6. 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
  7. 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),
  8. 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.
  9. 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.
  10. 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.)
  11. 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.
  12. 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 adverseevent. … 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.
  13. 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
  14. 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.
  15. 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.
  16. 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.
  17. 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
  18. 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.
  19. 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.
  20. 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

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