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www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
October 01, 2014 - Importantly, the survey also highlighted that staff were more uncomfortable with filing reports of adverse … team targeted its initiatives to address three specific dimensions of patient safety: reporting of adverse … events, handoffs and communication, and feedback and awareness of adverse events.
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psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy
July 29, 2020 - Polypharmacy among older adults can cause adverse health outcomes as well as adversely impact social … cluster randomized trial explored whether family conferences can promote deprescribing and reduce adverse … Inappropriate hospital admission as a risk factor for the subsequent development of adverse … September 13, 2023
Detecting adverse drug reactions on paediatric wards: intensified … December 2, 2020
Development of a trigger tool to identify adverse drug events in elderly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - definitions of iatrogenic events related to medications.22 A medication
error is defined as any preventable event … drug events, and adverse drug reactions. … Variations in adverse event and error operational
definitions used by acute care hospitals in Iowa ( … Adverse Drug
Prevention Study Group. The costs of adverse drug
events in hospitalized patients. … Adverse drug
events in hospitalized patients.
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digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
January 01, 2023 - the potential to better engage patients and families in their healthcare post-discharge and reduce adverse … better support the patient’s transition from hospital to home to primary care followup, and to reduce adverse … The team will study the app’s effectiveness, noting whether its use decreases falls, adverse medication
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/aspirin-use-prevent-cardiovascular-disease-colorectal-cancer-preventive-medication-2002
January 15, 2002 - participants had definite or suspected vascular disease. 12 , 13
From our search for articles on adverse … Adverse Effects of Aspirin Therapy
Hemorrhagic Stroke
The event rates for hemorrhagic strokes, including … In this analysis, the estimated annual excess risk with aspirin was 0.1 event per 1,000 users. … event, such as a stroke or gastrointestinal bleeding. … Adverse effects of low-dose aspirin in a healthy elderly population.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/multiple-sclerosis_executive.pdf
April 01, 2015 - Event
At Least
1 Serious
Adverse
Event
Treatment
Discontinuation
for Adverse
Event
Comparator … AE = adverse event; IFN = interferon; NR = not reported; SPMS = secondary progressive multiple sclerosis … The included studies used a wide range of reporting
methods and adverse event categories that precluded … Studies reporting reasons for discontinuing medication
DMT
Total
Number
of Studies
Adverse
Event … Multiple sclerosis
patients’ benefit-risk preferences: serious adverse event risks versus
treatment
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/Appendix-E-Evidence-Tables-E1-E4_0.xlsx
May 29, 2025 - Any Adverse Event Intervention B, N of Any Adverse Event (Numerator) Intervention B, N Analyzed for … Any Adverse Event (Denominator) Intervention B, % With Any Adverse Event Intervention A, N of Serious … A, % With Serious Adverse Event Intervention B, N of Serious Adverse Event (Numerator) Intervention … to Adverse Event (Denominator) Intervention A, % With Withdrawals Due to Adverse Event Intervention B … Adverse Event (Denominator) Intervention B, % With Withdrawals Due to Adverse Event Intervention A,
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect
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psnet.ahrq.gov/node/36026/psn-pdf
March 28, 2011 - The investigators
conclude that trained reviewers can assess for the presence and seriousness of adverse
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psnet.ahrq.gov/node/41193/psn-pdf
August 02, 2012 - Medicaid, hospital financial stress, and the incidence of
adverse medical events for children. … Medicaid, hospital financial stress, and the incidence of adverse
medical events for children. … https://psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events- … event. … event.
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psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - Medication, allergy, and adverse drug event
discrepancies in ambulatory care. … Medication, allergy, and adverse drug event discrepancies in
ambulatory care. … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
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psnet.ahrq.gov/node/37181/psn-pdf
October 06, 2011 - Inter-rater reliability of a classification system for hospital
adverse drug event reports. … Inter-rater reliability of a classification system for hospital
adverse drug event reports. … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
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psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Assessing the potential adoption and usefulness of
concurrent, action-oriented, electronic adverse drug … event triggers designed for the outpatient setting. … event triggers designed for the outpatient setting. … Trigger tools have been shown to be an efficient way to screen for adverse events. … This AHRQ-funded
study assessed the usefulness of different adverse drug event triggers in the outpatient
-
psnet.ahrq.gov/node/36895/psn-pdf
March 10, 2011 - A systematic review of the performance characteristics of
clinical event monitor signals used to detect … adverse drug
events in the hospital setting. … A systematic review of the performance characteristics of clinical
event monitor signals used to detect … adverse drug events in the hospital setting. … The authors analyzed the literature and identified laboratory and pharmacy triggers used to detect adverse
-
psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events. … At least one medication error or adverse drug event
occurred in nearly half of the 277 operations observed … drug event; 80% of these errors were deemed
preventable. … There were no
differences in event rates among resident physicians, nurse anesthetists, and staff anesthesiologists … ://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize … interventions designed to prevent recurrence of
adverse events. … Improving safety recommendations before implementation: a
simulation-based event analysis to optimize … interventions designed to prevent recurrence of adverse
events. … https://psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-
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digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - ADE Incident Identification Form
Description
This form identifies an adverse … drug event using data reported by a clinician. … Chart Review Form
Description
This is a chart review form for an adverse … drug event (ADE) study. … drug event study.
-
psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
This national action … aims to align the efforts of multiple federal programs committed to reducing patient
harms related to adverse … common
usage and their very high potential to cause clinically significant, preventable, and measurable adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical
care. … commentary discusses the role of the Scottish Audit of Surgical Mortality (SASM) on trends in adverse … Findings include a decrease over time in the percentage
of deaths for which adverse events in management … conclude that voluntary mortality audits may lead to important changes in practice and focusing on
adverse
-
psnet.ahrq.gov/node/45468/psn-pdf
October 11, 2017 - Identification and characterization of adverse drug events
in primary care. … Identification and Characterization of Adverse Drug Events in
Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
Adverse … drug event during a change in medications. … Less than 10% of patients
experienced an adverse drug event, which the authors conclude represents an