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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - Incidence of adverse events and negligence in hospitalized
patients: results from the Harvard Medical … Adverse Drug Events Prevention Study Group. … The costs of adverse
drug events in hospitalized patients. JAMA 1997;227: 307-11.
4. … Incidence of adverse drug events and potential adverse drug events.
JAMA 1995;274:29-34.
6. … Systems analysis of adverse drug events.
JAMA 1995;274:35-43.
8.
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digital.ahrq.gov/location/usa-nc-durham
January 01, 2023 - 290-07-10066-5
Principal Investigator(s)
Lobach, David
Automated Adverse … surveillance system for detecting, reporting, and intervening as well as measuring the incidence and nature of adverse … drug events suffered by patients.
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digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems
January 01, 2023 - opportunities for errors to be intercepted during the clinical workflow and reducing the likelihood of adverse … drug events. … Theme
Human Factors
Medication Errors
Medication Safety
Medication errors cause adverse … drug events in nearly 5 percent of the inpatient population. … Although no adverse drug events were reported within the study period, 22 percent of the ordering errors
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017820-singh-final-report-2013.pdf
January 01, 2013 - events in
hospitalized patients. … Classen DC, Pestotnik SL, Evans RS, Burke JP:
Computerized surveillance of adverse drug events in
hospital … drug events in outpatients. … drug events. … events associated with outpatient surgery.
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digital.ahrq.gov/principal-investigator/gong-yang
January 01, 2024 - The acceptance and use of digital technologies for self-reporting medication safety events … The acceptance and use of digital technologies for self-reporting medication safety events after care … During Transitions of Care
Patient Engagement in Reporting Medication Events … affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse … medication-related events to their care team.
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digital.ahrq.gov/principal-investigator/jiang-yun
January 01, 2024 - The acceptance and use of digital technologies for self-reporting medication safety events … The acceptance and use of digital technologies for self-reporting medication safety events after care … During Transitions of Care
Patient Engagement in Reporting Medication Events … affecting cancer patients’ use of an electronic patient safety event reporting system to communicate adverse … medication-related events to their care team.
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication/annual-summary/2010
January 01, 2010 - To analyze patient safety, the team is exploring characteristics of adverse events: triggers, frequencies … patient-centered outcomes compared to ATSM alone. ( Upcoming )
Quantify and characterize patient safety events … ATSM participants. ( Upcoming )
Measure differences in the frequency and nature of patient safety events … The team also plans to perform real-time assessments of potential and actual adverse events identified
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
January 01, 2010 - These cross-disciplinary cores currently support projects on soliciting information from patients on adverse … medication events, using clinical decision support (CDS), evaluating new processes for medication reconciliation … telephony to ask outpatients identified from electronic health record (EHR) data if they are experiencing adverse … The team reviewed a large dataset of adverse drug events involving multiple drugs in community hospitals … to build on previous research and develop recommendations to prevent adverse drug events.
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digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
January 01, 2023 - Discuss the factors associated with the use of a clinical decision support tool to reduce risk of adverse … events due to complex medication regimes in a home health setting.
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - Hospital
Inpatient
Population
Rural Populations
Health Care Theme
Adverse … Events
Medication Errors
Medication Management
Patient Safety
This project implemented … There was a 56 percent reduction in the number of reported unexpected adverse drug reactions and a 10
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digital.ahrq.gov/technology/administrative-system
January 01, 2023 - Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse … drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate … Description
Implemented and evaluated a voluntary system for reporting medical errors and adverse … drug events in eight small rural hospitals; identified barriers to technology, described the epidemiology
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - A Three-pronged Approach to Monitoring the Effect of an EMR Implementation on Medication-related Events … A three-pronged approach to monitoring the effect
of an EMR implementation on medication-related
events … dosage forms (e.g., liquids, chewable
tablets, etc)
• Pediatric patients are more susceptible to
adverse … outcomes when errors occur1
1: Fortescue et al. (2003)
6
3-pronged approach to measuring events … Medication administration observational study
• Shadow ICU nurses in the field to measure
events
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/publication
January 01, 2023 - www.wbur.org/2011/02/08/readmissions
Project Name
Virtual Patient Advocate to Reduce Ambulatory Adverse … Drug Events
Technology
Electronic Health Record/Electronic Medical Record
Population
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
January 01, 2008 - Knowledge Creation
Summary: The purpose of this completed project was to reduce medical errors and adverse … events at the Southwestern Vermont Medical Center (SVMC) through several information technology (IT) … and for 5 months after full implementation, the head of Pharmacy examined all the medication-related events … for at least some staff, are correlated with an improved openness to the reporting and analysis of adverse … events.
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digital.ahrq.gov/location/usa-mt-townsend
January 01, 2023 - Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse … drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate
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digital.ahrq.gov/principal-investigator/smith-kipman
January 01, 2023 - Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse … drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate
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digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit
January 01, 2023 - Iowa Redesign of Care Delivery with EHR Functions
Improving self-reporting of adverse … drug events in a West Virginia hospital. … Improving self-reporting of adverse drug events in a West Virginia hospital.
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digital.ahrq.gov/organization/broadwater-health-center-inc
January 01, 2023 - Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse … drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - Key Words: clinical decision support, adverse events, medication errors, patient safety, pharmacovigilance … Medication Errors and Adverse Drug Events
Medical errors and problems in patient safety are as common … Gandhi, T.K., et al., Adverse drug events in ambulatory care. … Forster, A.J., et al., Adverse drug events occurring following hospital discharge. … Bates, D.W., et al., Incidence of adverse drug events and potential adverse drug events.
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digital.ahrq.gov/organization/st-josephs-community-hospital
January 01, 2023 - system community-wide; identified the prevalence of medication errors, near misses, and preventable adverse … drug events; assessed costs and customer satisfaction both before and after implementation.