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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/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/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/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/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/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/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - events
– Prevent adverse events
• Identifying post‐dc “confusion”
and rectify
• Screening system … Drug Events
injury resulting from a medical intervention
related to a drug
Medication
Errors … events)
AMBULATORY
SETTING
ACUTE CARE SUBACUTE CARE AMBULATORY
SETTING
Transitions in Care … drug events, timely follow‐
up, costs
Thank you! … Transitions In Care
Adverse Drug Events�injury resulting from a medical intervention related to a drug
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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/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/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - Nearly half of these adverse events were
categorized as preventable and the most common type of patient … 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than
previously … events. … Understanding adverse events: Human factors. Qual Health Care. 1995;4(2):80-89.
PMC1055294.
33. … Adverse events in hospitals:
a quarter of medicare patients experienced harm in October 2018.
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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/research-method/analysis
January 01, 2025 - Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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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/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/sites/default/files/docs/citation/r21hs018236-ziemer-final-report-2012.pdf
January 01, 2012 - events. … Much of the information needed concerns medication:
actual behavior and adverse drug events from the … Incorrect medication histories contribute to prescribing errors and adverse drug events (ADEs). … events: each patient used all three
information instruments (n= 117; AIM-1);
§ Randomized trial … Adverse drug events in ambulatory
care.[see comment]. New England Journal of Medicine.
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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/medical-condition/prostate-cancer
January 01, 2024 - Patients' perceptions of using technology for self-reporting cancer medication safety events … Patients' perceptions of using technology for self-reporting cancer medication safety events from home … 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/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/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/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