-
digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - Figure 4.1 Timeline of events that led to the heparin overdose in the ED
more specific questions to … Figure 4.1 presents a timeline of events that led up to the adverse event
that resulted from the error … The timeline makes it possible to construct the chain of events that led to the adverse event. … A structured method used to analyze serious adverse events. … events).
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
June 16, 2021 - • Impact on
adverse drug
events
• Medical record
reviews
You will need to have
longitudinal data … drug
events under certain
circumstances (e.g.,
when discontinuing a
drug). … The teams must
come together
to decide what
constitutes
an adverse
drug event
and how it will … Adverse drug
events are
relatively rare
and it takes
many medical
record reviews
to be confident … of these events.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eslami-s-et-al-2007
January 01, 2007 - The effect was not significant on the number of adverse drug events.
-
digital.ahrq.gov/ahrq-funded-projects/visualdecisionlinc-real-time-decision-support-behavioral-health/annual-summary/2011
January 01, 2011 - potential to reduce the time to remission, as well as reduce the likelihood of medication errors and the adverse … events caused by medication switching.
-
digital.ahrq.gov/sites/default/files/docs/nlp-slides-041112.pdf
April 11, 2012 - MediClass: A system for detecting and classifying
encounter-based clinical events in any electronic … Exclusion if adverse
reaction to b-agonists. … Clinical Events Dataset File
(portion)
Clinical Events Dataset File
(cont.) … The Clinical Events Necessary
to Identify “Persistent Asthma”
Meets any of the following within … Dataset File (portion)
Clinical Events Dataset File (cont.)
-
digital.ahrq.gov/document-type/editorial
January 01, 2024 - Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - pregnancy outcomes and
birth events. … birth events that typically occur during or immediately after delivery. … After identifying the
adverse events through chart review, we weighted them in accordance with their … birth events. … In particular, we estimate 37% reduction in the severity of adverse birth events, such as
harm
-
digital.ahrq.gov/sites/default/files/docs/behavior-change-slides-07172025.pdf
July 17, 2025 - pressure is a factor in ~500,000
deaths per year
• Tight control of high blood pressure reduces
major adverse … cardiovascular and
cerebrovascular events (e.g., heart attacks
and strokes), but
• Tight control … increases adverse effects from
lowered blood pressure
SPRINT Trial
Serious adverse events of hypotension … ended
Diagnosis and/or
Medication
Recommend action
Message to team
Acknowledge event
Reminders
Adverse
-
digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2012
January 01, 2012 - evidence-based goals for these three conditions, both in terms of risk-factor control and in monitoring adverse … drug events.
-
digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2011
January 01, 2011 - evidence-based goals for these three conditions, both in terms of risk-factor control and in monitoring adverse … drug events.
-
digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-enabling-patient-centered-care-through-health-it-r18
January 01, 2023 - Investigator
Jack, Brian
Project Name
Virtual Patient Advocate to Reduce Ambulatory Adverse … Drug Events
Talking about medicines: older adults’ perceptions of communication
-
digital.ahrq.gov/program-overview/research-stories/decision-support-emergency-department-improve-medication-safety
January 01, 2023 - older patients, new medications prescribed outside of the primary care setting increases the chance of adverse … drug events (ADEs), which can lead to repeat ED visits, hospitalization, or even death.
-
digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
January 01, 2023 - predictive models improving the allocation of critical care pharmacists to intensive care units to reduce adverse … drug events.
-
digital.ahrq.gov/track-1-patient-safety-and-health-it-across-settings-and-populations
January 01, 2023 - Finally, presenters will discuss how to refine CPOE systems with clinical decision support to prevent adverse … drug events in the long-term care setting.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goldman-re-soran-cs
January 01, 2023 - to patients' awareness of the importance of fulfilling recommended therapeutic monitoring to prevent adverse … drug events.
-
digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/annual-summary/2010
January 01, 2010 - medication information at the point of care is crucial for delivery of high-quality care and prevention of adverse … events.
-
digital.ahrq.gov/sites/default/files/docs/page/2006Wang_051611comp.pdf
January 01, 2006 - School of Medicine - Department of Emergency Medicine
“How Can a Life-Saving Intervention
Lead to Adverse … “Is Poor Outcome Due to
Adverse Events and Errors?”
-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - quality gaps in U.S. health care, a growing body of literature shows
that many patients experience adverse … drug events (ADEs) or unanticipated injuries resulting
from medication interventions across different … Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. … Incidence and preventability of adverse drug events in nursing
homes. … Relationship between medication errors and adverse drug
events.
-
digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
January 01, 2023 - What is the impact of health IT on preventable adverse events: less weight loss, less decline in ADLs … , fewer adverse drug events?
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - SCOPE
Background and Context
Adverse drug events (ADEs) prompt four million people to seek medical … drug events related to taking a
medication that should have been stopped. … Adverse drug events in the outpatient setting: an 11-
year national analysis. … Adverse drug events in U.S. adult ambulatory medical
care. … The cost of adverse drug events in ambulatory
care. AMIA Annu Symp Proc. 2007:90-93.
4.