-
digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
January 01, 2009 - Not all serious medication errors, however, lead to adverse drug
events. … adverse drug
events” (Bates and others, 19 88a). … “Using Com
puterized Data to Identify Adverse Drug Events in
Outpatients.” … “Identifying Hospital
Admissions Due to Adverse Drug Events Using a
Computer-Based Monitor.” … “High Rates of
Adverse Drug Events in a Highly Computerized Hos-
pital.”
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/annual-summary/2008
January 01, 2008 - systematic nature of the public knowledge sources improved the sensitivity of the system to detect adverse … situations such as drug-allergy conflicts and possible drug-drug-interaction events by a factor of between … and terminologies as a foundation. ( Achieved )
2008 Activities: Focus group end-user testing events
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digital.ahrq.gov/sites/default/files/docs/behavior-change-qas-07172025.pdf
July 17, 2025 - weekly newsletters, which include recipes, resources, coupons
and recommendations for health events … But if
not, then we asked them to do that and also did some checking for adverse events overall. … ANSWER: We have a set of adverse events defined by diagnoses that can be pulled from a
visit (like … system and ask them to let
primary care know to change their meds; and we collect information about adverse … events.
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review-at-a-glance.pdf
January 01, 2022 - the potential to better engage patients
and families in their healthcare post-discharge and reduce
adverse … events. … the potential to optimize
critical care pharmacist resources and improve patient safety
by reducing adverse … drug events.
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Drug-allergy alerts that are triggered by a low threshold for defining a clinically meaningful adverse … Some providers felt that a minor adverse reaction to a medication, such as nausea or a headache, did … Systems analysis of adverse drug events. JAMA 1995; 274:35-43.
4. … Patient safety: adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556-64.
5.
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digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children
Poor EHR design can harm patients.
Dr. Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues, regardless of vendor. “If we don’t focus on EHR technolog…
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
January 01, 2023 - the ambulatory setting, medication errors occur in approximately 8 to 21 percent of prescriptions and adverse … drug events (ADEs) affect 25 percent of patients.
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digital.ahrq.gov/2020-year-review/executive-summary
January 01, 2020 - Investment: $299,999
Using algorithms for real-time monitoring during surgery can predict and prevent adverse … discontinuation orders between electronic health records and pharmacies, can improve medication safety and reduce adverse … drug events.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - Data analysis is looking at changes in the rates of adverse drug events, erroneous discrepancies, and
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2012
January 01, 2012 - medications, the rate of hospital readmission and emergency department (ED) visits, and the incidence of adverse … drug events (ADEs).
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - to assess effects of an EHR with weight-based dosing decision support on rates of dosing errors and adverse … drug events. ( Achieved )
Assess the influences of decision support for medication prescribing on
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digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - Measurement: The number of preventable adverse drug
events is reduced post-implementation. … For example, you
might want to know whether your implementation reduces adverse drug events (ADEs). … events? … Estimate the
number of
adverse
events
avoided
through the
elimination of
the
transcription
step … Estimate the
number of adverse events
avoided.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs021162-mctigue-final-report-2018.pdf
January 01, 2018 - Participants were asked about any adverse medical events that might have affected their
participation … baseline to 24 months
Secondary Outcomes
Post hoc Outcomes and Adverse … Events … Participants self-reported 115 adverse events (48 in coaching; 67 in tracking) and 30 serious
events … None of the serious events
were related to the intervention.
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
June 16, 2021 - Did this adverse
drug event result in
an additional visit?
1.
-
digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-enhanced-care-transition-support-complex
January 01, 2023 - from hospital to home-based care is a vulnerable period during which the patient is at high risk for adverse … events including medical errors.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking
January 01, 2023 - Information Exchange
Care Setting
Ambulatory Setting
Health Care Theme
Adverse … Events
Medication Errors
Patient Safety
Transitions in Care
Medication errors are
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017270-fricton-final-report-2011.pdf
January 01, 2011 - Adverse Events and Emergency Service Utilization. … Adverse events and direct emergency service utilization
provided a measure of resource use associated … These primary measures for these outcomes
include;
• Dental Adverse Events. … • Medical Adverse Events. … Dental and Medical Adverse Events.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026565-bull-final-report-2021.pdf
January 01, 2021 - Polypharmacy and adverse effects of medications continue to be an issue for this seriously ill
population … Adverse drug effects are the fifth leading cause of death in the US and
the number of medications is … the single greatest risk for adverse drug reactions12. … In general, clinicians may not be aware of adverse drug reactions or DDIs. … Multimorbidity, polypharmacy, referrals, and adverse drug
events: are we doing things well?
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Of the five who said it harmed a patient, four said it was “minor adverse effect
likely to be temporary … ” and 1 said “minor adverse event likely to be chronic” because
radiation exposure is cumulative. … Two sites chose major adverse effect likely to be
chronic while the other five chose major adverse effect … Of those four sites, two classified the
patient harm as minor adverse event likely to be temporary, … one as minor adverse effect
resolved, and one as minor adverse effect likely to be chronic.
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digital.ahrq.gov/sites/default/files/docs/medication-without-harm-qas-07242024.pdf
July 24, 2024 - QUESTION: Did your study include quantifying safety events as a result of dispensing
discontinued medications … This ties
into Doctor Adelman’s work in identifying these types of events in some feasible way without … We did not examine the safety events mostly because it is hard to
measure and we have things like event … Both reports remarkably showed that about
twenty-five percent of admitted patients have adverse events