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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027006-sun-final-report-2023.pdf
January 01, 2023 - patients has been linked with improved patient and nurse satisfaction as
well as reduced risk of adverse … events such as patient falls, PUI, HAI, and decreased cost.
5-8 These
associations are not … Nurses play a critical role in preventing adverse outcomes by quickly identifying
patients at risk … Currency of the data (whether events in the EHR were timely enough to provide meaningful data)
as … Adverse effects of contact isolation. The Lancet 1999;
354: 1177-1178.
26.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
January 01, 2012 - Purpose
Objectives of Study
Medication errors and preventable adverse drug events occur commonly … drug events are an important target for patient
safety and quality improvement. … Gandhi et al have shown that as many as 25% of
patients in the ambulatory care setting experience adverse … drug events (ADEs) annually. … drug events in the outpatient setting and estimates
that at least 1.5 million preventable ADEs occur
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - events. … events. … Incidence
and Preventability of Adverse Drug Events Among
Older Persons in the Ambulatory Setting. … Field TS, Mazor KM, Briesacher B, et al., Adverse
drug events resulting from patient errors in older … Forster AJ, Murff HJ, Peterson JF, et al., The
incidence and severity of adverse events affecting
patients
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digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
January 31, 2007 - Suspected medication errors (MEs) and adverse drug events (ADEs)
were rated by physicians. … assist identification of
ADEs, we modified BWH’s ambulatory ADE monitor for BIDMC’s webOMR to detect events … drug events and actual adverse drug events. … Adverse drug events (ADEs) are injuries due to
medications and are classified as preventable (associated … Adverse Drug Event Monitor: Detailed Methods and Results
5.
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs021082-graetz-final-report-2012.pdf
January 01, 2012 - Recent studies show that patients with multiple
chronic conditions are more likely to experience an adverse … Bates, D.W., Frequency, consequences and prevention
of adverse drug events. … Gandhi, T., et al., Adverse drug events in ambulatory
care. … Gurwitz, J., et al., Incidence and preventability of
adverse drug events among older persons in the
-
digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
January 01, 2008 - Quality gaps that are particularly relevant in this setting include a high incidence of adverse drug … events and lack of compliance to established guidelines for preventive care, chronic disease management
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024945-lambert-final-report-2022.pdf
January 01, 2022 - events declined weekly post-intervention. … We predicted that RAR events would decrease because potential RAR events would have been caught prior … in RAR events. … We predicted these events would decrease in frequency as abandonment
events increased, although we thought … Medication errors and adverse drug events
in an intensive care unit: direct observation approach for
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digital.ahrq.gov/research-method/prospective
January 01, 2024 - Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse
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digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc
January 01, 2023 - "We will look carefully at medical errors, adverse drug events, quality issues, and cost in all three
-
digital.ahrq.gov/ahrq-funded-projects/infosage-information-sharing-across-generation-and-environments
January 01, 2023 - Disclaimer details
Close
Project Description
Publications
Events … These transitions represent times where the risk of adverse events due to potential miscommunication
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - followup plans: 1) medication management such as
new drug therapy starts where followup to monitor for adverse … monitoring), effectiveness, and compliance are critical, 2) screening, where lack of
adherence may lead to adverse … Expected clinical events are those events (e.g., colonoscopy completed) that must
occur to prevent an … The potential schedules for specific events are
defined within each ACCORD template. … Internal structure of an action: have a colonoscopy every 10 years
• External events.
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digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2011
January 01, 2011 - Adverse-event identification is accounted for in the safety report.
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2011
January 01, 2011 - Improving Patient Access and Patient-Clinician Continuity Through Panel Redesign - 2011
Project Name
Improving Patient Access and Patient-Clinician Continuity through Panel Redesign
Principal Investigator
Balasubramanian, Hari
Organization
University of Massachusetts Amherst …
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022087-singh-final-report-2018.pdf
January 01, 2018 - Patient outcomes from missed results included both
immediate adverse health changes and missed cancer … For example, they may only recall the most recent events they experienced or witnessed (recall
bias) … Learning from malpractice claims about negligent, adverse events in primary care in the United
States … The role of electronic health records in patient safety events. … Likelihood of reporting adverse events
in community pharmacy: an experimental study.
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digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
January 12, 2025 - CancelRx message
• Clinical rationale: clinical rationale for the medication change, such as an
adverse … RAR
Events,
No.a
RAR Events
per 100 000
Orders, No.a
Total
Patients,
No. … RAR
Events,
No.a
RAR Events,
% of
Patientsa
Total
Sets,
No. … RAR
Events,
No.a
RAR Events,
% of
Setsa
Singleton-birth infants 1225 632 511 41.7 9250 352 3.8 … Qualitative Review of RAR Events
90
Summary
91
• Automated Retract-and-Reorder (RAR) Measures are
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - events. … events and emergency care utilization. … events are being analyzed. … Emergency follow-up visits for adverse events provided a measure
of resource use associated with … The Impact of eHealth Records on
Adverse Events in Medically Complex Patients. Oral Surg.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system
January 01, 2023 - Population
Elderly
Type of Care
Long-Term Care
Health Care Theme
Adverse … Events
Patient Safety
Falls among the elderly are a significant cause of morbidity, mortality
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018912-mcconnochie-final-report-2014.pdf
January 01, 2014 - Effectiveness was measured as HeA visit completion rate, HeA visit duplication and adverse
events. … An adverse
event was defined as an ED visit following a HeA visit within 3 days for a problem probably … Adverse events following HeA visits included 0.3% of HeA visits for CSHCN and 0.5% for CRS. … Adverse events were not only uncommon among both CHSCN and CRS; in addition, the adversity was limited
-
digital.ahrq.gov/sites/default/files/docs/2010-04-06%20Patient%20Empowerment%20(1).pdf
January 01, 2010 - Care Transition: A High Risk Event
• Approximately 20% of recently discharged patients
experience adverse … events, often precipitated by
ineffective communication
• Almost 12% report new or worsening symptoms
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
January 01, 2009 - Impact and Findings: A total of 959 patients were randomized and evaluated for possible adverse drug … events (ADEs) and medication errors using the trigger tool.