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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - https://digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use … 202022
https://digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use … https://digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use … https://digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use … https://digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024124-meguid-final-report-2018.pdf
January 01, 2018 - The content of the patient counseling of risk of
adverse outcomes may vary from:
Quoting … The preoperative variables largely relate to the patient’s risk for
adverse outcome(s); intraoperative … The SURPAS model identifies patients at increased risk of adverse perioperative outcomes and … events, hospital readmissions, and
discretionary surgical procedures. … Accurate Preoperative Prediction of 8 Adverse Outcomes
Using 8 Predictor Variables.
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digital.ahrq.gov/sites/default/files/docs/page/HIE_Evaluation_Toolkit.pdf
November 27, 2007 - For
example, you might want to know whether your implementation reduces adverse drug events
(ADEs). … Impact on adverse
drug events
Chart reviews High-chart reviews
are labor and
resource intensive … events
adverse event or outbreaks to determine if there
has been an improvement in the
30
Measure … Errors can be divided by stage of Chart reviews do not capture all
adverse drug • Prescription will … events in
the ambulatory setting typically is
not very reliable.
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digital.ahrq.gov/sites/default/files/docs/biblio/Poon.ppt
August 01, 2006 - Rare events, e.g. adverse outcomes
? Colon cancer screening
What resources do you have? … averted: medical costs, productivity for patient
What is the cost of suffering due to preventable adverse … events?
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-6.pdf
November 14, 2014 - • 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.
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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.
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digital.ahrq.gov/document-type/editorial
January 01, 2024 - 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/reduce-medication-errors-slides-082614.pdf
August 26, 2014 - Evaluate the
degree of potential harm that might occur should the patient
experience adverse effects … prescribing.
62
Abbreviations
• Med = medication
• Recon = reconciliation
• ADE = adverse … care
64
Med Discrepancies on Discharge
41%
Discharges with medication discrepancies
65
Adverse … Events on Discharge
20%
Discharges to home with adverse events
66
Example of Computerized Med-list … Events on Discharge
Example of Computerized Med-list Output
Med Recon Assessment
Med Recon Is More
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015038-friedman-final-report-2007.pdf
January 01, 2007 - New Haven Organ Transplant Center 2/1/04 – 3/31/04
Patient #
Meds
Error Type Error Source Real Adverse … Event
Potential
Adverse Event
Description Preventable
? … Event
Potential
Adverse
Event
Description Preventable? … Rejection events-as with serum creatinine, we hypothesized improved medication
compliance results in … Changes in antihypertensive treatment the
role of adverse effects and compliance.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/taconic-health-information
March 31, 2008 - "We will look carefully at medical errors, adverse drug events, quality issues, and cost in all three
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026544-devine-final-report-2022.pdf
January 01, 2022 - We then modeled clinical outcomes: adverse events and deaths caused
or averted. … We then modeled clinical outcomes: adverse events and deaths averted. … events and 0.9 deaths for AF. … the output seen on a summary page, which include cost per alert fired
(an implementation outcome), adverse … development, including: the
addition of more genes and drugs, the ability to import past data of observed adverse
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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.
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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.
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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.
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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
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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.
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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.
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digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - Implementing decision support functions, including the
influence of weight based dosing on pediatric adverse … drug
events
Agency for Healthcare Research & Quality
Advancing Excellence in Health Care • www.ahrq.gov
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Evaluation_Webinar_May08.pdf
May 15, 2008 - Population Health
• Management of Chronic Illness
• Impact of RHIOs
• Modeling for Bioterrorist Events … third parties
• Medication tracking and electronic ordering to address medication errors and attendant adverse … RReedduucceedd ttiimmee iinn wwaaiittiinngg rroooomm
• More provider/patient interaction
• Reductions in adverse … drug events by having accurate
medication and allergy information available at the point of
care … • 15) Goal: Reductions in adverse drug events causing subsequent admissions by having accurate medication
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - The aims were (i) to develop, refine, and validate forecasting algorithms for adverse
outcomes, (ii) … (ACT), and will
achieve the following: (i) develop, refine and validate forecasting algorithms for adverse … These results demonstrate that our algorithms can predict postoperative adverse outcomes with
a high … This chain of events would
maximize the likelihood that the ACT intervention can reduced postoperative … adverse outcomes.