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21. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
    November 11, 2019 - Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. … Adverse Drug Events in U.S. … Reducing Adverse Drug Events in Older Adults 9-21 Figure A.2: Reducing Adverse Drug Events in Older … Reducing Adverse Drug Events in Older Adults Evidence Tables Table B.1: Reducing Adverse Drug Events … Reducing Adverse Drug Events in Older Adults 9-27 Table B.2: Reducing Adverse Events in Older Adults

22. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
    March 01, 2020 - Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. … Adverse Drug Events in U.S. … Reducing Adverse Drug Events in Older Adults PRISMA Diagrams Figure A.1: Reducing Adverse Drug Events … Reducing Adverse Drug Events in Older Adults Evidence Tables Table B.1: Reducing Adverse Drug Events … Reducing Adverse Drug Events in Older Adults Search Terms

23. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apg.html
    September 01, 2013 - Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization … Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use

24. Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
    January 01, 2025 - after HS reported patient events of pain, menstrual disorder, and bleeding and device events of device … By the end of 2018, 32,773 medical device reports of adverse events related to HS had been received … By the end of 2018, the FDA has received 32,773 medical device reports of adverse events related to … to be examined: reporting both patient and device events, reporting only patient events, reporting … only device events, and no events reported

25. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes 245 Surveillance … Methods ICD-9-CM codes suggestive of surgical adverse events An adverse event was considered to be … ICD-9-CM code-identified adverse events confirmed by medical record abstraction Adverse event class … Adverse events related to medical care, Utah: 1995–1999. … ICD-9-CM code-identified adverse events confirmed by medical record Table 2.

26. Appendix G. Safety and Adverse Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
    September 01, 2013 - Safety and Adverse Events Previous Page   Table of Contents Universal ICU Decolonization … Safety and Adverse Events Chlorhexidine (CHG) Risk The risks associated with the use

27. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/liability/baker.html
    August 01, 2017 - First, we sought to identify adverse clinical events that are highly dependent on provider teamwork, … First, we reviewed a report by the RAND Corporation  6 that identified adverse events in which team … Results To identify a set of adverse obstetrical events that could be used to study Aim 2, we used … For example, the mean rating for risk across adverse events was 2.47. … Candidate and Final L&D Adverse Events (Final events appear in bold)   Liability   Ratings

28. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - as indicators to attract chart review to possible adverse events. … the underlying causes of the adverse events, and improving processes of care to prevent future adverse … Medication-related Adverse Events – An interesting finding of the BI-OTT1 work was that many adverse … clearly are millions of adverse events each year. … Incidence of adverse events and negligence in hospitalized patients.

29. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - events, misadventures, infections, device events, and other adverse events. … Adverse drug events. 2. Surgical events. 3. Misadventures. 4. Device events. 5. … events, and other adverse events. … Adverse events related to medical care, 1995-1999. … Events Surgical Events Misadventures Infections Device Events Miscellaneous Adverse Events Discussion

30. Minnesota Uses AHRQ Resources to Develop, Implement Nation's First Law on Reporting Adverse Health Events | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cquips0610.html
    October 01, 2014 - Minnesota Uses AHRQ Resources to Develop, Implement Nation's First Law on Reporting Adverse Health Events … "We have used AHRQ products to inform our work on the Adverse Health Events Reporting Law. … Passed in 2003 and fully implemented in 2004, Minnesota's Adverse Health Events Reporting Law requires … The MDH is then charged with tracking adverse events, analyzing corrective action plans, studying trends … The 2006 Annual Report detailed 106 adverse events.

31. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - The program required reporting of preventable adverse events and a description of steps taken to address … The Anesthesia Patient Safety Foundation (APSF), a pioneer in reporting adverse events/medical errors … Incidence of adverse events and negligence in hospitalized patients. … Detecting adverse events using information technology. … Reporting on adverse events. NEJM 2002 Nov20;347(20):1633–8.

32. Notification of Adverse Event: Video | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/capacity/candor/videos/notification.html
    February 01, 2017 - Notification of Adverse Event: Video Communication and Optimal Resolution (CANDOR) is a … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event.

33. Notification of Adverse Event: Video | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.html
    August 01, 2022 - Notification of Adverse Event: Video AHRQ Communication and Optimal Resolution Toolkit Communication … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … This video demonstrates an example of caregivers notifying the CANDOR team of an adverse event.

34. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home … Detects and manages adverse drug events………... 1 2 3 4 5 1 2 3 4 5 13. … Detecting adverse drug events using a nursing home specific trigger tool.  … Epidemiology of medication‐related adverse events in nursing homes.  … Incidence and preventability of adverse drug events in nursing homes. 

35. Vaccine Adverse Event Reporting System Reporting Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/nursing-home/resources/vaccine-adverse-event-reporting.html
    August 01, 2022 - Vaccine Adverse Event Reporting System Reporting Form Resource: Vaccine Adverse Event Reporting … Reporting Form This webpage hosts a writable PDF form that provides instructions for reporting a vaccine adverse

36. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Researchers of this study tracked a total of 21 adverse events over the study period. … Examples of the events included adverse medication events such as those associated with the use of insulin … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with … Tracking the rates of adverse events is a common way of measuring changes in patient safety. … In the study, researchers examined the rates of adverse events by looking at the raw (observed) rates

37. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/liability/neumiller.html
    August 01, 2017 - Incidence and preventability of adverse drug events in nursing homes. … Incidence of adverse drug events and potential adverse drug events; implications for prevention: ADE … The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. … National surveillance of emergency department visits for outpatient adverse drug events. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556‑64. 33.

38. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - Incidence and preventability of adverse drug events in nursing homes. … Incidence of adverse drug events and potential adverse drug events; implications for prevention: ADE … The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. … National surveillance of emergency department visits for outpatient adverse drug events. … Adverse drug events in ambulatory care. N Engl J Med 2003; 348:1556‑64. 33.

39. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
    March 23, 2008 - Quantitative questions included: “General Issues of Adverse Events,” “Causes of Adverse Events,” “Strategies … to Reduce Adverse Events,” and “Malpractice Issues.” … to think of adverse events. … Causes of adverse events. … Strategies for reducing adverse events.

40. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
    April 01, 2004 - Case Definitions (and Guidelines) for Adverse Events Following Immunization Katrin S. … Safety can only be inferred indirectly from the relative absence of multiple, likely adverse events … Case Definitions for Adverse Events After Immunization 91 Global standardization in immunization … Case Definitions for Adverse Events After Immunization 101 23. Rigau-Perez JG, Bonilla GL. … Surveillance of adverse events following immunization.