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www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
January 01, 2024 - Incidence and preventability of adverse drug events in hospitalized adults. … Adverse events in primary care identified from a risk-management
database. … National surveillance of
emergency department visits for outpatient adverse drug events. … Adverse and potential adverse events among a
low-income, urban, ambulatory population with diabetes … Adverse Drug Events in U.S. Adult Ambulatory Medical Care. Health
Serv R es.
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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - Key words: probabilistic risk assessment, adverse drug events, ambulatory setting
2
Purpose
In our … previous study of preventable adverse drug events among 30,000 older adults treated
in the ambulatory … setting by a multispecialty group practice over a 1-year period,1 we found a
rate of adverse drug events … of 50.1 per 1000 person-years, with a rate of 13.8 preventable
adverse drug events per 1000 person-years … Incidence and preventability of adverse drug events
among older persons in the ambulatory setting.
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www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
January 01, 2024 - Medication safety issues, which
encompass both medication errors and adverse drug events, are a predominant … In other chronic disease states,
adverse drug events have been clearly established as a major risk factor … Therefore,
early recognition of adverse drug events in kidney transplant recipients will likely help … AE type and severity were defined
using the Common Terminology Criteria for Adverse Events. … Incidence and
impact of adverse drug events contributing to hospital readmissions in kidney transplant
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - They can be associated with adverse events, and when
administered to patients who do not need them, … Slide 4
Antibiotic-Associated Adverse Events
SAY:
All antibiotics have the potential to harm … Often, these adverse events occur after a patient is
discharged from the hospital. … Antibiotic-associated adverse drug events then were
categorized into clinically significant and non-clinically … Approximately 20 percent of hospitalized patients
develop antibiotic-associated adverse events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events. … events and other defects. … events.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/primary-prevention-cvd-with-statins.pdf
June 02, 2025 - Articulate Word Output
Primary Prevention of Cardiovascular Disease (CVD) Events with
Statins
1 … There is no good reason to use a high-
cost brand name statin.
10 Statins: Adverse Effects … The most
important adverse effect of statins is myopathy, or muscle pain, which is reported in about … Other hypothesized adverse effects
such as memory loss have not been confirmed when they’ve been examined … On the other hand, the adverse
effects appear to be relatively independent of CVD risks.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
August 21, 2015 - Disclosure communication following an adverse event should include answers to the following questions … How will the organization prevent the adverse event from happening to another patient in the future? … It is important that the clinicians and the health care organization apologize for the adverse event, … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation. … The communicator can also note that most adverse events have multiple causes that include a mixture of
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
June 01, 2023 - Families as partners in hospital error and adverse event surveillance. … Comparing patient-reported hospital adverse events with medical record review: do patients know something … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review … Long-term impacts faced by patients and families after harmful healthcare events. … Health care complaints and adverse events as a means of user involvement for quality and safety improvement
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www.ahrq.gov/funding/grantee-profiles/grtprofile-fairbanks.html
December 01, 2023 - care, where the complexity of the system and the fragility of the patients creates a greater risk for adverse … events. … a 2-year AHRQ grant in 2005 to evaluate an emergency medicine clinical pharmacist program to avoid adverse … drug events in emergency department (ED) patients. … Fairbanks evaluated over 10,000 ED cases for adverse events, and interviewed ED physicians and nurses
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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - adverse events and errors. … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … events. … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse … events
• Facilitating a more rapid response after an
adverse event has occurred
• Tracking and providing … feedback about adverse
events
Bates, Gawande 2003
Main Strategies for Preventing
Errors and AEs
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www.ahrq.gov/hai/universal-icu-decolonization/index.html
September 01, 2013 - Safety and Adverse Events
The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events
Authors
University of California Irvine
Susan Huang, MD, MPH
Adrijana
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - For example, Medication or
Other Substance events that were reported as Adverse reaction in patient … For example, Medication or Other Substance events
that were reported as Adverse reaction in patient … For example, Medication or Other Substance events
that were reported as Adverse reaction in patient … For example, Medication or Other Substance events
that were reported as Adverse reaction in patient … For example, Medication or Other Substance events that were
reported as Adverse reaction in patient
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - events and patient satisfaction
Slide 7
Negative Correlation: HSOPS and Patient Safety Events … 5
Higher HSOPS scores are associated with fewer adverse events, which validates patient safety culture … Beliefs, behaviors reflect organizational ability to learn
Associated with adverse events, patient … Exploring relationships between hospital patient safety culture and adverse events. … Leape, L.L. (2002) Reporting adverse events.
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www.ahrq.gov/es/hai/universal-icu-decolonization/index.html
September 01, 2013 - Safety and Adverse Events
The REDUCE MRSA Trial (Randomized Evaluation of Decolonization … Safety and Adverse Events
Authors
University of California Irvine
Susan Huang, MD, MPH
Adrijana
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse … events resulting from poor communication and system failures. … Simulations—that an L&D unit can use to teach team members how to apply CUSP to prevent obstetrical adverse … events.
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Scope
Adverse events (AEs) following spine surgery negatively impact patients, surgeons, and the
healthcare … Definition of the outcome variables: adverse events
We defined an AE as the occurrence of new ICD- … Improved capture of adverse events
after spinal surgery procedures with a longitudinal administrative … A machine learning approach for predictive models of
adverse events following spine surgery. … Accuracy of a machine learning
approach for predicting adverse events after spine surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - Further, 13.6 percent of the adverse events led to the death of
the patient. … Death
occurred in 6.6 percent (SD of 1.2 percent) of the adverse events. … Incidence of
adverse events and negligence in hospitalized patients. … Incidence
and types of adverse events and negligent care in Utah
and Colorado. … The nature of
adverse events in hospitalized patients.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - Detecting adverse events for patient safety research: a
review of current methodologies. … Measuring errors and adverse events in health care. … Lessons
from a patient partnership intervention to prevent adverse drug events. … Computerized surveillance of adverse drug events
in hospital patients. … Adverse events during hospitalization: results of a patient survey.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
April 02, 2020 - Detecting adverse events for patient safety research: a
review of current methodologies. … Measuring errors and adverse events in health care. … Lessons
from a patient partnership intervention to prevent adverse drug events. … Computerized surveillance of adverse drug events
in hospital patients. … Adverse events during hospitalization: results of a patient survey.