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www.ahrq.gov/news/newsroom/press-releases/seniors-struggles-with-opioids.html
September 01, 2018 - AHRQ’s new report on hospital use for opioid use disorder and opioid-related adverse events indicated … with opioid use in older populations, including those who suffer from chronic pain and are at risk for adverse … events from opioids,” Khanna said.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/blaum_grant.pdf
September 01, 2013 - Evaluate the association of BP control and the burden of other
chronic disease with adverse clinical … outcomes (stroke, ischemic
cardiac events, hospitalization, and death) in diabetes patients.
3. … Use study results to develop guideline prototypes that minimize
the probability of adverse events in
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www.ahrq.gov/patient-safety/resources/liability/preface.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders’ Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Since
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www.ahrq.gov/news/newsroom/case-studies/ockt0504.html
October 01, 2014 - reporting of medical errors, along with new requirements that health facilities conduct internal reviews of adverse … events and "near misses." … regulations to implement the law, spelling out in detail how internal reviews are to be conducted and adverse … events reported.
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www.ahrq.gov/patient-safety/reports/liability/preface.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Since the Institute of Medicine
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17358-Strom-draft-1.pdf
June 30, 2010 - , this class of medications also has the potential for severe adverse reactions. … The risk for adverse
events may be potentiated by concomitant use of medications that interfere with … PURPOSE
The purpose of the current investigation was to detect adverse clinical outcomes associated … events.3-9 It has been shown that statin-related adverse
events occur in a potency-dependent manner … events.
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www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
January 01, 2025 - events and associated systemic and contextual factors. … Table of Contents Adverse Drug Events (ADEs): General Medication Topics ADEs: Harms Due to Anticoagulants … ADEs: Harms Due to Diabetic Agents ADEs: Reducing Adverse Drug Events in Older Adults ADEs: Harms Due … Drug Events (ADEs): General Medication Topics Patient Safety Practices MHS I (2001) MHS II (2013) MHS … Drug Events Summary of Evidence Summary of Evidence (Not reviewed) (Not reviewed) Reducing Adverse Drug
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - drug events (ADEs), or adverse events related to
medications. … Comments on using ICD-9-CM and
ICD-10-CM codes to identify medical errors or
adverse events. … Surveillance of
medical device-related hazards and adverse events in
hospitalized patients. … Detecting adverse
drug events using ICD-9-CM codes. … Adverse events
related to medical care, Utah: 1995–1999. 2001.
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www.ahrq.gov/workingforquality/priorities-in-action/patient-safety-and-clinical-pharmacy-services-collaborative.html
March 01, 2017 - A lack of coordination among these providers could lead to adverse drug events or a duplication of therapy … progress monthly on multiple improvement measures, which include health outcomes and reductions in adverse … drug events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4m_combo_psi18-19-obstetriclaceration-bestpractices.pdf
May 20, 2016 - Patients and families may resort to legal action in order to
offset the financial burden of an obstetric adverse … responsibilities.2
Effectiveness of Action Items
• Identify perinatal quality improvement and obstetrical adverse … Define and routinely monitor and analyze your hospital’s perinatal quality measure and
obstetrical adverse … comprehensive-program-virtually-eliminates-
preventable-birth-trauma
Tools
• How-To Guide: Prevent Obstetrical Adverse … Events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - and/or medical errors
Report on safety events after the fact
5Maurer M, Dardess P, Carman, KL, et al … events, compliance with patient privacy laws
4Advancing the Practice of Patient- and-Family-Centered … , to Responding to Adverse Events). … Organizations should be prepared to respond and communicate proactively when adverse events occur. … , to Responding to Adverse Events).
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www.ahrq.gov/news/newsletters/e-newsletter/640.html
November 01, 2018 - Pharmacists Use Phone Surveys To Detect Adverse Drug Events . … Pharmacists Use Phone Surveys To Detect Adverse Drug Events
Adverse drug events that patients otherwise … More than 3.5 million doctor visits and 1 million emergency room visits each year occur as a result of adverse … drug events. … drug events from new prescriptions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro.pptx
January 01, 2010 - critical role in providing quality health care
Clinical outcomes include:
50% reduction in the Weighted Adverse … Outcome Score, which describes the adverse event score per delivery
50% decrease in the Severity Index … , which measures the average severity of each delivery with an adverse event (Mann, et al., 2006)
Reduced … rate of adverse drug events
Improved medication reconciliation at patient admission (Haig, et al., 2006
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www.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
February 01, 2016 - Clinical outcomes include:
50% reduction in the Weighted Adverse Outcome Score, which describes the … adverse event score per delivery.
50% decrease in the Severity Index, which measures the average severity … of each deliverty with an adverse event. ( Mann, et al., 2006 ). … Reduced rate of adverse drug events.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/references.html
July 01, 2022 - The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.
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www.ahrq.gov/patient-safety/settings/hospital/match/references.html
July 01, 2022 - The costs of adverse drug events in hospitalized patients. … Adverse Drug Events Prevention Study Group. JAMA 1997; 277(4):307-11. … Identifying hospital admissions due to adverse drug events using a computer-based monitor.
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www.ahrq.gov/research/findings/studies/index.html?page=291
January 01, 2024 - Keywords: Adverse Events, Electronic Health Records (EHRs), Health Information Technology (HIT), Medical … Keywords: Adverse Drug Events (ADE), Hospital Discharge, Hospitals, Long-Term Care, Medical Errors, … The study results demonstrated that adverse drug events may be associated with a significant increase … Incidence and impact of adverse drug events contributing to hospital readmissions in kidney transplant … Keywords: Adverse Drug Events (ADE), Patient Safety, Hospital Readmissions, Transplantation
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - A theoretical framework of risks and hazards for medication-related adverse events.
Table 1. … drug
events
Medical records (as documented
by providers)
Patient reporting of adverse drug
events … Care transitions pose high risk for adverse drug
events. … National
surveillance of emergency department visits for outpatient adverse drug events. … Risk factors for hospital
admissions associated with adverse drug events.
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www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - Medication errors, including preventable adverse drug events, are especially common in the
inpatient … A computer alert system to
prevent injury from adverse drug events: development and evaluation in a … Drug Events
Data Sources & Measures. … events. … Although most of the adverse drug events that occur during the
study period will be linked to a specific
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - Scope and Significance
Preventable Adverse Drug Events in Community Pharmacies
Adverse drug events (ADEs … The cost of adverse drug events in hospitalized patients. … Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse drug events in ambulatory care.