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February 01, 2024 - Studies
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Blood Thinners … Impact Case Study Identifier: 2023-01 AHRQ Product(s): SHARE Approach Topic(s): Access to Care, Adverse … Drug Events (ADE), Care Coordination, Chronic Conditions, Clinician-Patient Communication, Diabetes,
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Each group convened to describe a complete picture
of errors and error-related events from the event … Identifying
adverse drug events: Development of a computer-
based monitor and comparison with chart … Adverse drug
events in ambulatory care. N Engl J Med 2003 Apr;
348(16):1556–64.
6. … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Classification of medical errors
and preventable adverse events in primary care: a
synthesis of the
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May 01, 2023 - Studies
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Events … Or a patient having wisdom teeth removed may have a strong adverse reaction to the sedation and require
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - The three measures that improved most reflect fewer adverse events
in nursing homes (two measures) and … fewer adverse drug events involving the blood thinner
heparin in hospital settings. … 2018, the incident rates of end stage renal disease due to diabetes
decreased 48% from 526 to 273.1 events … Alaska Native, Black, and White
populations, with respective incident rates of 273.1, 372.2, and 152.2 events … Hispanic communities
were still more than double the rates in non-Hispanic White communities (142.8
events
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July 01, 2018 - Studies
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Events … How to communicate an adverse event to patients and family members.
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www.cpsi.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - Studies
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Events … techniques used in labor and delivery units can help improve communication and collaboration and reduce adverse
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www.cpsi.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - Studies
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Events … facilities also significantly reduced use of fluoroquinolones , a class of antibiotics known to cause adverse
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September 01, 2023 - Studies
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Events … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse … the vaccine manufacturer, additional primary dose and booster shots, dates each shot is administered, adverse
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January 01, 2023 - Studies
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Events … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving
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www.cpsi.ahrq.gov/patient-safety/reports/liability/brock.html
August 01, 2017 - Studies
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Events … System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Transitional Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home
Douglas M. … Our iceberg is melting: Changing and succeeding under adverse conditions. New York, NY: St.
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July 01, 2019 - Studies
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Events … reducing the use of acute and institutional care, eliminating duplication of services, and reducing adverse … events resulting from conflicting management. … https://www.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
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January 01, 2024 - Studies
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Events … Hospital and associate professor of medicine at Harvard Medical School in Boston, is helping to reduce adverse … events during care transitions with digital health interventions that improve patient safety and outcomes … organizations and other groups can use these findings to improve how medication-related patient safety events
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - patient-level characteristics such as age, sex, type of AF, comorbidities, risk for stroke or
bleeding events … utilization
• Reduced medication use (e.g., need for
anticoagulants, antiarrhythmic drugs)
Harms or adverse … )
• In-hospital and 30-day stroke (any, by type),
TIA
• In-hospital and 30-day embolic events … vascular
injury, infection leading to prolonged
hospitalization or sepsis, pulmonary edema])
• Adverse … studies may be considered in the evaluation
of harms if specifically designed to evaluate
harms and/or adverse
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
June 01, 2018 - The adoption and effective use of health information technology can:
Help reduce medical errors and adverse … events. … CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction in adverse … drug events (ADEs) ( Ammenwerth, et al., 2008 ). … drug events (ADEs) ( Ammenwerth, et al., 2008 ).
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - lags far behind other types of patient safety events. … Unlike the types of safety
events defined by existing Common Formats, diagnostic safety
events tend … events) and to email
written feedback within approximately 4 weeks. … The reliability of AHRQ
Common Format Harm Scales in rating patient safety events. … A human factors and survey
methodology-based design of a web-based adverse event reporting system
for
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - IHS • Enhanced Adverse Event Reporting Capabilities: IHS Safety
Tracking and Response (I-STAR) system
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June 01, 2023 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
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April 29, 2024 - Studies
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April 01, 2018 - Studies
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Events … Primary Care Settings
About AHRQ's Quality & Patient Safety Work
Patient Safety News and Events … institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events … Reconciliation
Learn about the processes that help detect and prevent medication discrepancies and adverse … drug events.
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Studies
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Events … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .