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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - role of
pharmacologic therapeutics.6–9 Patients seldom escape the hospital without
changes to their drug … Polypharmacy, adverse drug-related events, and
potential adverse drug interactions in elderly patients … Preventable
adverse drug events in hospitalized patients: a
comparative study of intensive care and … Systems
analysis of adverse drug events. JAMA 1995;274(1):
35–43.
21. Helmreich R, Schaefer HG. … Impact of
emerging technologies on medication errors and
adverse drug events.
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ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/co-nm-specialinnovation.html
August 01, 2015 - Questionnaire-2 (PHQ-2), a two-question screener for depression, 14 and the CRAFFT, a six-question alcohol and drug … For example:
Staff at one middle school SBHC was alerted to an increased prevalence of drug use and … Specifically, an advisory group conducted a drug use/abuse awareness campaign, and SBHC staff developed
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.pdf
October 01, 2016 - Unnecessary antibiotics can result in side effects and
drug-resistant bacteria. … clinicians and overuse
of newer, broad-spectrum antibiotics when either no antibiotic or a narrow-spectrum drug
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-info-english-557-6a.docx
March 07, 2017 - the bracketed references to [CANCER TREATMENT MODALITY] with the appropriate term: radiation therapy, drug
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - Food and Drug Administration) and
global public health (e.g., WHO), professional (e.g., the American … Food and Drug Administration, Rockville, MD (MMB). … Drug Saf
2001;24:1105–12.
5. Fine PE, Clarkson JA. … Drug Saf
1993;8:69–77.
22. Centers for Disease Control and Prevention. … WHO collaborating
centre for international drug monitoring: adverse
reaction terminology (WHO-ART).
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-9.html
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June 18, 2008 - If either pre-
established drug or respiratory limits are exceeded (pulse rate <50 beats/min or >120 … pre-established parameters noted above are exceeded, a
PCA “pause” protocol can automatically halt drug … collection documented 52 instances when a nurse
6
received an alert that programming exceeded drug … Examples of averted programming errorsa
Location Drug Variable Initial Reprogrammed
Medical-surgical … helped clinicians identify
opioid-associated respiratory depression and prevent a potential adverse drug
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Drug Alcohol Depend
2007; 88:197-203.
8. Lightwood J. … The
Food and Drug Administration’s regulation of
tobacco products. … Results from the
2005 National Survey on Drug Use and
Health. … Drug
Alcohol Depend 2006;81:197-204.
603. Romberger DJ, Grant K. … Drug Alcohol Depend 2005;77:311-
4.
742. Husten CG, Thorn SL.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Care Medication Safety: Stakeholders' Perspectives
Medication Discrepancies and Potential Adverse Drug … to 23 percent of patients experienced an adverse event within 5 weeks of discharge, 72 percent were drug … Adverse drug reactions in older people. Rev Clin Gerontol 2010; 20(3):246-59.
18. … National burden of preventable adverse drug events associated with inpatient injectable medications: … Am Health Drug Benefits 2012; 5(7):413-21.
20.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - Fifteen unauthorized drug errors were observed. … Incidence of adverse drug events and potential adverse drug
events. … The incidence of adverse drug events in two large
academic long-term care facilities. … Research on drug-use-system errors. Am J Health Syst Pharm
1995;52(4):400-403. … Incidence of preventability of adverse drug events in
nursing homes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - A blood
thinner is a kind of drug called an
anticoagulant (an-te-ko-AG-u-lent).
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - errors
have been identified and include poor dosing judgment, failure to recognize well-
described drug … A Drug Interaction Knowledge Base on the
PDA provides information on clinically meaningful drug interactions … Reducing adverse drug
events and medication errors using rapid cycle
improvement. … Ther Drug Monit 1985;7(2):174–80.
21. Fisher R and Ury W. … A study of the conflicting information
needs of clinical inquiry and drug regulation.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
October 01, 2022 - The most common cause of unintentional
injuries was drug overdose (which accounted for over 40% of unintentional … Published studies signal a rise in health concerns related to both alcohol and illicit drug
use in recent … of opioid-related deaths, the percentage of people age 12 and
over who needed treatment for illicit drug … Opioid-Related Hospital Stays and Emergency Department Visits Among All Income Groups
Increases in Drug … Overdose Deaths Involving Opioids Among All Racial/Ethnic and Income Groups
Differences in Drug Overdose
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ce.effectivehealthcare.ahrq.gov/coronavirus/data-analytics.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - initial IOM goal
for some injury sources (for example, Brigham & Women’s Hospital in Boston
for adverse drug … systems), to successful interventions that addressed specific, single injury sources
(e.g., adverse drug
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ce.effectivehealthcare.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Overexposure to antibiotics allows drug-resistant strains of bacteria and health care-associated infections
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - The incident
reporting system does not detect adverse drug events:
A problem for quality improvement … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Drug
complications in outpatients. J Gen Intern Med 2000;
15: 149-54.
13. … Adverse drug
events in primary care. N Engl J Med. 2003; 348:
1556-1564.
15.
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ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/instructions.html
September 01, 2020 - Consistent instructions could reduce confusion and help patients more safely use multi-drug regimens. … appropriateness of any given translation for a particular patient before using it for the patient's drug … the article, "Rationale and design of a randomized trial to evaluate an evidence-based prescription drug
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/release-medical-info.docx
March 01, 2024 - Release of Medical Information
Permission to share my medical records
I, [patient’s name] , born on [patient’s date of birth] , give my permission for my doctor/hospital [name of doctor or hospital that has the records] to give the medical records (described on p. 2) to [doctor who needs the records] so that they …
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - Antipsychotics
Antidepressants
Benzodiazepines
Other sedatives/hypnotics
Digoxin
Polypharmacy and drug