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  1. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
    May 19, 2003 - Brennan et al.5 reported that among these patients, drug complications were the most common type of … Heparin is a drug which, if administered incorrectly, may cause severe hemorrhagic consequences. … • Nurse educators responsible for training nursing staff on the use of the drug. … nurses believed that the full set of data had to be entered each day the patient remained on the drug … stations where heparin is administered extensively, and medical/surgical nursing stations where the drug
  2. 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
  3. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-mupirocin.pdf
    March 01, 2022 - The Food and Drug Administration approved mupirocin in 2002 to clear Staphylococcus aureus from its … Because mupirocin is a prescribed drug, it is possible to track administration across units and to ensure
  4. ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/index.html
    August 01, 2017 - Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse Drug … Bolkan Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital
  5. ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
    October 01, 2014 - As a result of the intervention, Eddy Heritage staff have identified and resolved potential adverse drug … discharge medication reconciliation list, a patient discharged on Percocet with a known allergy for the drug
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - 28 measures of patient safety events, including many types of hospital-acquired infections, adverse drug … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … Preliminary 2017 2019 Goal (20% Reduction of each HAC) Adverse Drug Events 33.7 30.0 27.1 … Total Change in HAC- Related Costs Estimate of Total Change in HAC-Related Deaths Adverse Drug … Measures used to estimate the national HAC rate HAC Type Source Measure Adverse Drug Event MPSMS
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-cancer-care-evensen.pdf
    June 13, 2017 - • In the last 6 months, how often did your drug therapy team listen carefully to you?
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/licensed-staff/licensed-catheter.pptx
    March 01, 2017 - Notes Research has shown that residents with a urinary catheter have a higher chance of having multi-drug … hands and clothing due to splashing, and therefore minimize the risk of infecting others with multi-drug … due to any splashing that may occur, and it will also minimize the risk of transmission of any multi-drug
  9. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
    November 01, 2019 - hospital is high or the patient has a known history of MRSA colonization or infection, intravenous drug
  10. ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
    March 01, 2013 - public (e.g., HHS, Lincoln Public Schools, SSI) and/or private (e.g., private therapists/counselors, drug … The team explicitly asks the parent what services, treatments or interventions (e.g., drug treatment, … Examples would include the steps needed to attend outpatient therapy once a week, or attend drug therapy … Examples include medication, psychotherapy, homemaker services, drug counseling, housing, vocational … When discussing severe behavior problems (e.g., gang activity or drug abuse), Care Coordinator talks
  11. ce.effectivehealthcare.ahrq.gov/data/resources/index.html?page=2
    May 01, 2024 - Their expenditures, prescription drug usage, and utilization can be analyzed.
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
    May 01, 2017 - • Having uniform and standard drug packaging, preparation, and labeling.
  13. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
    June 01, 2023 - pharmacy barcode system* for medications at Brigham and Women’s Hospital resulted in fewer adverse drug … learn from errors. ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug … The results show that linking patient age and drug prescribing information to identify potentially … The primary benefit was a decrease in adverse drug effects (ADEs) from dispensing errors, projected … prescribing clinicians, track the impact of medications on symptoms, view medication precautions and drug-drug
  14. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-welcome.pdf
    March 01, 2022 - Chlorhexidine versus routine bathing to prevent multi drug-resistant organisms and all-cause bloodstream
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
    March 01, 2017 - US Food and Drug Administration. … US Food and Drug Administration Guidance for the Content of Premarket Notifications for Urine Drainage
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6n.pdf
    October 01, 2017 - Strategies for Improving Patient Experience with Ambulatory Care: Price Transparency The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.N. Price Transparency Visit the AHRQ Website f…
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
    January 01, 2013 - For many components of the CPOE, the number of estimated adverse drug events (ADEs) averted was multiplied … Other types of cost savings identified included decreased drug costs (decreased use and shift from use … , software, network, leadership, and training Returns (numerator) $28.5 million Averted adverse drug … Pharmaceutical Prices The Red Book by Thomson Reuters provides comprehensive drug product and pricing … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11.
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
    January 01, 2009 - For many components of the CPOE, the number of estimated adverse drug events (ADE) averted was multiplied … Other types of cost savings identified included decreased drug costs (decreased use and shift from … Pharmaceutical Prices The Red Book by Thomson Reuters provides comprehensive drug product and pricing … The cost of adverse drug events in hospitalized patients. JAMA 1997;277:307-11. … Adverse drug events in hospitalized patients: excess length of stay, extra costs and attributable mortality
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-clinical-processes-workflows.pdf
    December 15, 2023 - Conversation Tool; The Pain, Enjoyment of Life and General Activity (PEG) Scale; the annual urine drug … ▶ Annual urine drug screens completed. ▶ PEG scales completed.
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
    March 21, 2008 - Among a sample of elderly patients, Gurwitz, et al.,6 found that many adverse drug events were due to … These are then paper-clipped to the chart for completion of drug dosage and amount to be refilled, which … automated documentation and benefit from system prompts that alert the prescribing clinician to potential drug-drug … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 3. … Legibility and drug name confusion. Arch Fam Med 1997; 6: 296-298. 9. Elder NC, Dovey SM.

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