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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/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
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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/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
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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
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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
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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
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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?
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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
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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
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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
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ce.effectivehealthcare.ahrq.gov/data/resources/index.html?page=2
May 01, 2024 - Their expenditures, prescription drug usage, and utilization can be analyzed.
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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.
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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
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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
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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
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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…
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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.
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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
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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.
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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/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.