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pcmh.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - cahps/surveys-guidance/echo
Specialized Surveys:
Cancer care—inpatient and outpatient treatment for drug
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pcmh.ahrq.gov/news/newsroom/case-studies/202105.html
November 01, 2021 - team collaborated with the Pennsylvania Department of Human Services, the Pennsylvania Department of Drug
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - The preventable harms for these medication errors include adverse drug events (ADEs), unscheduled hospital
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pcmh.ahrq.gov/sdoh/health-systems-research.html
December 01, 2022 - A patient navigation intervention for drug-involved former prison inmates .
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - prevented two infection-related transfers to the hospital each month and cut the overall amount of multi-drug
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - outpatient monitoring for high-risk conditions, and (c) enhanced medication comprehension to reduce adverse drug
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pcmh.ahrq.gov/policy/foia/foiafy09.html
October 01, 2014 - Toxic Substances and Disease Registry
CDC—Centers for Disease Control and Prevention
FDA—Food and Drug … for Disease Control and Prevention
CMS - Centers for Medicare & Medicaid Services
FDA - Food and Drug
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pcmh.ahrq.gov/policy/foia/foiafy08.html
October 01, 2014 - Toxic Substances and Disease Registry
CDC—Centers for Disease Control and Prevention
FDA—Food and Drug … for Disease Control and Prevention
CMS - Centers for Medicare & Medicaid Services
FDA - Food and Drug
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pcmh.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … 2014 Goal Met
Projected Reductions in Deaths Associated With HACs in 2014 If 2014 Goal Met
Adverse Drug … [4] For example, one focus of efforts to reduce adverse drug events associated with anticoagulants
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - Prevention
DoD Department of Defense
HRSA Health Resources and Services Administration
FDA Food and Drug
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pcmh.ahrq.gov/sites/default/files/publications/files/postdisphone.pdf
February 14, 2013 - Drug Category What To Look For
Anticoagulants Bleeding; who is managing INR
Antibiotics Diarrhea … control
Should not taken at same time as calcium and multivitamin
Antiretrovirals Review profile for drug
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - Contraindications on the manufacturer’s drug label include8—
Patients with heart block
Patients with … magnesium-related adverse events, for example respiratory depression.10,11
Use uniform and standard drug … Magnesium Sulfate FDA-approved Drug Label. … Magnesium Sulfate: Drug Safety Communication-Recommendation Against Prolonged Use in Pre-term Labor http
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool1_data_analysis_final.xlsx
September 20, 2016 - 200 15% 1%
Esophagitis and other digestive disorders 30 180 17% 1%
UTI 25 175 14% 1%
Alcohol/drug … 30 300 10% 1%
Intracranial hemorrhage 25 50 50% 1%
Renal failure with CC 20 135 15% 1%
Alcohol/drug … 0%
Total, Top 10 360
Total, All Readmissions 2550 14%
Psychoses 300 1850 16% 12%
Alcohol/drug … COPD with MCC 5 30 17% 0%
Chest pain 5 35 14% 0%
Renal failure with CC 5 35 14% 0%
Alcohol/drug
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pcmh.ahrq.gov/sites/default/files/attachments/necessary-but-not-sufficient-hitech-act-white-paper.pdf
January 01, 2011 - consultation requests, and nursing orders
Decision Support: clinical guidelines, clinical reminders, drug-allergy … alerts, drug-drug
interactions alerts, drug-laboratory interactions alert, and drug dosing support … information, including medical and behavioral health
contacts and health insurance information; (2) drug … safety, and
efficiency, and
reduce health
disparities
- Use CPOE for all
orders
- Implement drug … -
drug, drug-allergy,
and drug-formulary
checks
- Maintain lists of
allergies and
diagnoses
- Record
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pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-use-pcor.pdf
November 01, 2016 - history of a heart attack, and patients with a history
of a stroke who use aspirin or a similar drug
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pcmh.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - This use and overuse of antibiotics results in side effects and drug-resistant bacteria.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Discharges—
Based on 2010
Baseline)
2012 PFP
Measured
HACs per
1,000
Discharge
s
Adverse Drug
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2014-materials/teamstepps-monthly-webinar-dec2014.pptx
January 01, 2014 - Listening to the order, calling the pharmacist, writing the details on the order sheet, and bringing the drug
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pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - The ER physician, who did not speak Spanish, assumed Willie had a drug overdose because he had pinpoint … When the ER doctor told the family he would treat Willie for drug overdose, they said to one another, … And the nurse said, 'You said you're not allergic to medicine....drug or latex.'
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pcmh.ahrq.gov/cpi/about/organization/nac/nac-amd2000.html
April 01, 2014 - Prevention; the Administrator of the Health Care Financing Administration; the Commissioner of the Food and Drug