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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
    February 21, 2008 - Adverse drug events in emergency department patients. Ann Emerg Med 2002; 39: 258-267. 1. … Incidence and risk of potential adverse drug interactions in the emergency room. … Systems analysis of adverse drug events. ADE Prevention Study Group. … ED nurses saved $100,000 and cut drug errors to almost zero. ED Nursing, March 2006. … The clinical pharmacist’s role in preventing adverse drug events.
  2. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - patient was at the time the prescription was filled yes numeric Blank national_drug_code National Drug … unique identifier yes text or numeric Blank End of Table HEDIS NDC Variables HEDIS National Drug … Code (NDC) Variables Reference Name Concept Description Variable Type Note NDC_CODE National Drug … text From HEDIS Data set of asthma-related medications for data year DESCRIPTION Description of the drug … HEDIS Data set of asthma-related medications for data year DRUG_ID Unique identifier of the primary drug
  3. www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
    January 01, 2024 - events (PADEs) and adverse drug events (ADEs) through a retrospective chart review. … intervention related to a drug” (Bates, Cullen, Laird et al 1995) … Conners GP, Hays D, Emergency Department Drug Orders: Does Drug Storage Location Make a Difference? … events (PADEs) and adverse drug events (ADEs) through a retrospective chart review. … intervention related to a drug” (Bates, Cullen, Laird et al 1995)
  4. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
    August 01, 2014 - hypotension) < 5th percentile for age or systolic BP < 2 SD below normal for age OR • Need for vasoactive drug … dysfunction 995.94 Bacteremia 790.7 Septic shock 785.52 Table 4-C: Parenteral Antibiotics Drug … Class Drug Aminoglycosides Amikacin Sulfate Gentamicin Kanamycin A Sulfate Tobramycin Sulfate … of Antibiotics for Severe Sepsis and Septic Shock U18HS020516 Page 50 Submitted August 2014 Drug … Class Drug Oxazolidinones Linezolid Penicillins Ampicillin Oxacillin Penicillin G Nafcillin
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
    January 01, 2004 - In one situation, the physician ordered 20 mg of a drug, and the RN administered 20 mL. … Unit-dose dispensing of the drug involved in the error will prevent an error with that drug, but not … The drug was accessed from the automated drug- dispensing unit designated for off-hour use by the nursing … The panel recommended that the unpredictable need for the drug should be anticipated, with the drug … Leape LL, Bates DW, Cullen DJ, et al., Systems analysis of adverse drug events.
  6. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - interaction) ■ Drug-drug, drug-food, or adverse drug reaction as the result of a prescription and/ … ; drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration … ; drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration … ; drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration … interactions); radiopharmaceuticals; drug-drug, drug-food, or adverse drug reaction as a result of
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - These decisions were based upon the following data: • Prescription drug errors. … Addressing prescription drug errors The Prescription Drug Learning Group reviewed the process flow … Center for Drug Safety. … E-Prescribing, personalized drug interaction and secure email [Web Page]. 2000. … Prescription drug process flow map Figure 2.
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
    March 01, 2020 - • Urine drug screening (UDS). • Checking Prescription Drug Monitoring Programs (PDMPs). … Monitoring Programs" OR "Drug Monitoring") OR (AB “Stewardship” OR ((MH “Drug Overdose” OR “Opioid … - Related Disorders” OR "Prescription Drug Overuse" OR "Prescription Drug Misuse" OR "Analgesics … "Opioid*" OR "Prescription Drug Misuse" OR "Prescription Drug Overuse")) AND ((MH “Hospitals” OR … " OR "Prescription Drug Misuse" OR "Prescription Drug Overuse" OR "Opioid Use Disorder" OR "OUD" OR
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
    March 31, 2008 - , dosage, or timing of the correct drug; and (3) not prescribing a drug or device that was needed. … Of those 165 events, in 99 (16.3 percent) the correct drug or device was prescribed, but there was an … Gandhi and colleagues’ survey and chart review of primary care patients identified 162 adverse drug … Adverse drug events in ambulatory care. N Engl J Med 2003; 348: 1556-1564. 7. … Suboptimal prescribing in elderly outpatients: Potentially harmful drug-drug and drug-disease combinations
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
    January 01, 2004 - allergies, similar sounding drug names, and even leaky pens. … The next largest cause of errors was incorrectly written drug names. … writing than are drug names that could be easily confused. … Systems analysis of adverse drug events. JAMA 1995 (274):35- 43. 37. Flynn EA, Barker KN. … Look-alike and sound-alike drug names: the problem and the solution.
  11. www.ahrq.gov/patient-safety/reports/engage/appc.html
    March 01, 2017 - [mh] OR iatrogenic disease [mh] OR sentinel surveillance [mh] OR safety [mh] OR (adverse [ti] AND (drug … OR FMEA [ab]) OR (((hospital information systems [mh] OR decision support systems, clinical [mh] OR drug … OR (Cross Infection [mh] OR Infection Control [mh] OR nosocomial [ti] OR hospital-acquired [ab] OR Drug
  12. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/neonatal-abstinence-syndrome.pdf
    January 01, 2016 - Te number of babies born each year with withdrawal symptoms from their mother’s drug dependence, known … In 2016, more than 25,000 babies were born with withdrawal symptoms from drug dependence compared with
  13. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
    June 02, 2025 - Application of CED to an on-label use of a drug or biological is contrary to the requirements of the … controlled trials (RTCs) and to incorporate real-world evidence (RWE) Exclude on-label use of Food and Drug … drugs and biologicals be excluded from CED restrictions Application of CED to an on-label use of a drug … Requirements for post-FDA-approval real-world evidence development that is based on coverage to label for any drug
  14. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
    June 02, 2025 - Sometimes antibiotics can: »Lead to a drug interaction, where one of your medications could become … When resistance occurs, it can be harder to find the right drug to treat an infection.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
    March 01, 2017 - When Do You Need An Antibiotic? When Do You Need An Antibiotic? Taking antibiotics when you don’t need them is like leaving the lights on all the time. The lights may burn out, leaving you in the dark when you most need them. If you use antibiotics when you don’t need them, they may not work when you get s…
  16. www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
    January 01, 2024 - GRANT NUMBER: 1R01HS021264-01A1 ABSTRACT PURPOSE: Using the previously validated Anticholinergic Drug … Associations Between Drug Burden Index and Falls in Older People in Residential Aged Care. … Pharmacoepidemiol Drug Saf. 2014 Jul; 23(7):753-8. PMID: 24723335. 23. … Drug Intell Clin Pharm. 1983 Jun; 17(6):470-3. PMID: 6861639. 40. … The Anticholinergic Drug Scale as a measure of drug-related anticholinergic burden: associations with
  17. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
    June 01, 2018 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review … Increases in drug and opoid overdose deaths—United States, 2000-2014. MMWR 2016;64(50):1378-82.
  18. www.ahrq.gov/news/newsroom/case-studies/coe1304.html
    April 01, 2013 - developed later than so-called "conventional" antipsychotic medications, have been approved by the Food and Drug
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-appendix-2.pdf
    January 17, 2025 - 2 APPENDIX 2 - INHALED CORTICOSTEROIDS (ICS) ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d05262 DPI 4 and older N N N Y ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d01296 DPI 4 and older N N N Y ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d04276 DPI 6 and older N N N Y ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d00760 MDI 5 and older Y Y N Y ICS NDC Code Brand Name Generic Product Name Route Drug
  20. www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
    January 01, 2024 - The Center also prepared a publication on psychotropic drug management at school that was disseminated … Key words: medications at school, child drug safety, psychotropic drugs, schools and medications 2 … management refers to the processes involved in receipt and storage of medication, delivery of the drug … , and observation of the child for drug reactions. 4 • The National Association of School Nurses … Pharmacists might also provide two copies of instructions for medication, including side effects and drug

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