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www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
January 01, 2024 - drug that interacts with a drug the patient is also taking, inadequate monitoring of
high-risk medications … a drug that interacts with a drug the patient is also taking 7
inadequate monitoring of high-risk medications … Thus, for the fault tree for prescribing a
drug that interacts with another drug the patient is taking … Patient Knows Allergy But Not Drug Class (probability reduced by 50%)
b. … Similar Drug Names for Combos (probability reduced to 0%)
c.
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkess.html
October 01, 2014 - Description: The proposed research has three aims:
Develop a comprehensive typology of off-label drug … different ways prescription drugs are used beyond the specific indications approved by the Food and Drug … pairs and determine predictors of non-evidence-based off-label drug uses. … interviews with whistle-blowers in pharmaceutical fraud cases regarding illegal promotion of off-label drug … The first study under Aim #2 has been completed which looked at trends in off-label drug use related
-
www.ahrq.gov/news/newsletters/e-newsletter/908.html
April 01, 2024 - Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds
Issue Number
908
AHRQ News … Today's Headlines:
Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds
April 23 Webinar … Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds
A recent AHRQ-funded study on pharmaceutical … supply chains revealed a significant spike in drug shortages during the COVID-19 pandemic. … Nearly 29 million adults had alcohol use disorder in 2022, according to the National Survey on Drug Use
-
www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - Step 1 — Identify the “Top-Level” Event (wrong drug, dose, resident, omitted drug/dose). … • Wrong drug—resident receives a drug prescribed that is not clinically indicated (contraindicated, … is in the modeling of
wrong drug. … Research on drug-use-system errors. … 0.6 1.2 1.3
Known
allergy
1.5 0.9
Duplicate
therapy 0.6 0.7
Unauthorized
drug
6.8
Drug/drug
-
www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - Calculate the drug dosage. … Likewise, if a mistake is found after the drug is dispensed, the drug is returned to
the pharmacy … Visually verify that the drug in the bag matches the drug indicated on the label and order
(e.g., confirm … Once in the prep area, double check the drug and drug concentration against the label. … , sound-alike drug name) RPN score: 70
15.2 Drug supplies past their expiration date used in preparation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
January 01, 2004 - Such technologies include
automated order entry systems, drug-drug interaction software, and decision … • Potential interaction of the recommended drug with another drug prescribed for the
patient. … incorrectly labelled to a
drug. … Food and Drug Administration
Center for Drug Evaluation and Research; 1999. … Food and Drug Administration Center for Drug
Evaluation and Reporting. MEDWatch Program.
-
www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Prospective drug regimen review: Current regulations require that the drug regimen of every
nursing … The prevention of adverse drug events. ECPN 2005;June:26-32.
Feinberg JL. … Approaches for
optimisation of drug prescribing in elderly people. … Drug utilization in the US: 1986. … Incidence and preventability of adverse drug events in
nursing homes.
-
www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Adverse Drug … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Adverse drug events in hospitalized patients. … Medication safety program reduces adverse drug events in a community hospital. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29.
-
www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - 2013
Appendix
References
(organized by type of HAC or topic addressed)
Adverse Drug … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Medication safety program reduces adverse drug events in a community hospital. … Adverse drug events in hospitalized patients. … Adverse drug events in U.S. hospitals, 2004. HCUP Statistical Brief #29.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
June 01, 2021 - Antibiotic-associated adverse events are one of the most common reasons for emergency department
(ED) visits for drug-related … infections
• Antibiotics can cause Clostridioides difficile infections
Potential adverse reactions and drug-drug … cefuroxime, cefdinir)
Lo
w
•Tetracyclines
•Nitrofurantoin
Antibiotic Potential Adverse Reactions Drug-Drug … effects and adverse reactions
Common side effects and adverse reactions
Potential adverse reactions and drug-drug
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - When the drug was brought into the facility, it was a different concentration from what had been used … There has been a drug shortage of the concentration that we typically use, and we had no choice but to … Our computer system is not connected to the National Drug Database, so we can’t simply scan the bottle … We have to enter every drug into our database manually. … In this case, the drug was entered as the wrong concentration.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-hrob-section-3-table-2.pdf
June 02, 2025 - Food and Drug Administration Pregnancy Category Rating
Pregnancy
Category
Explanation
Category … are no adequate and well-controlled studies in humans, but potential
benefits may warrant use of the drug … investigational or marketing experience or studies in humans, but
potential benefits may warrant use of the drug … reaction data
from investigational or marketing experience, and the risks involved in use of
the drug
-
www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
January 01, 2024 - These CDSS can provide
alerts related to medication orders (drug-drug, drug-allergy interactions) … Medication references could be accessed on each
drug by clicking on the drug name in the medication … And up there, it was highlighted, and so it
was: don’t use this drug with that drug. … scanning the
drug. … Incidence of
adverse drug events and potential adverse drug events: implications for prevention.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-subuse.html
June 01, 2018 - Results from the 1983 single-room occupancy hotels study of drug abuse in New York City suggested that … Blacks had higher rates of drug use than Whites for marijuana, cocaine, heroin, and illicit methadone … drug use or an alcohol problem and who received such treatment at a specialty facility in the last 12 … Note: Treatment refers to treatment at a specialty facility, such as a drug and alcohol inpatient and … Overall Rate: In 2013, only 10.9% of people age 12 and over who needed treatment for illicit drug use
-
www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
January 01, 2024 - Misuse outcomes comprised Drug/Drug, Drug/Disease, Drug/Age, and Drug/Label,
with five subtypes. … The Senior Section slightly reduced Drug/Drug misuse. … For Drug-Age, Drug-Disease, and Drug-Label misuse, the final determinations were based on evaluations … and Drug/Label misuse. … Drug/Disease misuse, Drug/Label misuse (Exceeds Daily-Dosage), and Drug/
Label misuse (Exceeds Timing
-
www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
August 01, 2024 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse … Harms Due to Anticoagulants (PDF, 2 MB) Harms Due to Diabetic Agents (PDF, 1.6 MB) Reducing Adverse Drug
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Removal-of-Synthetic-Drug-ID-January2024.pdf
January 01, 2024 - January 2024
Synthetic Healthcare Data for Research (SyH-DR) Known
Data Issue: Removal of Synthetic Drug … you downloaded the SyH-DR data files before January 2024, you will see a variable called
Synthetic Drug … As of the SyH-DR data file update in January 2024, the Synthetic Drug ID
(SYNTHETIC_DRUG_ID) variable … Synthetic Healthcare Data for Research (SyH-DR) Known Data Issue: Removal of Synthetic Drug ID
-
www.ahrq.gov/data/infographics/retail-drug.html
April 01, 2021 - Statistical Brief #532: Out-of-Pocket Spending for Retail Prescription Drugs by Age and Type of Prescription Drug
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-sbuse.html
May 01, 2018 - Results from the 1983 single-room occupancy hotels study of drug abuse in New York City suggest that … Hispanics have higher rates of drug use than Whites for marijuana, cocaine, heroin, and illicit methadone … the last 12 months
Same
No Change
People age 12 and over who needed treatment for illicit drug … Note: Treatment refers to treatment at a specialty facility, such as a drug and alcohol inpatient and … Overall Rate: In 2012, only 10.8% of people age 12 and over who needed treatment for illicit drug use
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-anemia-dialysis.pdf
December 02, 2019 - used to treat anemia in patients with CKD, including those receiving dialysis.3 In
2011, the Food and Drug … Food and Drug Administration. … Agents (ESAs) in
Chronic Kidney Disease. https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety … Association between changes in CMS reimbursement policy and drug labels for erythrocyte-
stimulating … //www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-modified-dosing-recommendations-improve-safe-use-erythropoiesis