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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
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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
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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
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
December 01, 2017 - Disease
Gallbladder Disorders
Other Hepatitis and Liver Disease
Substance Abuse
Drug … Induced Hallucinations, Delusions, and Delirium
Withdrawal and Other Specified Drug-Induced Mental … Disorders
Drug Dependence
Drug Abuse Without Dependence, Except Alcohol and Tobacco
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - • Standardization of decision-support drug libraries, including drug names, concentrations
dosing … Incidence of
adverse drug events and potential adverse drug events:
Implications for prevention. … Systems
analysis of adverse drug events. JAMA 1995; 274:
35-43.
16. … Medication
errors and adverse drug events in pediatric inpatients. … The costs of
adverse drug events in hospitalized patients.
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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.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
June 01, 2018 - Process: Treatment for illicit drug use or alcohol problem. … 73.6
Source: Substance Abuse and Mental Health Services Administration, National Survey on Drug … An estimated 2.5 million people received treatment at a specialty facility (hospital [inpatient], drug … People Who Received Treatment for Illicit Drug Use or an Alcohol Problem
People age 12 and over who … Adults Who Completed Treatment for Mental, Emotional, Alcohol, or Drug Problems
Adults who visited
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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.
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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
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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
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www.ahrq.gov/chain/research-tools/featured-certs/problem-of-alert-fatigue.html
March 01, 2017 - Identifying the Most Severe Drug-Drug Interactions
Intent on creating a scaled-down list of the most … critical drug-drug interactions (DDIs) that trigger medication alerts, the team convened a panel of … The result was a list of 15 highly clinically significant drug-drug and drug-allergy interactions that … High-priority drug-drug interactions for use in electronic health records. … Criteria for assessing high-priority drug-drug interactions for clinical decision support in electronic
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www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
September 01, 2015 - Report: Blood Thinner Medications
Narrator: Recently, your doctor has prescribed a blood-thinning drug … So if you use this drug, it is important that you also be careful in your daily activities. … We hope this video helped shed some light on what a blood-thinning drug is, what it does, and how it
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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
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www.ahrq.gov/health-literacy/improve/precautions/tool19a.html
March 01, 2024 - Medicare has a searchable list of drug company programs that help people who do not have insurance … or are enrolled in a Medicare Drug Plan (Part D) pay for prescriptions. … companies, lets you search for discount programs offered by drug companies. … NeedyMeds is a non-profit that provides information about drug assistance programs. … pharmacy that offers prescription medicines to people who are uninsured or have limited prescription drug
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www.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - AHRQ Grantee Protects Patients From Drug-Drug Medication Errors . … AHRQ Grantee Protects Patients From Drug-Drug Medication Errors
AHRQ grantee Daniel C. … Malone, Ph.D., is helping to make care safer by increasing understanding of drug-drug interactions and … Malone established a framework for collecting and disseminating information on drug-drug interactions … He also worked to optimize digital tools, such as drug-drug interaction alerts and shared decision-making
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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
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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.
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www.ahrq.gov/chain/practice-tools/drug-safety/medication-adherence.html
March 01, 2017 - Clinicians and Their Chronically Ill Pediatric Patients Together Can Improve Medication Adherence and the Use of Health Care Services
By Andrea Humphries, Ph.D.
Download this information (PDF, 576 KB)
When children and adolescents with asthma, diabetes, epilepsy, or inflammatory bowel disease, or other chronic…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-opioid.pdf
February 20, 2020 - The measure of drug overdose deaths involving synthetic opioids other than methadone describes
individuals … Whites and rates vary by gender within
racial groups, Blacks are experiencing fast-rising rates of drug … Outcome: Drug overdose deaths involving synthetic opioids other than
methadone per 100,000 population … ◆ Since 2013, a sharp increase in drug overdose deaths involving synthetics other than methadone … Drug overdose deaths involving fentanyl, 2011-2016. Natl Vital Stat Rep 2019;68(3).
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www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
January 01, 2024 - To
evaluate the effects of the changes, a set of medication use variables was calculated from drug … Among the 37 million Medicare Part D beneficiaries, there are prevalent adverse drug
events (ADEs), … CareFirst is a Medicare
Prescription Drug Plan (PDP) located in Medicare Region 5 in Maryland. … The TIP algorithms can
address drug safety, cost issues, and nonadherence. … For example,
we used drug claims data in 6-month periods to measure medication use.