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www.cpsi.ahrq.gov/cpi/about/nac/naa-snac.html
February 01, 2024 - Centers for Disease Control and Prevention, the Centers for Medicare & Medicaid Systems, and the Food and Drug
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - A blood
thinner is a kind of drug called an
anticoagulant (an-te-ko-AG-u-lent).
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www.cpsi.ahrq.gov/coronavirus/data-analytics.html
August 01, 2023 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - initial IOM goal
for some injury sources (for example, Brigham & Women’s Hospital in Boston
for adverse drug … systems), to successful interventions that addressed specific, single injury sources
(e.g., adverse drug
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www.cpsi.ahrq.gov/nhguide/about/index.html
March 01, 2023 - Overexposure to antibiotics allows drug-resistant strains of bacteria and health care-associated infections
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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-worksheet-mw.pdf
May 19, 2016 - POINT-OF-CARE
CLINICAL
DECISION
SUPPORT*
Reminder to order aspirin/antiplatelet drug for pts with
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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=3
March 25, 2024 - Population health
(76)
Pregnancy and childbirth including preterm birth*
(51)
Prescription drug … usage
(71)
Pulmonary disease/asthma*
(84)
Substance abuse (alcohol and drug abuse)*
(64)
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events . … Literature
A retrospective cohort study of the 2018 angiotensin receptor blocker recalls and subsequent drug
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/index.html?page=1
April 18, 2023 - Blog: A Boost for Health Services Research
June 14, 2022
AHRQ and National Institute on Drug
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www.cpsi.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - tools will also help to identify patient behaviors that may be putting patients at risk for an adverse drug
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Evaluation, Centers for Disease Control and
Prevention, Centers for Medicare & Medicaid Services, Food and Drug … Patient Safety
Mortality
Prevalence
Cost
Findings on Patient Safety
Improving Trend: Adverse Drug … Events With Heparin and Factor Xa
Improving Trend: Inpatient Adverse Drug Events With Anticoagulants
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Racial and ethnic disparities in opioid access and urine drug screening among older patients with poor-prognosis
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www.cpsi.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - anticoagulants have been shown to be associated
with as many as 10 percent of preventable adverse drug … medication regimen
reports and determining concordance is similar to the few published studies of
drug … of chronic diseases,52 the challenge of managing
multiple medications, and the incidence of adverse drug … Incidence
and preventability of adverse drug events among older
persons in the ambulatory setting. … Adverse drug
events in ambulatory care. NEJM 2003 348(16):1556–
64.
19.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - hospitalizations as “common;” examples include falls,
venous thromboembolism (VTE), potential adverse drug … into two main sections: PSPs aimed at a specific (single)
patient safety target, such as adverse drug … Practices Designed for a Specific Patient Safety Target
Adverse Drug Events
High-alert drugs: patient … Moderate
Low Low-to-
moderate
Low Little/Moderate
Use of clinical pharmacists to prevent
adverse drug … • Multicomponent interventions to reduce falls
• Use of clinical pharmacists to reduce adverse drug
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www.cpsi.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse drug … , and Baseline Projections Made in 2011 on the Additional Inpatient Mortality per HAC
Adverse Drug … Met
Projected Reductions in Deaths Associated With HACs in 2014 if 2014 Goal Met
Adverse Drug
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www.cpsi.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.