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psnet.ahrq.gov/node/36848/psn-pdf
May 02, 2007 - Shelhigh, Inc. implantable medical devices.
May 2, 2007
Food and Drug Administration; FDA
https://psnet.ahrq.gov/issue/shelhigh-inc-implantable-medical-devices
This announcement alerts health care providers and consumers to potential contamination of medical
devices from one manufacturer.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/36317/psn-pdf
October 11, 2006 - Medication errors.
October 11, 2006
Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186.
https://psnet.ahrq.gov/issue/medication-errors
The author discusses causes of medication errors and drug safety and provides case examples of safe
medication practices from the Philippines.
https://psnet.ahrq.gov/issue/m…
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digital.ahrq.gov/principal-investigator/smith-kipman
January 01, 2023 - Smith, Kipman
Decreasing ADEs in Montana Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effective health IT solu…
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psnet.ahrq.gov/node/42044/psn-pdf
February 13, 2013 - Patient Safety.
February 13, 2013
Minnesota Hospital Association; MHA.
https://psnet.ahrq.gov/issue/patient-safety-10
This Web site provides access to materials for patient safety improvement efforts in Minnesota, including
initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-pci-bypass_addendum.pdf
February 01, 2010 - conduct and support research on the comparative
outcomes, clinical effectiveness, and appropriateness of pharmaceuticals
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c_surveillance.pdf
December 01, 2015 - While these conclusions
remain valid, the discontinuation of these drugs render them out of date. … http://www.fda.gov/downloads/drugs/drugsafety/drugshortages/ucm430818.pdf.
5.! … Retrieved 9/30/2015. http://www.fda.gov/Drugs/DrugSafety/ucm332731.htm
6.! Rowan, P. … World Journal of Hepatology, 7;19:2209-2213.
5
http://www.fda.gov/Drugs/DrugSafety/ucm332731.htm … http://www.fda.gov/downloads/drugs/drugsafety/drugshortages/ucm430818.pdf
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hepatitis-c_surveillance.pdf
December 01, 2015 - While these conclusions
remain valid, the discontinuation of these drugs render them out of date. … http://www.fda.gov/downloads/drugs/drugsafety/drugshortages/ucm430818.pdf.
5.! … Retrieved 9/30/2015. http://www.fda.gov/Drugs/DrugSafety/ucm332731.htm
6.! Rowan, P. … World Journal of Hepatology, 7;19:2209-2213.
5
http://www.fda.gov/Drugs/DrugSafety/ucm332731.htm … http://www.fda.gov/downloads/drugs/drugsafety/drugshortages/ucm430818.pdf
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psnet.ahrq.gov/node/35560/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-2
This monthly selection of medication error reports provides examples of problems with neuromuscular
blocking agents, confusion with drug names, and unclear labeling practices.
https:…
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psnet.ahrq.gov/node/36071/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6
This monthly selection of medication error reports provides examples of nimodipine administration
mishaps, a lithium overdose, and suggested adopted drug names for review.
https://ps…
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digital.ahrq.gov/organization/broadwater-health-center-inc
January 01, 2023 - Broadwater Health Center, Inc.
Decreasing ADEs in Montana Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effecti…
-
digital.ahrq.gov/location/usa-mt-townsend
January 01, 2023 - USA, MT, Townsend
Decreasing ADEs in Montana Frontier Critical Access Hospitals through HIT
Description
Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effective health IT …
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www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
January 01, 2024 - Final Progress Report: Developing Best Practices for Patient Safety
Developing Best Practices for Patient Safety
Laurence Baker, PI
Sara Singer, Co-PI
Jeff Geppert, Co-Investigator
Bruce Spurlock, Consultant
David Classen, Consultant
Stanford University Center for Health Policy
August 2000 - August 2004
Federal P…
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hcup-us.ahrq.gov/reports/methods/2011_04.pdf
January 01, 2011 - 1.0) included patients requiring
extensive diagnostic services such as imaging, laboratory testing, drugs … 1.0) included patients requiring
extensive diagnostic services such as imaging, laboratory testing, drugs … 0.3433 1.0303 ALLERGIC REACTIONS W/O MCC
917 54553 1.0695 1.1087 0.96458 POISONING & TOXIC EFFECTS OF DRUGS … W MCC
918 126648 0.4434 0.4467 0.9927 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC
919 16023 1.3351 … Poisoning by psychotropic agents
242 90541 0.65841 0.67472 0.97582 Poisoning by other medications and drugs
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effectivehealthcare.ahrq.gov/sites/default/files/data-points-6-tables1.pdf
January 01, 2009 - 1
Number of Beneficiaries With at Least One Part A, B, or D Drug Claim for a Biologic of Interest, Continuously Enrolled Medicare Parts A
and B Fee-for-Service (FFS) Population, by Class of Drug and Active Ingredient, 2006-2009
Note: An asterisk (*) signifies a small cell count (less than 11).
Persons per 10…
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psnet.ahrq.gov/node/37084/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15
This monthly selection of medication error reports discusses product name confusion, an unsafe process
for outdated drug replacement, and smart pump dose administration problems.
ht…
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psnet.ahrq.gov/node/39158/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR; Smetzer JL.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
This monthly selection of error reports discusses incidents involving incomplete administration of a two-part
pediatric vaccine and drug name confusion.
https://psnet.ah…
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digital.ahrq.gov/principal-investigator/oehlers-randi
January 01, 2023 - Oehlers, Randi
Bar Coding for Patient Safety in Northern Michigan
Description
Implemented a bar-coding application to an existing integrated health IT network that alerts providers to potential drug interactions and allergic reactions, tracks "near misses," and provides a perm…
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digital.ahrq.gov/organization/munson-medical-center
January 01, 2023 - Munson Medical Center
Bar Coding for Patient Safety in Northern Michigan
Description
Implemented a bar-coding application to an existing integrated health IT network that alerts providers to potential drug interactions and allergic reactions, tracks "near misses," and provides…
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psnet.ahrq.gov/node/38703/psn-pdf
June 10, 2009 - Reduce medication errors through following metrics.
June 10, 2009
Drug Formulary Review. June 1, 2009.
https://psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
This news piece discusses how using measurement tools in the pharmacy setting could help reduce
medication errors.
https://psnet.a…
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psnet.ahrq.gov/node/35768/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3
This monthly selection of medication error reports provides examples of problems with drug name
confusion and misspellings, oral medication misadministration, and dispensing dose disc…