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White Paper: Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption
TLDR
This paper summarizes the College Symposium discussions on PHR systems and provides definitions, system characteristics, technical architectures, benefits, barriers to adoption, and strategies for increasing adoption.
Acute kidney injury, mortality, length of stay, and costs in hospitalized patients.
TLDR
Modest changes in SCr were significantly associated with mortality, LOS, and costs, even after adjustment for age, gender, admission International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis, severity of illness (diagnosis-related group weight), and chronic kidney disease.
The Costs of Adverse Drug Events in Hospitalized Patients
TLDR
The substantial costs of ADEs to hospitals justify investment in efforts to prevent these events, and estimates of annual costs attributable to all ADEs and preventable ADEs for a 700-bed teaching hospital are $5.6 million and $2.8 million are conservative because they do not include the costs of injuries to patients or malpractice costs.
Incidence and preventability of adverse drug events among older persons in the ambulatory setting.
TLDR
Adverse drug events are common and often preventable among older persons in the ambulatory clinical setting and prevention strategies should target the prescribing and monitoring stages of pharmaceutical care.
The Incidence and Severity of Adverse Events Affecting Patients after Discharge from the Hospital
TLDR
The incidence and severity of adverse events affecting patients after discharge from the hospital to home were determined and two board-certified internists independently reviewed to determine whether medical management caused an injury and, if so, whether it was preventable or ameliorable.
Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.
TLDR
The presence of a pharmacist on rounds as a full member of the patient care team in a medical ICU was associated with a substantially lower rate of ADEs caused by prescribing errors.
The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care*
TLDR
Adverse events and serious errors involving critically ill patients were common and often potentially life-threatening, and failure to carry out intended treatment correctly was the leading category.
Medication errors and adverse drug events in pediatric inpatients.
TLDR
Medication errors are common in pediatric inpatient settings, and further efforts are needed to reduce them.
Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.
TLDR
While quality improvement initiatives have decreased HAI incidence and costs, much more remains to be done, as hospitals realize savings from prevention of these complications under payment reforms, they may be more likely to invest in such strategies.
Relationship between medication errors and adverse drug events
TLDR
Medication errors are common, although relatively few result in ADEs, however, those that do are preventable, many through physician computer order entry.
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