-
psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - The use of trigger methodology to detect medical errors, including adverse drug events, has been widely … Trained reviewers retrospectively reviewed all charts where a trigger was found for evidence of an adverse … The trigger tool identified a much higher rate of adverse drug events than found previously in pediatric … August 13, 2014
Adverse events in the neonatal intensive care unit: development, testing … October 30, 2010
The impact of electronic medical records data sources on an adverse
-
psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children
August 14, 2018 - Racial and ethnic minorities experience more adverse events , including adverse drug events and hospital-acquired … Latino children experienced nearly twice the rate of adverse events when compared with white children … Publicly insured children also had a higher adverse event rate. … September 18, 2024
Families as partners in hospital error and adverse event surveillance … January 17, 2019
Adverse events in hospitalized pediatric patients.
-
psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
July 03, 2014 - Study
Epidemiology of adverse events in air medical transport. … Epidemiology of adverse events in air medical transport. … Epidemiology of adverse events in air medical transport. … August 15, 2012
Preventable adverse drug events causing hospitalisation: identifying … February 24, 2021
Preventable adverse drug events: descriptive epidemiology.
-
psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
April 11, 2011 - Study
Preventable adverse events in infants hospitalized with bronchiolitis. … Preventable adverse events in infants hospitalized with bronchiolitis. … Preventable adverse events in infants hospitalized with bronchiolitis. … November 16, 2022
Families as partners in hospital error and adverse event surveillance … April 17, 2013
Adverse drug events in a paediatric intensive care unit: a prospective
-
psnet.ahrq.gov/issue/drug-related-hospital-admissions
September 07, 2016 - The findings suggest that approximately 5% of all admissions are attributable to adverse drug reactions … Additional results presented include the type of adverse effects, admissions resulting from noncompliance … June 22, 2009
Predicting and preventing adverse drug reactions in the very old. … June 22, 2009
Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. … February 27, 2009
Concealed renal insufficiency and adverse drug reactions in elderly
-
psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … Citation
Related Resources From the Same Author(s)
Apologies following an adverse … November 2, 2022
Medicines management, medication errors and adverse medication events
-
psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - Commentary
Adverse outpatient drug events—a problem and an opportunity. … Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9. … Adverse outpatient drug events--a problem and an opportunity. … From the Same Author(s)
Field test results of a new ambulatory care Medication Error and Adverse
-
psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … October 31, 2012
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009
Adverse Events in Hospitals: Overview of Key Issues. … January 14, 2009
Adverse Events in Hospitals: State Reporting Systems.
-
psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011
August 03, 2016 - heart failure, translating to an estimated 81,000 in-hospital adverse events averted in 2010–2011. … August 3, 2016
Analysis of hospital-level readmission rates and variation in adverse … June 22, 2022
Trends in adverse event rates in hospitalized patients, 2010-2019. … April 5, 2016
Hospital COVID-19 burden and adverse event rates. … November 27, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event
-
psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
March 05, 2008 - This study sought to characterize the frequency and causes of adverse drug events leading to emergency … The study likely underestimates the true incidence of adverse drug events in children, as most cases … March 24, 2021
US emergency department visits for outpatient adverse drug events, 2013 … December 18, 2014
Emergency department visits for antibiotic-associated adverse events … March 28, 2012
Emergency hospitalizations for adverse drug events in older Americans.
-
psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
March 11, 2011 - The anticoagulant warfarin is considered a high-risk medication, as it is a common cause of adverse … March 11, 2011
Incidence and preventability of adverse drug events among older persons … February 23, 2011
Dementia and risk of adverse warfarin-related events in the nursing … February 11, 2009
Adverse drug events after hospital discharge in older adults: types … Drug Events
Anticoagulants
Epidemiology of Errors and Adverse Events
View More
-
psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
October 31, 2014 - July 20, 2011
National Action Plan for Adverse Drug Event Prevention. … June 18, 2013
Adverse Events Toolkit: Medical Record Review Methodology. … August 15, 2012
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues.
-
psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
March 06, 2013 - Newspaper/Magazine Article
JCAHO views medication reconciliation as adverse-event … JCAHO views medication reconciliation as adverse-event prevention. … JCAHO views medication reconciliation as adverse-event prevention. … September 25, 2013
Medication reconciliation for reducing drug-discrepancy adverse events … More About The Topic
Hospitals
Physicians
Pharmacists
Medication Errors/Preventable Adverse
-
psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
January 05, 2017 - Study
Classic
Adverse drug event trigger tool: a practical … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … July 21, 2009
Performance characteristics of a methodology to quantify adverse events … Drug Events
Computerized Adverse Event Detection
-
psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse
December 22, 2010 - Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse … Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse … September 11, 2009
Using prospective clinical surveillance to identify adverse events … August 25, 2011
Adverse events following an emergency department visit. … care setting: a secondary data analysis of two Canadian adverse event studies.
-
psnet.ahrq.gov/issue/clarifying-adverse-drug-events-clinicians-guide-terminology-documentation-and-reporting
February 03, 2011 - Study
Clarifying adverse drug events: a clinician's guide to terminology, documentation … Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. … Clarifying adverse drug events: a clinician's guide to terminology, documentation, and reporting. … December 23, 2011
Risk factors for adverse drug events: a 10-year analysis. … Drug Reactions
Medication Errors/Preventable Adverse Drug Events
Error Reporting
-
psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
July 16, 2009 - Commentary
Best practices in medication administration: preventing adverse drug events … Best practices in medication administration: preventing adverse drug events in perinatal settings. … Best practices in medication administration: preventing adverse drug events in perinatal settings. … July 16, 2009
Prevalence, nature, severity and preventability of adverse drug events … August 24, 2022
Frequency and nature of medication errors and adverse drug events in
-
psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
December 18, 2017 - Review
Patients' views of adverse events in primary and ambulatory care: a systematic … review to assess methods and the content of what patients consider to be adverse events. … Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods … and the content of what patients consider to be adverse events. … and the content of what patients consider to be adverse events.
-
psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - Book/Report
Adverse Health Care Events Reporting System: What Have We Learned? … Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned? St. … used in daily workflow increases adverse event reporting by physicians. … December 6, 2017
Serious Adverse Events Reports. … October 3, 2017
Consumer Guide to Adverse Health Events.
-
psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Adverse Events, Near Misses, and Errors
December 15, 2024
Adverse Events, Near Misses, and Errors. … Examples of nonpreventable adverse events and preventable adverse events from the
Harvard Medical Practice … A final subcategory of adverse event is the ameliorable adverse event, a term first coined in a study … of
postdischarge of adverse events. … Important
subcategories of adverse events include:
Preventable adverse events: those that occurred