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psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
August 01, 2014 - Legislation/Regulation
Communication and Resolution After an Adverse Health Care … Citation Text:
Communication and Resolution After an Adverse Health Care Incident. … Communication-and-resolution mechanisms are seen as important approaches to improving transparency and healing after an adverse … Cite
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Communication and Resolution After an Adverse
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psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
June 25, 2008 - Commentary
Reducing adverse events in blood transfusion. … Reducing adverse events in blood transfusion. … Reducing adverse events in blood transfusion. … RIS
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Adverse … July 1, 2009
Adverse outcomes of blood transfusion in children: analysis of UK reports
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psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
October 27, 2010 - Study
Otolaryngologists' responses to errors and adverse events. … Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. … Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. … May 6, 2009
Errors and adverse events in otolaryngology. … March 21, 2017
Disclosing adverse events to patients: international norms and trends.
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - Commentary
Eliminating perioperative adverse events at Ascension Health. … Eliminating perioperative adverse events at Ascension Health. … Eliminating perioperative adverse events at Ascension Health. … December 21, 2014
Prospective validation of classification of intraoperative adverse
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psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
January 15, 2020 - Commentary
Learning from adverse events and near misses. … Learning from adverse events and near misses. … Learning from adverse events and near misses.
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psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
December 17, 2010 - Study
The impact of a nurse led rapid response system on adverse, major adverse events … The impact of a nurse led rapid response system on adverse, major adverse events and activation of the … The impact of a nurse led rapid response system on adverse, major adverse events and activation of the … Author(s)
Literature review: do rapid response systems reduce the incidence of major adverse … Departments
Health Care Executives and Administrators
Nurse Care
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
January 18, 2011 - Commentary
Best-practice protocols: preventing adverse drug events. … Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. … Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. … August 11, 2021
Costs of intravenous adverse drug events in academic and nonacademic … May 5, 2021
Predictors of serious opioid-related adverse drug events in hospitalized
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes
Citation Text:
Bohringer C. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. … Fortunately, there were no lingering adverse effects and the patient was discharged home. … An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet].
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psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
July 26, 2023 - Tools/Toolkit
Adverse Events Toolkit: Clinical Guidance for Identifying Harm … Citation Text:
Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. … February 15, 2017
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … August 9, 2017
National Action Plan for Adverse Drug Event Prevention.
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psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
August 30, 2023 - Study
Adverse events and near miss reporting in the NHS. … Adverse events and near miss reporting in the NHS. … Adverse events and near miss reporting in the NHS. … July 13, 2022
Analysis and prioritization of near-miss adverse events in a radiology
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events
Albert W. … Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. … Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. … Removing Insult from Injury: Disclosing Adverse Events [video]. … Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet].
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psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
August 08, 2012 - Book/Report
How-to Guide: Prevent Obstetrical Adverse Events. … Citation Text:
How-to Guide: Prevent Obstetrical Adverse Events. … Cite
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How-to Guide: Prevent Obstetrical Adverse … November 2, 2016
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events
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psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
November 07, 2012 - Audiovisual
Removing Insult from Injury: Disclosing Adverse Events. … Citation Text:
Removing Insult from Injury: Disclosing Adverse Events. … Cite
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Removing Insult from Injury: Disclosing Adverse
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psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences
May 30, 2018 - Review
Reducing adverse obstetrical outcomes through safety sciences. … Citation Text:
Reducing adverse obstetrical outcomes through safety sciences. Ennen CS, Satin AJ. … Copy URL
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Reducing adverse … mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse … Delivery
Safety Scientists
Obstetrics
Medical Complications
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/adverse-events-root-causes-and-latent-factors
June 21, 2017 - Commentary
Adverse events: root causes and latent factors. … Adverse events: root causes and latent factors. … Adverse events: root causes and latent factors. … 2025
To err is system: a comparison of methodologies for the investigation of adverse
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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.
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psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
September 23, 2020 - Commentary
Surgical complications: disclosing adverse events and medical errors. … Surgical complications: disclosing adverse events and medical errors. … Surgical complications: disclosing adverse events and medical errors. … February 13, 2014
National surveillance of emergency department visits for outpatient adverse
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psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
October 06, 2021 - Commentary
Level IV evidence—adverse anecdote and clinical practice. … Level IV evidence--adverse anecdote and clinical practice. … Level IV evidence--adverse anecdote and clinical practice. … February 7, 2024
Adverse diagnostic events in hospitalised patients: a single-centre, … February 1, 2012
Effect of digital tools to promote hospital quality and safety on adverse
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psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
May 03, 2023 - Study
Adverse patient safety events during the COVID epidemic. … Adverse patient safety events during the COVID epidemic. … Adverse patient safety events during the COVID epidemic. … December 11, 2024
Anesthesia adverse events voluntarily reported in the Veterans Health … October 24, 2018
Review of reported adverse events occurring among the homeless veteran
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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