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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors
and Adverse Events
March 15, 2025
Second … Victims: Support for Clinicians Involved in Errors and Adverse Events. … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
PSNet … all clinicians will be involved in a serious adverse event at least once during their career. … when a clinician is involved in any error or adverse event,
regardless of severity.
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psnet.ahrq.gov/node/839314/psn-pdf
November 02, 2022 - Correlation between the number of patient-reported
adverse events, adverse drug events, and quality … Correlation between the number of patient-
reported adverse events, adverse drug events, and quality … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug- … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
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psnet.ahrq.gov/node/866526/psn-pdf
August 14, 2024 - Instruments and warning signs for identifying and
evaluating the frequency of adverse events in
intermediate … Instruments and warning signs for identifying and evaluating
the frequency of adverse events in intermediate … https://psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse … The authors found that most tools are designed to identify specific adverse events or
safety risks ( … Common adverse events impacting this
population include adverse drug events, delirium, malnutrition,
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psnet.ahrq.gov/node/859348/psn-pdf
December 20, 2023 - Are adverse events related to the completeness of clinical
records? … Are adverse events related to the completeness of clinical records? … Identifying, measuring and tracking adverse events is an important component of continuous safety … The researchers found that 16% of hospitalizations included at least one adverse
event, with the most … The researchers observed that completeness
of the clinical records correlated with fewer adverse events
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psnet.ahrq.gov/node/865970/psn-pdf
May 29, 2024 - A scoping review of the methodological approaches used
in retrospective chart reviews to validate adverse … A scoping review of the methodological approaches used in
retrospective chart reviews to validate adverse … psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-
validate-adverse … Administrative datasets offer an efficient method of identifying potential adverse events (AE) but … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
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psnet.ahrq.gov/node/866825/psn-pdf
September 25, 2024 - Adverse Events Among In-Hospital Medicare Patients in
2021 and 2022. … Adverse Events Among In-Hospital Medicare Patients In 2021 And
2022. … AHRQ Publication no. 24-0084
https://psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients … -2021-and-2022
In-hospital adverse events provide a window into the state of patient safety. … events since the peak of the COVID-19 pandemic, with a 13% to 15%
reduction in adverse events in 2022
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals. … Improving adverse drug event reporting by healthcare
professionals. … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
Adverse … psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events … https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
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psnet.ahrq.gov/node/72698/psn-pdf
February 03, 2021 - The Irish National Adverse Event Study-2 (INAES-2):
longitudinal trends in adverse event rates in the … The Irish National Adverse Event Study-2 (INAES-2): longitudinal
trends in adverse event rates in the … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - become a widely used way to retrospectively analyze medical
records in order to identify errors and adverse … Triggers alert patient safety personnel to
possible adverse events so they can review the medical record … to determine if an actual or potential
adverse event has occurred. … The main value of triggers is efficiency, since a complete review of every
medical record to find adverse … There was no expectation that most cases would turn out to be adverse events.
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists … Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system- … chiropractors-and
Voluntary adverse event reporting among chiropractors is an ongoing challenge. … physiotherapist office visits between October 2015 and December 2017, 21% reported
experiencing an adverse
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psnet.ahrq.gov/node/867690/psn-pdf
March 05, 2025 - Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective … Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective … https://psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four … -
retrospective
Longitudinal trends in adverse events (AEs) can provide insights into incidence, preventability … four studies that included 19-20 hospitals were
analyzed to estimate the occurrence of diagnostic adverse
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on … Monitoring preventable adverse events and near misses: number
and type identified differ depending on … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type- … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical … https://psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients … Results indicate that 16% of patients experienced at least one nurse-sensitive adverse
event during … Extrapolated nationally, the authors estimate the economic
burden of nurse-sensitive adverse events
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psnet.ahrq.gov/node/74694/psn-pdf
January 26, 2022 - Medical adverse events in the US 2018 mortality data.
January 26, 2022
Oura P. … Medical adverse events in the US 2018 mortality data. Prev Med Rep. 2021;24:101574. … https://psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
Accurate measurement of adverse … United States
compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to
an adverse event.
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psnet.ahrq.gov/node/866863/psn-pdf
October 02, 2024 - The nature of adverse events in dentistry.
October 2, 2024
Tokede B, Yansane A, Walji MF, et al. … The nature of adverse events in dentistry. … https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry
Patient safety in dentistry is relatively … Among 5,033
patients, 1.4% had experienced an adverse event, most of which were mild or moderate and … https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
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psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized … A systematic review of methods for medical record
analysis to detect adverse events in hospitalized … https://psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events- … MRR reveals more adverse events than
other methods; however, research is still lacking or is of moderate … /issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
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psnet.ahrq.gov/node/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant … Communication matters when it comes to adverse events: associations
of adverse events during implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse- … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
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psnet.ahrq.gov/node/45992/psn-pdf
January 01, 2020 - Barriers and facilitators of adverse event reporting by
adolescent patients and their families. … Barriers and Facilitators of Adverse Event Reporting by
Adolescent Patients and Their Families. … -
families
Prior studies have demonstrated that patients and families can report adverse events that … This qualitative study explored perceptions of adolescent patients and their
parents about adverse event … Positive perceptions of care led to participants being more willing to
report an adverse event; whereas
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psnet.ahrq.gov/node/74754/psn-pdf
February 09, 2022 - Adverse events during intrahospital transport of critically
ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill
patients: A systematic review and meta-analysis … The authors conducted a systematic review and meta-analysis of all types of
adverse events, critical … or life-threatening adverse events, and death occurring during intra-hospital
transport. … adverse events and death are low.
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psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Examining causes and prevention strategies of adverse
events in deceased hospital patients: a retrospective … Examining causes and prevention strategies of adverse events in
deceased hospital patients: a retrospective … This study used trained reviewers to examine root causes of adverse events in 571 deceased hospital … Preventable adverse events were commonly caused by technical,
organizational, and human causes; technical … causes also commonly contributed to preventable deaths
from adverse events.