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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47265/psn-pdf
    February 22, 2019 - Introduction of a mobile adverse event reporting system is associated with participation in adverse … Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse … - adverse-event Physicians historically are low utilizers of voluntary error reporting systems. … https://psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event … https://psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854990/psn-pdf
    November 01, 2023 - Identifying contributing factors associated with dental adverse events through a pragmatic electronic … Identifying contributing factors associated with dental adverse events through a pragmatic electronic … https://psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through … - pragmatic Understanding factors that contribute to adverse events (AE) is key to preventing them … https://psnet.ahrq.gov/issue/classifying-adverse-events-dental-office
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851063/psn-pdf
    June 28, 2023 - Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences … Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences … Healthcare providers may experience emotional distress after involvement in an adverse or traumatic … events as well as the types of support needed after involvement in an adverse event. … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47815/psn-pdf
    January 01, 2021 - The relationship between culture of safety and rate of adverse events in long-term care facilities. … The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. … https://psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care … - facilities Prior research on the relationship between culture of safety and adverse events has produced … researchers found an association between improved safety culture scores and a decreased risk of certain adverse
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48130/psn-pdf
    August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. … Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. … Investigators found that adverse events occurred after approximately half of discharges. … Common adverse events included falls, pressure ulcers, health care–associated infections, and adverse … Most adverse events were deemed preventable or ameliorable.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50652/psn-pdf
    January 01, 2020 - Preventable adverse drug events: descriptive epidemiology. … Preventable adverse drug events: Descriptive epidemiology. … https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology This retrospective … Preventable adverse drug events commonly involved anticoagulants, diuretics, insulin, and aspirin, and … /primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852444/psn-pdf
    August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … This systematic review examined the difference in adverse events detected using the Global Trigger Tool … In 12 of the 14 included studies, less than 10% of adverse events detected using the Global Trigger
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851914/psn-pdf
    August 02, 2023 - Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and … Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and … https://psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical … - consequences Insulin pump malfunctions are a known contributor to adverse events. … This study used six months of adverse events reported to the Food and Drug Administration's (FDA) Manufacturer
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46258/psn-pdf
    January 01, 2021 - Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity … Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients- … multimorbidity Adverse drug events in older patients are common. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60876/psn-pdf
    September 02, 2020 - Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation … Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation … This retrospective study evaluated the impact of a pre-sedation checklist on serious adverse events … There were significantly more serious adverse events recorded after the implementation of the checklist … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50552/psn-pdf
    October 16, 2019 - Moral distress in intensive care unit personnel is not consistently associated with adverse medication … events and other adverse events October 16, 2019 Dodek P, Norena M, Ayas N, et al. … Moral distress in intensive care unit personnel is not consistently associated with adverse medication … events and other adverse events. … No consistent relationships between medication errors or adverse events, or other adverse safety events
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events … Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events … Hospital adverse events are common and can contribute to serious patient harm. … Findings indicate that hospital adverse events have increased over time and that over half are considered … https://psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review https://
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74270/psn-pdf
    January 19, 2022 - Adverse events associated with patient isolation: a systematic literature review and meta-analysis. … Adverse events associated with patient isolation: a systematic literature review and meta-analysis. … https://psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and … This systematic review examined adverse physical and psychosocial events associated with patient isolation … A meta-analysis of seven observational studies showed no adverse events related to clinical care or
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50772/psn-pdf
    January 08, 2020 - Integrating adverse event reporting into a free-text mobile application used in daily workflow increases … adverse event reporting by physicians. … Integrating Adverse Event Reporting Into a Free-Text Mobile Application Used in Daily Workflow Increases … Adverse Event Reporting by Physicians. … https://psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73688/psn-pdf
    September 08, 2021 - Effect of medication reconciliation on patient reported potential adverse events after hospital discharge … Effect of medication reconciliation on patient reported potential adverse events after hospital discharge … https://psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events … prospective study explored the effect of medication reconciliation on patient-reported, potential adverse … events, it did reduce the number of potential adverse events.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836961/psn-pdf
    April 20, 2022 - Coping and recovery in surgical residents after adverse events: the second victim phenomenon. … Coping and recovery in surgical residents after adverse events: the second victim phenomenon. … https://psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim … - phenomenon Some clinicians experience profound emotional distress following an adverse event, known … ://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https:/
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47844/psn-pdf
    March 06, 2019 - Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist … Screening for Adverse Drug Events: a Randomized Trial of Automated Calls Coupled with Phone-Based Pharmacist … https://psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled- … of an automated phone call with the option of transfer to a live pharmacist on detecting potential adverse … https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846439/psn-pdf
    March 22, 2023 - Which adverse events and which drugs are implicated in drug-related hospital admissions? … Which adverse events and which drugs are implicated in drug-related hospital admissions? … https://psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital … - admissions Adverse drug events (ADE) can result in patient harm, hospital admissions, and, in severe … https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73137/psn-pdf
    April 14, 2021 - Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit This study … sought to determine the rate of pediatric emergency department (ED) visits due to adverse drug events … /primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50868/psn-pdf
    February 05, 2020 - Adverse medication events related to hospitalization in the United States: a comparison between adults … Adverse Medication Events Related to Hospitalization in the United States: A Comparison Between Adults … https://psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison … Using data from a nationally representative database, the authors compared hospitalizations due to adverse … that adults with IDD were at a significantly greater risk of having a hospital admission due to an adverse

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