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psnet.ahrq.gov/node/60251/psn-pdf
April 22, 2020 - Exploring the association between organizational culture
and large-scale adverse events: evidence from … Exploring the Association Between Organizational Culture and
Large-Scale Adverse Events: Evidence from … https://psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse … organizational culture at the Department of
Veterans Affairs (VA) were associated with large-scale adverse … an inverse
association between a supportive organizational culture and the incidence of large-scale adverse
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psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care … The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care … https://psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse- … events-part-care
When an error or adverse event occurs, patients and families want to be informed. … In this study of oncology
patients, more than one quarter perceived an adverse event had occurred.
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psnet.ahrq.gov/node/48156/psn-pdf
January 01, 2020 - Study of a multisite prospective adverse event
surveillance system. … Study of a multisite prospective adverse event surveillance system. … study used a trigger tool approach to identify potential adverse events among hospitalized
patients … These results underscore the challenge of accurate adverse event surveillance. … /primer/adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/primer/detection-safety-hazards
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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia … Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia … https://psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events- … Medicare patients with pneumonia discharged between
July 2010 and December 2019 and linked to Medicare adverse … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - Transforming the medication regimen review process
using telemedicine to prevent adverse events. … Transforming the medication regimen review process using
telemedicine to prevent adverse events. … Medication reconciliation and medication regimen reviews can reduce adverse drug events (ADEs) in older … Residents in the program experienced fewer
adverse drug events compared to a usual care group. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
https://
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psnet.ahrq.gov/node/48186/psn-pdf
August 28, 2019 - Inappropriate prescribing defined by STOPP and START
criteria and its association with adverse drug … Inappropriate prescribing defined by STOPP and START criteria and its
association with adverse drug … psnet.ahrq.gov/issue/inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-
adverse-drug … hospitals, researchers used the STOPP
and START criteria to identify inappropriate prescribing and adverse … The use of
inappropriate medications was associated with an increased odds of an adverse drug event.
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psnet.ahrq.gov/node/843056/psn-pdf
January 25, 2023 - Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and … Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and … https://psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care- … detection methods, such as trigger tools, are widely used to uncover the incidence and
characteristics of adverse … https://psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
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psnet.ahrq.gov/node/72816/psn-pdf
March 10, 2021 - Adverse events among emergency department patients
with cardiovascular conditions: a multicenter study … Adverse events among emergency department patients with
cardiovascular conditions: a multicenter study … Prior research has found that some patients may be at risk for adverse events after discharge from … This cohort study analyzed adverse events occurring among patients
discharged from the ED with cardiovascular … https://psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits
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psnet.ahrq.gov/node/45993/psn-pdf
January 01, 2021 - 30-day potentially avoidable readmissions due to adverse
drug events. … , 2017
Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse … https://psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
Adverse … Nearly half of the adverse drug events were due to inappropriate
prescribing, and the remainder were … https://psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
https:
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psnet.ahrq.gov/node/837891/psn-pdf
August 24, 2022 - Emergency department adverse events detected using
the emergency department trigger tool. … Emergency department adverse events detected using the
emergency department trigger tool. … Trigger tools are a novel method of detecting adverse events. … This article describes the location, severity,
omission/commission, and type of adverse events retrospectively … Understanding the characteristics of prior adverse events
can guide future quality and safety improvement
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psnet.ahrq.gov/node/72774/psn-pdf
February 24, 2021 - Preventable adverse drug events causing hospitalisation:
identifying root causes and developing a surveillance … Preventable adverse drug events causing hospitalisation:
identifying root causes and developing a surveillance … https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root … -
causes-and
Adverse drug events – many of which are preventable – are a major source of patient harm … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/60026/psn-pdf
March 11, 2020 - Adverse events present on arrival to the emergency
department: the ED as a dual safety net. … Adverse Events Present on Arrival to the Emergency Department:
The ED as a Dual Safety Net. … https://psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net … Trigger tools are one approach to identifying adverse events. … The most comment POA adverse events were medication-related (55.6%).
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psnet.ahrq.gov/node/46914/psn-pdf
January 01, 2021 - Risk factors for adverse events in patients with breast,
colorectal, and lung cancer. … Risk Factors for Adverse Events in Patients With Breast,
Colorectal, and Lung Cancer. … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-patients-breast-colorectal-and-lung-cancer … This retrospective cohort study identified frequent treatment-related adverse events for patients with … breast,
colorectal, or lung cancer, with 34% of patients experiencing an adverse event during their
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psnet.ahrq.gov/node/60984/psn-pdf
October 07, 2020 - Prospective validation of classification of intraoperative
adverse events (ClassIntra): international … Prospective validation of classification of intraoperative adverse
events (ClassIntra): international … https://psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra … validity of a newly developed
classification system (ClassIntra v1.0) for assessing intraoperative adverse … https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
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psnet.ahrq.gov/node/47811/psn-pdf
March 13, 2019 - Using electronic health records to identify adverse drug
events in ambulatory care: a systematic review … Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory
Care: A Systematic Review … https://psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care … systematic review found that most studies use electronic health records as a data source to identify
adverse … The authors conclude that the potential for
electronic health records to facilitate detection of adverse
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psnet.ahrq.gov/node/74051/psn-pdf
January 01, 2022 - Pediatric transport safety collaborative: adverse events
with parental presence during pediatric critical … Pediatric transport safety collaborative: adverse events with parental
presence during pediatric critical … https://psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence … This retrospective study
compared adverse event rates between pediatric patient transport both with, … Adverse event rates were not significantly impacted by parental presence.
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psnet.ahrq.gov/node/46778/psn-pdf
April 12, 2019 - Trends in the prevalence of intraoperative adverse events
at two academic hospitals after implementation … Trends in the Prevalence of Intraoperative Adverse Events
at Two Academic Hospitals After Implementation … https://psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals- … Implementation of a mandatory reporting system for adverse events in anesthesia was
associated with … a decrease in the adverse event rate at two academic medical centers.
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psnet.ahrq.gov/node/836755/psn-pdf
March 16, 2022 - Adverse event and complication tracking in
anaesthesiology: dependence on self-reporting despite
implementation … Adverse event and complication tracking in anaesthesiology:
dependence on self-reporting despite implementation … https://psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self- … reporting-despite
Adverse event reporting and tracking are essential components to safety improvement … This letter to the
editor summarizes the barriers to accurate adverse event tracking in anesthesiology
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psnet.ahrq.gov/node/74135/psn-pdf
December 01, 2021 - Communication regarding adverse neonatal birth events:
experiences of parents and clinicians. … Communication regarding adverse neonatal birth events: experiences
of parents and clinicians. … https://psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents … -
and-clinicians
Effective communication between patients and providers – including after an adverse … qualitative study identified unique challenges experienced by parents and providers
when communicating about adverse
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psnet.ahrq.gov/node/841475/psn-pdf
January 01, 2023 - The second victim of unanticipated adverse events. … The second victim of unanticipated adverse events. … https://psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
“Second victims” are healthcare … providers and support staff involved in an unexpected adverse event and
experience continuing psychological … https://psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
https://psnet.ahrq.gov/primer