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psnet.ahrq.gov/node/38428/psn-pdf
February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence
Among Medicare Beneficiaries in Two Selected Counties … https://psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries … This report from the federal Office of the Inspector General (OIG) examines the adverse events in a … As outlined in a previous report, the OIG chose to evaluate the overall
incidence of adverse events, … , including non-preventable adverse events.
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psnet.ahrq.gov/node/37217/psn-pdf
December 15, 2011 - Costs of adverse events in intensive care units. … Costs of adverse events in intensive care units. Crit Care Med.
2007;35(11):2479-83. … https://psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
The cost of adverse events has … Services recently announced it will no longer reimburse hospitals for costs associated with certain
adverse … due to the
increased length of stay (1 full day) associated with an adverse event.
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psnet.ahrq.gov/node/43926/psn-pdf
April 22, 2015 - 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 … https://psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and- … https://psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical … https://psnet.ahrq.gov/issue/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
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psnet.ahrq.gov/node/46538/psn-pdf
February 21, 2018 - Adverse events in patients in home healthcare: a
retrospective record review using trigger tool
methodology … Adverse events in patients in home healthcare: a
retrospective record review using trigger tool methodology … https://psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using … They found that adverse events occurred frequently, were mostly preventable, and often led to
patient … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
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psnet.ahrq.gov/node/45036/psn-pdf
February 15, 2017 - Adverse Events in Rehabilitation Hospitals: National
Incidence Among Medicare Beneficiaries. … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare … This report used similar methodology based on trigger tools to determine adverse
event incidence among … Nearly
one-fourth of patients who had an adverse event required transfer to an acute care hospital for … A previous WebM&M commentary discussed an adverse event at a rehabilitation
facility.
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psnet.ahrq.gov/node/43254/psn-pdf
May 01, 2015 - Investigating the long-term consequences of adverse
medical events among older adults. … Investigating the long-term consequences of adverse medical events
among older adults. … https://psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older- … adults
Prior studies have shown that older adults are susceptible to adverse medical events both during … Patients who experienced an adverse medical event had much higher mortality rates, though it
should
-
psnet.ahrq.gov/node/42724/psn-pdf
December 06, 2013 - Adverse drug events after hospital discharge in older
adults: types, severity, and involvement of Beers … Adverse drug events after hospital discharge in older adults:
types, severity, and involvement of Beers … https://psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and … -
involvement
Clinical pharmacists retrospectively reviewed ambulatory records to identify adverse … As in prior studies, frequent adverse drug
events were found involving a wide range of medications,
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psnet.ahrq.gov/node/45969/psn-pdf
January 07, 2019 - Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA)
study. … Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … Health care providers who experience psychological harm associated with adverse events are often
referred … This survey of surgeons found that the majority who could recall an
intraoperative adverse event experienced … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - Copy Citation
Related Resources From the Same Author(s)
Adverse Events in … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … June 18, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - Root cause analysis of serious adverse events among
older patients in the Veterans Health Administration … Root cause analysis of serious adverse events among older patients in the
Veterans Health Administration … https://psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans … Inadequate communication was the most common root cause identified in adverse events, and
within this … category, poor communication among providers (such as handoffs) often resulted in adverse
events.
-
psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - Comparing patient-reported hospital adverse events with
medical record review: do patients know something … Comparing patient-reported hospital adverse events with
medical record review: do patients know something … https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do … -
patients-know
While many methods exist for detecting inpatient adverse events, ranging from medical … The concern that patients may not be able to differentiate between poor service quality and
adverse
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psnet.ahrq.gov/node/45714/psn-pdf
December 20, 2017 - US emergency department visits for outpatient adverse
drug events, 2013–2014. … US Emergency Department Visits for Outpatient Adverse Drug
Events, 2013-2014. … https://psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014 … Adverse drug events (ADEs) in outpatient settings can cause significant morbidity and mortality. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
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psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Adverse events during hospitalization: results of a patient
survey. … Adverse events during hospitalization: results of a patient
survey. … https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
This survey … One in four patients reported
experiencing an adverse event during hospitalization, and most of these … A growing body of literature shows that patient surveys are an important method of
detecting adverse
-
psnet.ahrq.gov/node/44541/psn-pdf
September 30, 2015 - The effect of universal glove and gown use on adverse
events in intensive care unit patients. … The Effect of Universal Glove and Gown Use on Adverse Events in
Intensive Care Unit Patients. … https://psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit- … Rates of adverse
events were similar in units with universal gown and glove precautions and those with … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
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psnet.ahrq.gov/node/43630/psn-pdf
April 15, 2016 - Evaluation of adverse drug events and medication
discrepancies in transitions of care between hospital … Evaluation of Adverse Drug Events and Medication Discrepancies in
Transitions of Care Between Hospital … https://psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions- … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer … /medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
-
psnet.ahrq.gov/node/44331/psn-pdf
September 09, 2015 - Temporal trends in patient safety in the Netherlands:
reductions in preventable adverse events or the … end of
adverse events as a useful metric? … Temporal trends in patient safety in the Netherlands: reductions in
preventable adverse events or the … end of adverse events as a useful metric? … https://psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse
-
psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse … Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from … National attention has focused on efforts to address adverse drug events. … for comments seeks
insights regarding revisions to a 2014 action plan that highlighted how to reduce adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/45468/psn-pdf
October 11, 2017 - Identification and characterization of adverse drug events
in primary care. … Identification and Characterization of Adverse Drug Events in
Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
Adverse … Less than 10% of patients
experienced an adverse drug event, which the authors conclude represents an … https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
-
psnet.ahrq.gov/node/44378/psn-pdf
August 05, 2015 - Advancing medication safety: establishing a National
Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for
Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue … /national-action-plan-adverse-drug-event-prevention
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psnet.ahrq.gov/node/46077/psn-pdf
September 06, 2017 - Patients' reports of adverse events: a data linkage study
of Australian adults aged 45 years and over … Patients' reports of adverse events: a data linkage study of
Australian adults aged 45 years and over … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged … -45-
years-and-over
This study elicited patients' reports of adverse events during hospitalization. … with prior studies, patients
contributed unique contextual data to adverse event reporting.