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psnet.ahrq.gov/issue/adverse-drug-events-elderly
April 21, 2011 - Review
Adverse drug events in the elderly. … Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016. … The authors discuss drug-related adverse events in the elderly and provide practical suggestions for … Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016. … Drug Events
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
February 01, 2023 - Commentary
Reporting adverse events in a war zone. … Reporting adverse events in a war zone. BMJ. 2018;361:k2286. doi:10.1136/bmj.k2286. … unique circumstances health care teams face in conflict or disaster zones that can contribute to adverse … Reporting adverse events in a war zone. BMJ. 2018;361:k2286. doi:10.1136/bmj.k2286. … with participation in adverse event reporting.
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - Study
Surgeons' disclosures of clinical adverse events. … Surgeons' Disclosures of Clinical Adverse Events. … In this survey of 67 surgeons across 3 medical centers, most reported prompt disclosure of adverse events … Surgeons' Disclosures of Clinical Adverse Events. … July 13, 2009
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
February 12, 2020 - Commentary
The second victim of unanticipated adverse events. … The second victim of unanticipated adverse events. … “ Second victims ” are healthcare providers and support staff involved in an unexpected adverse … The second victim of unanticipated adverse events. … July 7, 2021
Correlation between the number of patient-reported adverse events, adverse
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psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
February 02, 2022 - Commentary
Is excessive resource utilization an adverse event? … Is Excessive Resource Utilization an Adverse Event? … commentary explores an incident involving medical overuse, discusses whether overuse should be assessed like adverse … Is Excessive Resource Utilization an Adverse Event? … Safety Problem
September 1, 2014
Families as partners in hospital error and adverse
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psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
August 31, 2011 - Study
Classic
Hospital workload and adverse events. … Hospital workload and adverse events. Med Care. 2007;45(5):448-55. … a hospital operating consistently near capacity had increased rates of adverse events. … At this site, they estimated that a 10% increase in occupancy led to a 15% increase in adverse events … Hospital workload and adverse events. Med Care. 2007;45(5):448-55.
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psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events
March 23, 2011 - Study
Comparison of three methods for estimating rates of adverse events and rates … of preventable adverse events in acute care hospitals. … Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events … Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events … October 26, 2010
Agreement of expert judgment in causality assessment of adverse drug
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - Organizational Policy/Guidelines
Disclosure of Adverse Events to Patients. … Citation Text:
Disclosure of Adverse Events to Patients. … Copy URL
Cite
Citation
Citation Text:
Disclosure of Adverse … May 8, 2019
ACOG Committee Opinion #681: disclosure and discussion of adverse events. … July 22, 2009
Risk Management Pearls on Disclosure of Adverse Events.
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors … Examples of nonpreventable adverse events and preventable adverse events from the Harvard Medical Practice … A final subcategory of adverse event is the ameliorable adverse event , a term first coined in a study … of postdischarge of adverse events. … Important subcategories of adverse events include: Preventable adverse events : those that occurred due
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Readmissions and Adverse Events After Discharge
Citation Text:
Readmissions and Adverse Events … Cite
Citation
Citation Text:
Readmissions and Adverse … A classic study found that nearly 20% of patients experience adverse events within 3 weeks of discharge … Adverse drug events are the most common postdischarge complication, with hospital-acquired infections … Preventing Adverse Events After Discharge Ensuring safe care transitions requires a systematic approach
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psnet.ahrq.gov/issue/disclosing-adverse-events-patients
September 23, 2020 - Commentary
Disclosing adverse events to patients. … Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12. … Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12. … August 28, 2019
Families as partners in hospital error and adverse event surveillance … November 18, 2016
Disclosure of Adverse Events to Patients.
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area. … Addressing postdischarge adverse events: a neglected area. … Addressing postdischarge adverse events: a neglected area. … November 13, 2024
Post-discharge adverse events among African American and Caucasian … May 13, 2015
The Research on Adverse Drug Events and Reports (RADAR) project.
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psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
October 27, 2010 - Review
Errors and adverse events in otolaryngology. … Errors and adverse events in otolaryngology. … Errors and adverse events in otolaryngology. … Resources From the Same Author(s)
A trigger tool fails to identify serious errors and adverse … October 27, 2010
Otolaryngologists' responses to errors and adverse events.
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psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
April 22, 2020 - Multi-use Website
Cutaneous Procedures Adverse Events Reporting (CAPER). … Citation Text:
Cutaneous Procedures Adverse Events Reporting (CAPER). … Voluntary reporting systems collect adverse event data to inform improvement and education efforts. … This site provides a platform for physicians and their staff to submit adverse experiences associated … October 4, 2011
Detecting adverse events in dermatologic surgery.
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psnet.ahrq.gov/issue/serious-adverse-events-reports
November 10, 2011 - Book/Report
Serious Adverse Events Reports. … Citation Text:
Serious Adverse Events Reports. The Quality Improvement Committee. … November 10, 2011
Disclosure of adverse events in pediatrics. … December 6, 2017
Adverse Health Care Events Reporting System: What Have We Learned? … January 14, 2015
Few Adverse Events in Hospitals Were Reported to State Adverse Event
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. … Adverse Event During Intrahospital Transport. PSNet [internet]. … Adverse Event During Intrahospital Transport. PSNet [internet]. … Adverse Event During Intrahospital Transport. PSNet [internet]. … December 8, 2021
The impact of a nurse led rapid response system on adverse, major adverse
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psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
August 26, 2020 - Commentary
Eliminating adverse drug events at Ascension Health. … Eliminating adverse drug events at Ascension Health. … The authors describe an initiative to reduce adverse drug events (ADEs) that realized success through … Eliminating adverse drug events at Ascension Health. … April 11, 2011
Computerized surveillance for adverse drug events in a pediatric hospital
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Study
Contribution of adverse events to death of hospitalised patients. … Contribution of adverse events to death of hospitalised patients. … Adverse events occurred in more than a quarter of patients who died in the hospital, a significantly … Contribution of adverse events to death of hospitalised patients. … August 7, 2019
Association of adverse effects of medical treatment with mortality in
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psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
March 10, 2021 - Review
Adverse event reporting priorities: an integrative review. … Adverse event reporting priorities: an integrative review. … Adverse event reporting is foundational to improving patient safety, but many events go unreported. … barriers ; improving perceptions of adverse event reporting within healthcare hierarchies; improving … Adverse event reporting priorities: an integrative review.
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance. … Adverse event rates as measures of hospital performance. … This study concluded that adverse event rates in themselves are a poor marker of hospital performance … Adverse event rates as measures of hospital performance. … September 9, 2020
Trends in adverse event rates in hospitalized patients, 2010-2019.