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psnet.ahrq.gov/node/45382/psn-pdf
January 23, 2017 - The impact of major intraoperative adverse events on
hospital readmissions. … The impact of major intraoperative adverse events on hospital
readmissions. … https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
Hospital … https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
https:/ … /psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
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psnet.ahrq.gov/node/35069/psn-pdf
June 22, 2009 - Towards an organization with a memory: exploring the
organizational generation of adverse events in … Towards an organization with a memory: exploring the organizational generation of
adverse events in … https://psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse- … events-health-care
The authors examine the organizational factors that lead to adverse events as identified … https://psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
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psnet.ahrq.gov/node/43250/psn-pdf
December 01, 2016 - Adverse drug event–related emergency department visits
associated with complex chronic conditions. … Adverse drug event-related emergency department visits associated
with complex chronic conditions. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex … Psychotropic medications were the most common cause of adverse drug events in this
vulnerable population … https://psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
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psnet.ahrq.gov/node/39819/psn-pdf
April 04, 2011 - Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients … Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients … https://psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time … reliability between internal and external reviewers using the IHI Global trigger
tool to identify adverse … -2nd-edition
https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
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psnet.ahrq.gov/node/41432/psn-pdf
October 19, 2012 - Adverse events are common on the intensive care unit:
results from a structured record review. … Adverse events are common on the intensive care unit: results from a
structured record review. … https://psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record- … at a
Swedish hospital and found that nearly 1 in 5 patients suffered an adverse event, half of which … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
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psnet.ahrq.gov/node/40678/psn-pdf
December 01, 2011 - Prevalence of adverse events in the hospitals of five Latin
American countries: results of the 'Iberoamerican … Study
of Adverse Events' (IBEAS). … Prevalence of adverse events in the hospitals
of five Latin American countries: results of the 'Iberoamerican … Study of Adverse Events' (IBEAS). … https://psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results
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psnet.ahrq.gov/node/46526/psn-pdf
December 22, 2018 - Risk factors for adverse events in emergency department
procedural sedation for children. … Risk Factors for Adverse Events in Emergency Department
Procedural Sedation for Children. … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-
children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - The incidence of adverse events and medical error in pediatrics. … Incidence of adverse events and negligence in hospitalized
patients. … Incidence and types of adverse events and negligent care
in Utah and Colorado. … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. … Adverse drug events in hospitalized
patients.
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psnet.ahrq.gov/node/37586/psn-pdf
March 05, 2008 - National surveillance of emergency department visits for
outpatient adverse drug events in children … National surveillance of emergency department visits for
outpatient adverse drug events in children … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug … Similar studies in the ambulatory setting also indicate a significant burden from adverse drug
events … https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
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psnet.ahrq.gov/node/41775/psn-pdf
December 18, 2014 - Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool. … Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool. … https://psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger … Healthcare Improvement's (IHI) Global Trigger Tool is a well-established sampling method
for measuring adverse … Paul Sharek
discusses trigger tools and other approaches for measuring adverse event rates in an AHRQ
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events. … Medication event huddles: a tool for reducing adverse drug events. … https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
Retrospective … analysis of adverse events is traditionally performed using tools such as root cause analysis. … /primer/root-cause-analysis
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https
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psnet.ahrq.gov/node/44609/psn-pdf
June 21, 2016 - The missing evidence: a systematic review of patients'
experiences of adverse events in health care. … The missing evidence: a systematic review of patients' experiences
of adverse events in health care. … https://psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events- … This systematic review identified studies of
patient experiences with adverse events. … Included studies demonstrate that the types of adverse events
patients most often identify are medication
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psnet.ahrq.gov/node/41209/psn-pdf
March 24, 2012 - Assessment of adverse events in medical care: lack of
consistency between experienced teams using the … Assessment of adverse events in medical care: lack of
consistency between experienced teams using the … This study found that the Global Trigger Tool had poor inter-rater reliability for both detecting adverse … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
https://psnet.ahrq.gov … /issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
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psnet.ahrq.gov/node/36427/psn-pdf
December 22, 2010 - Adverse events detected by clinical surveillance on an
obstetric service. … Adverse events detected by clinical surveillance on an obstetric
service. … https://psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
This study … used a trained observer to monitor obstetric patients for potential adverse events. … , a number of potential adverse events raised questions about system problems.
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psnet.ahrq.gov/node/43721/psn-pdf
December 03, 2014 - Predicting potential postdischarge adverse drug events
and 30-day unplanned hospital readmissions from … Predicting potential postdischarge adverse drug events and
30-day unplanned hospital readmissions from … https://psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-
unplanned-hospital … In this study, complex medication regimens were associated with much higher rates of post-discharge
adverse … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/42761/psn-pdf
November 27, 2013 - Assessing adverse events among home care clients in
three Canadian provinces using chart review. … Assessing adverse events among home care clients in three Canadian
provinces using chart review. … Adverse events are thought to be common in patients receiving home health care, but few high-quality … This prospective cohort study found that 1 in 10 home care patients
experienced an adverse event each … https://psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
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psnet.ahrq.gov/node/34813/psn-pdf
July 10, 2008 - Hospital admissions due to adverse drug reactions: a
report from the Boston Collaborative Drug Surveillance … Hospital admissions due to adverse drug reactions. … https://psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative … -
drug-surveillance
Given the concern for the impact of adverse drug reactions on hospital morbidity … uncommon, adverse drug reactions as a category represent a
major source of hospitalizations.
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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: … Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: … https://psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety … -
hospitals
Comparing adverse event reports from patients who died in the hospital versus patients … discharged alive,
this chart review study found that preventable adverse events were more likely among
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psnet.ahrq.gov/node/36364/psn-pdf
February 14, 2017 - National surveillance of emergency department visits for
outpatient adverse drug events. … National surveillance of emergency department visits for
outpatient adverse drug events. … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug … of
63 hospitals that provide data on emergency department (ED) visits for injuries, poisonings, and adverse … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
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psnet.ahrq.gov/node/42566/psn-pdf
September 11, 2013 - Using a patient internet portal to prevent adverse drug
events: a randomized, controlled trial. … Using a Patient Internet Portal to Prevent Adverse Drug Events. … In the outpatient setting, patients frequently experience adverse events between clinician visits, … sought to evaluate a novel method of
engaging patients in safety in order to identify and prevent adverse … psnet.ahrq.gov/primer/ambulatory-care-safety
https://psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban