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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45180/psn-pdf
    May 05, 2017 - Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. … Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. … https://psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient- … This study proposes adverse event–free admissions as a potential measure of safety, defining the term … as any hospitalization in which the patient does not experience a preventable adverse event.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46191/psn-pdf
    July 19, 2017 - Performance of a trigger tool for identifying adverse events in oncology. … Performance of a Trigger Tool for Identifying Adverse Events in Oncology. … https://psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology Trigger tools … are an increasingly important method to detect adverse events. … A trigger is a finding identified through structured data that signals a potential adverse event that
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36366/psn-pdf
    April 11, 2011 - Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused … Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused … https://psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings … - nicu-focused Triggers, clinical signals that may indicate adverse events (AEs), have been used to … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44544/psn-pdf
    October 07, 2015 - Systematic review on the prevalence, frequency and comparative value of adverse events data in social … Systematic review on the prevalence, frequency and comparative value of adverse events data in social … social media sites (e.g., Twitter, YouTube, and discussion forums) and found that a large number of adverse … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue … /national-surveillance-emergency-department-visits-outpatient-adverse-drug-events https://psnet.ahrq.gov
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37484/psn-pdf
    April 01, 2010 - Using patient safety indicators to estimate the impact of potential adverse events on outcomes. … Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. … https://psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events … https://psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes … https://psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital … Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital … https://psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software- … Investigators discovered no difference in readmissions, emergency department visits, or adverse events … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49840/psn-pdf
    September 01, 2018 - Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. … Case Objectives List the common adverse effects of corticosteroids. … Nonetheless, such treatments come at a significant risk of adverse effects. … events beyond expected potential adverse effects. … Language proficiency and adverse events in US hospitals: a pilot study.
  8. psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
    October 29, 2008 - October 29, 2008 Adverse Events Toolkit: Medical Record Review Methodology. … July 26, 2023 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July … 19, 2023 Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare … February 15, 2017 Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 11, 2015 Adverse Events in Skilled Nursing Facilities: National Incidence Among
  9. psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
    November 11, 2015 - November 11, 2015 Using prospective clinical surveillance to identify adverse events … April 22, 2011 Adverse events among emergency department patients with cardiovascular … March 10, 2021 Adverse events following an emergency department visit. … December 21, 2014 A systematic review to evaluate the accuracy of electronic adverse … care setting: a secondary data analysis of two Canadian adverse event studies.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34712/psn-pdf
    February 18, 2011 - Incidence of adverse events and negligence in hospitalized patients. … Incidence of Adverse Events and Negligence in Hospitalized Patients. … https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results- … The authors found that adverse events occurred in 3.7% of hospitalizations; 27% of these were due to … more than 20,000 of these adverse events involving negligence.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45308/psn-pdf
    September 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event … Measurement of patient safety: a systematic review of the reliability and validity of adverse event … https://psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse … This systematic review examined record review as a way to identify adverse events. … The authors recommend formal validation of record review as a method to detect adverse events.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45852/psn-pdf
    July 05, 2017 - E-prescribing and adverse drug events: an observational study of the Medicare Part D population with … E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With … https://psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d … - population-diabetes Hypoglycemia is a common and severe adverse drug event among patients with diabetes … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40543/psn-pdf
    March 23, 2012 - Can we rely on patients' reports of adverse events? … Can we rely on patients' reports of adverse events? … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events Traditional methods of error … patients recently discharged from Massachusetts hospitals found that patients could identify unique adverse … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events https://psnet.ahrq.gov/primer
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. … The costs of adverse drug events in community hospitals. … https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs … ) are a leading cause of adverse events and a significant financial burden in the hospital setting. … /costs-adverse-drug-events-hospitalized-patients https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and … The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and … https://psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units … The authors estimate that these adverse events led to more than 1300 excess hospital days per year, … and they advocate for more resources for adverse event prevention in order to reduce costs as well as
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47187/psn-pdf
    September 05, 2018 - Supporting clinicians after adverse events: development of a clinician peer support program. … Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. … https://psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support … Peer support has been shown to benefit second victims, especially if initiated promptly after an adverse … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42249/psn-pdf
    May 08, 2013 - Is detection of adverse events affected by record review methodology? … Is detection of adverse events affected by record review methodology? … https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation- … https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical … https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47634/psn-pdf
    January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. … Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. … - beneficiaries Frail populations cared for in long-term care facilities are at high risk for adverse … the Inspector General (OIG) analyzed Medicare data from 2008 to 2016 to determine the prevalence of adverse … Nearly half of patients experienced adverse events or temporary harm events.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39438/psn-pdf
    March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. … Time to listen: a review of methods to solicit patient reports of adverse events. … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events Identification … of adverse events relies primarily on well-tested methods such as voluntary error reporting by providers … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events https:
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41557/psn-pdf
    August 01, 2012 - Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care … Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care … https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events … - among-primary Adverse drug events (ADEs) are difficult to capture, particularly in the ambulatory … /issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary

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