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psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
February 15, 2011 - Study
Residents report on adverse events and their causes. … Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. … This survey demonstrated that more than half of residents reported patients experiencing adverse events … The most frequent adverse events involved procedures and medication administrations, while predictors … Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13.
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psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
November 02, 2010 - Moral distress in intensive care unit personnel is not consistently associated with adverse … medication events and other adverse events
Citation Text:
Dodek P, Norena M, Ayas N, et … events and other adverse events. … No consistent relationships between medication errors or adverse events, or other adverse safety events … events and other adverse events.
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psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
December 03, 2008 - : results of the 'Iberoamerican Study of Adverse Events' (IBEAS). … Study of Adverse Events' (IBEAS). … Study of Adverse Events' (IBEAS). … in adverse event rates in the Irish healthcare system. … of adverse events in Irish hospitals—a retrospective record review study.
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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/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - Book/Report
Adverse Events Toolkit: Medical Record Review Methodology. … Citation Text:
Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. … This report discusses the review process used in the 2018 report Adverse Events in Hospitals: A Quarter … February 15, 2017
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
July 26, 2023 - Study
Adverse drug events in hospitalized cardiac patients. … Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. … This study noted two adverse drug events (ADEs) per 100 patient admissions in hospitalized cardiac patients … Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. … July 26, 2023
Anticoagulation-associated adverse drug events.
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psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
July 23, 2014 - Review
Prevention of adverse drug events in hospitals. … Citation Text:
Prevention of adverse drug events in hospitals. Zhu J, Weingart SN. UpToDate. … Unsafe medication systems in hospitals can lead to adverse drug events (ADEs). … December 14, 2007
Comparing patient-reported hospital adverse events with medical record … March 13, 2024
Reducing adverse obstetrical outcomes through safety sciences.
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events
Citation Text: … Second Victims: Support for Clinicians Involved in Errors and Adverse Events. … of all clinicians will be involved in a serious adverse event at least once during their career. … when a clinician is involved in any error or adverse event, regardless of severity. … August 9, 2017
Care of the clinician after an adverse event.
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psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
November 20, 2024 - Book/Report
Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. … Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. … In-hospital adverse events provide a window into the state of patient safety . … The analysis showed that in 2022, 6.2% of Medicare patients experienced at least one adverse event … Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022.
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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.
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psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
November 16, 2022 - Study
Quantifying and characterizing adverse events in dermatologic surgery. … Quantifying and characterizing adverse events in dermatologic surgery. … Quantifying and characterizing adverse events in dermatologic surgery. … September 23, 2020
Detecting adverse events in dermatologic surgery. … February 10, 2012
Detecting adverse events in dermatologic surgery.
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psnet.ahrq.gov/issue/introduction-trigger-tools-identifying-adverse-events
January 08, 2020 - Multi-use Website
Introduction to Trigger Tools for Identifying Adverse Events. … Citation Text:
Introduction to Trigger Tools for Identifying Adverse Events. … various trigger tools available from the Institute for Healthcare Improvement to use in identifying adverse … Cite
Citation
Citation Text:
Introduction to Trigger Tools for Identifying Adverse … August 9, 2011
IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition.
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psnet.ahrq.gov/issue/effect-hospitalist-discontinuity-adverse-events
August 25, 2011 - Study
The effect of hospitalist discontinuity on adverse events. … The effect of hospitalist discontinuity on adverse events. … , this study found that transfers of care between hospitalists did not appear to be associated with adverse … The effect of hospitalist discontinuity on adverse events. … August 21, 2013
Families as partners in hospital error and adverse event surveillance
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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/detecting-adverse-drug-events-through-data-mining
February 17, 2009 - Commentary
Detecting adverse drug events through data mining. … Detecting adverse drug events through data mining. … This article discusses using automated algorithms to analyze medical records and uncover adverse drug … Detecting adverse drug events through data mining. … and Safety Professionals
Information Professionals
Pharmacy
Medication Errors/Preventable Adverse
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psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
April 22, 2011 - Study
Adverse events following an emergency department visit. … Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. … The investigators interviewed patients 2 weeks after emergency department discharge to identify adverse … They found that most adverse events were preventable. … Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22.
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004
April 27, 2011 - Book/Report
Adverse Drug Events in US Hospitals, 2004. … Citation Text:
Adverse Drug Events in US Hospitals, 2004. Elixhauser A, Owens P. … including information on adverse effects and drug misadministration. … October 18, 2011
Medication-Related Adverse Outcomes in U.S. … Drug Events
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
November 12, 2014 - Study
Hospital staff should use more than one method to detect adverse events and … potential adverse events: incident reporting, pharmacist surveillance and local real-time record review … Hospital staff should use more than one method to detect adverse events and potential adverse events: … revealed several adverse drug events (ADEs) that were not detected by the other methods. … Hospital staff should use more than one method to detect adverse events and potential adverse events:
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psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
November 29, 2023 - Study
Agreement of expert judgment in causality assessment of adverse drug reactions … Agreement of expert judgment in causality assessment of adverse drug reactions. … Agreement of expert judgment in causality assessment of adverse drug reactions. … June 22, 2009
Comparison of three methods for estimating rates of adverse events and … rates of preventable adverse events in acute care hospitals.
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psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
May 20, 2020 - Study
The burden and risk factors for adverse drug events in older patients--a prospective … The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional … The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional … adverse drug events, and quality of life in older patients: an observational study. … August 12, 2020
Preventable adverse drug events: descriptive epidemiology.