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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/impact-nurse-led-rapid-response-system-adverse-major-adverse-events-and-activation-medical
December 17, 2010 - Study
The impact of a nurse led rapid response system on adverse, major adverse events … 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 … Author(s)
Literature review: do rapid response systems reduce the incidence of major adverse … Departments
Health Care Executives and Administrators
Nurse Care
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
June 10, 2013 - Review
Detecting adverse events in dermatologic surgery. … Detecting adverse events in dermatologic surgery. … This review identifies existing dermatologic surgery adverse event (AE) reporting mechanisms, found … Detecting adverse events in dermatologic surgery. … November 17, 2021
Cutaneous Procedures Adverse Events Reporting (CAPER).
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery. … Determinants of adverse events in vascular surgery. … who underwent vascular surgery from 2005–2009 and found that more than 5% experienced a postoperative adverse … The PSIs are best used to screen administrative data for potential adverse events, as in this study. … Determinants of adverse events in vascular surgery.
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric … Adverse Events in Hospitalized Pediatric Patients. … Adverse event rates did not significantly change at either teaching or nonteaching hospitals from 2007 … Adverse Events in Hospitalized Pediatric Patients. … July 3, 2016
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review. … Surgical adverse events: a systematic review. … systematic review estimates that approximately 1 in 20 surgical patients experiences a preventable adverse … Surgical adverse events: a systematic review. … reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse
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psnet.ahrq.gov/issue/classifying-adverse-events-dental-office
July 09, 2014 - Study
Classifying adverse events in the dental office. … Classifying Adverse Events in the Dental Office. … Pain and infection were the most common types of adverse events in the cases reviewed. … Classifying Adverse Events in the Dental Office. … October 28, 2020
The nature of adverse events in dentistry.
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psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
February 08, 2017 - Commentary
Adverse events in healthcare: learning from mistakes. … Adverse events in healthcare: learning from mistakes. … Adverse events in healthcare: learning from mistakes. … Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective … in adverse event rates in the Irish healthcare system.
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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/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/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/disparities-adverse-event-reporting-hospitalized-children
July 27, 2022 - Study
Disparities in adverse event reporting for hospitalized children. … Disparities in adverse event reporting for hospitalized children. … Disparities in adverse event reporting for hospitalized children. … May 18, 2022
Adverse event reporting priorities: an integrative review. … August 3, 2022
Monitoring preventable adverse events and near misses: number and type
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name? … The Impact of Adverse Events on Clinicians: What's in a Name? … This review examines the term "second victim" as a label for health professionals involved in adverse … The Impact of Adverse Events on Clinicians: What's in a Name? … Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study.
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … July 26, 2023
Anticoagulation-associated adverse drug events. … May 8, 2017
Detection of adverse drug events using an electronic trigger tool. … Drug Events
Computerized Adverse Event Detection
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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-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
January 09, 2019 - Book/Report
Classic
Adverse Events in Rehabilitation Hospitals … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … March 19, 2014
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues.
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psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
February 24, 2011 - Study
Classic
Adverse drug events in ambulatory care. … Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. … Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. … March 11, 2011
The incidence and severity of adverse events affecting patients after … Drug Events
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
February 10, 2011 - Study
Classic
Systems analysis of adverse drug events. … Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. … The authors report a "systems analysis" of the adverse drug events (ADEs) detected in their seminal … drug events and potential adverse drug events: implications for prevention. … January 5, 2017
The nature of adverse events in hospitalized patients.
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psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
February 06, 2008 - Study
Adverse drug events in pediatric outpatients. … Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. … The incidence of adverse drug events (ADEs) among children has been well characterized in hospital … Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. … Drug Events
Epidemiology of Errors and Adverse Events
View More
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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