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psnet.ahrq.gov/node/38551/psn-pdf
April 15, 2009 - Harm caused by adverse events in primary care: a clinical
observational study. … Harm caused by adverse events in primary care: a clinical
observational study. … https://psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
This … https://psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
https … ://psnet.ahrq.gov//#adverseevent
https://psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
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psnet.ahrq.gov/node/39424/psn-pdf
September 09, 2010 - Postdischarge adverse events for 1-day hospital
admissions in older adults admitted from the emergency … Postdischarge adverse events for 1-day hospital admissions in
older adults admitted from the emergency … https://psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-
admitted-emergency … Adverse events after discharge were common in this study of patients who were discharged within 24 … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
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psnet.ahrq.gov/node/37258/psn-pdf
March 23, 2011 - French national survey of inpatient adverse events
prospectively assessed with ward staff. … French national survey of inpatient adverse events prospectively
assessed with ward staff. … https://psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward … employed an observational technique with
expert input in estimating that 120,000-190,000 preventable adverse … https://psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-staff
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psnet.ahrq.gov/node/42893/psn-pdf
March 13, 2014 - Effect of patient safety strategies on the incidence of
adverse events. … Effect of patient safety strategies on the incidence of
adverse events. … https://psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
This study found … that adverse event rates in a Spanish hospital increased following the introduction of
various patient … /issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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psnet.ahrq.gov/node/35244/psn-pdf
December 17, 2008 - Representative case series from public hospital
admissions 1998 II: surgical adverse events. … Representative case series from public hospital admissions 1998 II:
surgical adverse events. … https://psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-
adverse-events … The authors analyzed surgical adverse events to assess the occurrence, cause, patient impact, and … https://psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical-adverse-events
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psnet.ahrq.gov/node/38853/psn-pdf
January 04, 2010 - Introduction of discharge plan to reduce adverse events
within 72 hours of discharge from the ICU. … Introduction of discharge plan to reduce adverse events within 72
hours of discharge from the ICU. … https://psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge … -
icu
A structured discharge plan was associated with a reduction in preventable adverse events (but … an
increase in overall adverse events) in patients who had been recently discharged from the intensive
-
psnet.ahrq.gov/node/37408/psn-pdf
March 23, 2011 - Surgical adverse outcomes and patients’ evaluation of
quality of care: inherent risk or reduced quality … Surgical adverse outcomes and patients' evaluation of
quality of care: inherent risk or reduced quality … https://psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk … -
or-reduced
This study found that patients who experienced adverse events after discharge rated their … However, adverse events during hospitalization were not associated with negative impressions
of the
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psnet.ahrq.gov/node/46224/psn-pdf
July 12, 2017 - Systematic approaches to adverse events in obstetrics,
Part 1 & Part 2. … Systematic approaches to adverse events in obstetrics, Part I: Event identification and
classification … https://psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
Adverse events … The second article discusses
how to respond to adverse events, such as root cause analysis, error disclosure … https://psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/35117/psn-pdf
June 22, 2009 - Adverse events associated with procedural sedation and
analgesia in a pediatric emergency department … Adverse events associated with procedural sedation and analgesia
in a pediatric emergency department … https://psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric- … pediatric patients receiving parenteral procedural sedation and
analgesia to determine the likelihood of adverse … They conclude that all patients receiving these
drugs are at risk for adverse events.
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psnet.ahrq.gov/node/36717/psn-pdf
July 26, 2011 - Design of a retrospective patient record study on the
occurrence of adverse events among patients in … Design of a retrospective patient record study on the occurrence
of adverse events among patients in … https://psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among … -
patients-dutch
The researchers applied the Harvard study methodology to study the occurrence of adverse … https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
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psnet.ahrq.gov/node/46790/psn-pdf
March 14, 2018 - When clinicians drop out and start over after adverse
events. … When Clinicians Drop Out and Start Over after Adverse Events. … https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-after-adverse-events
Clinicians … who experience emotional distress after adverse events or medical errors are referred to as
second … Researchers surveyed health care providers whose career choices were impacted by
involvement in an adverse
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psnet.ahrq.gov/node/34960/psn-pdf
June 22, 2009 - Making hospital care safer and better: the structure-
process connection leading to adverse events. … Making hospital care safer and better: the structure-process connection leading to
adverse events. … //psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-
adverse-events … The authors propose a model for identifying factors that contribute to adverse events in hospital care … perceived understaffing,
inadequate support services, and poor teamwork impacted the incidence of adverse
-
psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - Adverse events in patients with return emergency
department visits. … Adverse events in patients with return emergency department visits. … https://psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits
This observational … An adverse event was present in 12% of
return visits that occurred within 72 hours of the initial visit … The authors suggest that this utilization pattern
may be a promising trigger tool to identify adverse
-
psnet.ahrq.gov/node/40296/psn-pdf
October 01, 2014 - Applying trigger tools to detect adverse events
associated with outpatient surgery. … Applying trigger tools to detect adverse events associated with
outpatient surgery. … https://psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery … This study demonstrated the utility of trigger tools to detect adverse events related to outpatient … https://psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
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psnet.ahrq.gov/node/45820/psn-pdf
March 15, 2017 - Development of a pediatric adverse events terminology. … Development of a Pediatric Adverse Events Terminology. … This commentary
describes the development of a terminology specific to adverse events in children for … https://psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
https://psnet.ahrq.gov/ … jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
https://psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
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psnet.ahrq.gov/node/34065/psn-pdf
February 09, 2011 - Incidence and preventability of adverse drug events
among older persons in the ambulatory setting. … Incidence and Preventability of Adverse Drug Events Among Older
Persons in the Ambulatory Setting. … This study analyzed more than 1500 adverse drug events and discovered that nearly 28% were
preventable … The overall rate of adverse drug events approached 50 per 1000 person-years
with the most serious events … https://psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
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psnet.ahrq.gov/node/36291/psn-pdf
October 25, 2010 - Medicare payment for selected adverse events: building
the business case for investing in patient safety … Medicare payment for selected adverse events: building the business
case for investing in patient safety … https://psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing … This economic analysis used
administrative data to identify adverse events during hospitalizations, … The analysis revealed that adverse events account for a small but significant proportion of
overall
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psnet.ahrq.gov/node/34792/psn-pdf
January 01, 2011 - Physician knowledge, attitudes, and behavior related to
reporting adverse drug events. … Physician Knowledge, Attitudes, and Behavior Related to Reporting
Adverse Drug Events. … https://psnet.ahrq.gov/issue/physician-knowledge-attitudes-and-behavior-related-reporting-adverse-drug … of 3000 randomly chosen physicians aimed to assess their knowledge and understanding of
reporting adverse … The authors conclude that better methods of reporting adverse drug events must include a
combination
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psnet.ahrq.gov/node/36346/psn-pdf
April 11, 2011 - Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the … Incidence and nature of adverse events during pediatric
sedation/anesthesia for procedures outside the … https://psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia- … voluntarily submitted data on more than 30,000 encounters and found that the overall risk of serious
adverse … However, adverse events
with the potential for harm (near misses), such as unanticipated need for bag-mask
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psnet.ahrq.gov/node/41284/psn-pdf
May 04, 2012 - Determinants of adverse events in vascular surgery. … Determinants of adverse events in vascular
surgery. … https://psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
Vascular surgery is considered … The PSIs are best used to screen administrative data for potential
adverse events, as in this study. … https://psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
https://psnet.ahrq.gov/issue