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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/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/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/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
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psnet.ahrq.gov/node/44000/psn-pdf
July 18, 2016 - Elucidating reasons for resident underutilization of
electronic adverse event reporting. … Elucidating Reasons for Resident Underutilization of Electronic Adverse
Event Reporting. … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event- … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
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psnet.ahrq.gov/node/43302/psn-pdf
August 21, 2014 - A medication-based trigger tool to identify adverse events
in pediatric anesthesiology. … A medication-based trigger tool to identify adverse events in pediatric
anesthesiology. … https://psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology … This commentary describes the development of a trigger tool initiative to detect and record adverse … https://psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
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psnet.ahrq.gov/node/40769/psn-pdf
March 21, 2012 - Identification of adverse events in ground transport
emergency medical services. … Identification of adverse events in ground transport emergency
medical services. … https://psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services … This study established a consensus definition and rating system for adverse events in emergency medical … https://psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
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psnet.ahrq.gov/node/38371/psn-pdf
January 28, 2009 - Continuous monitoring of adverse events: influence on
the quality of care and the incidence of errors … Continuous monitoring of adverse events: influence on the quality of care
and the incidence of errors … https://psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence … study used the methodology of the Harvard Medical Practice Study to establish a baseline incidence
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/37409/psn-pdf
March 28, 2012 - Extent, nature and consequences of adverse events:
results of a retrospective casenote review in a large … Extent, nature and consequences of adverse events: results of a
retrospective casenote review in a large … https://psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-
casenote-review-large-nhs … This retrospective study screened hospital admissions for specific triggers to identify adverse
events … Approximately 1 in 11 admissions had an adverse event, and 15% of these led to significant
disability
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psnet.ahrq.gov/node/40800/psn-pdf
December 09, 2014 - 'Tempos' management in primary care: a key factor for
classifying adverse events, and improving quality … 'Tempos' management in primary care: a key factor for classifying adverse events,
and improving quality … https://psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and … -
improving-quality
The systems approach to analyzing adverse events emphasizes how active errors ( … Adverse events in
ambulatory care may arise from an especially complex array of latent errors.
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psnet.ahrq.gov/node/41193/psn-pdf
August 02, 2012 - Medicaid, hospital financial stress, and the incidence of
adverse medical events for children. … Medicaid, hospital financial stress, and the incidence of adverse
medical events for children. … https://psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events- … children in hospitals with high reliance on Medicaid reimbursements are more likely to
experience an adverse … pediatric inpatients with Medicaid are more likely than privately
insured children to experience an adverse
-
psnet.ahrq.gov/node/43324/psn-pdf
July 23, 2014 - Incidence of adverse events in an integrated US
healthcare system: a retrospective observational study … Incidence of adverse events in an integrated US healthcare
system: a retrospective observational study … https://psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective- … observational-study
This analysis of surgical adverse event reports in an integrated health system … The authors suggest that tracking specific adverse event rates by
surgical type and patient characteristics
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psnet.ahrq.gov/node/40566/psn-pdf
June 29, 2011 - Comparison of computerized surveillance and manual
chart review for adverse events. … Comparison of computerized surveillance and manual chart review for
adverse events. … https://psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-
events … https://psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events … https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients
https:/
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psnet.ahrq.gov/node/38711/psn-pdf
September 02, 2009 - The relationship between computerized physician order
entry and pediatric adverse drug events: a nested … The relationship between computerized physician order entry and pediatric
adverse drug events: a nested … https://psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-
adverse-drug-events … that hospitals with computerized provider order entry (CPOE) systems had fewer
reported pediatric adverse … https://psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
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psnet.ahrq.gov/node/44923/psn-pdf
June 07, 2016 - Completeness of serious adverse drug event reports
received by the US Food and Drug Administration in … Completeness of serious adverse drug event reports received
by the US Food and Drug Administration in … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug … -
administration-2014
According to this study, many adverse drug event reports submitted by drug manufacturers … -2014
https://psnet.ahrq.gov/issue/adverse-drug-events
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psnet.ahrq.gov/node/43209/psn-pdf
December 15, 2014 - Adverse events in hospitalized paediatric patients: a
systematic review and a meta-regression analysis … Adverse events in hospitalized paediatric patients: a systematic
review and a meta-regression analysis … https://psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta … -
regression
This systematic review found that adverse events among hospitalized children are frequent … https://psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
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psnet.ahrq.gov/node/39639/psn-pdf
August 03, 2010 - Measuring hospital adverse events: assessing inter-rater
reliability and trigger performance of the … Measuring hospital adverse events: assessing inter-rater
reliability and trigger performance of the … https://psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger … developed by the
Institute for Healthcare Improvement) appeared to be a reliable method for identifying adverse … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44989/psn-pdf
July 01, 2016 - Can medical record reviewers reliably identify errors and
adverse events in the ED? … Can medical record reviewers reliably identify errors and adverse
events in the ED? … https://psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed … Classic studies of the epidemiology of adverse events in hospitalized patients have identified safety … good agreement between independent
clinical reviewers regarding the presence of errors and adverse
-
psnet.ahrq.gov/node/35598/psn-pdf
July 10, 2008 - Residents report on adverse events and their causes. … Residents report on adverse events and their causes. Arch Intern
Med. 2005;165(22):2607-13. … https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
This survey demonstrated … that more than half of residents reported patients experiencing adverse events
under their care, a … The most frequent adverse events involved
procedures and medication administrations, while predictors
-
psnet.ahrq.gov/node/44894/psn-pdf
March 16, 2016 - An observational study of adult admissions to a medical
ICU due to adverse drug events. … An observational study of adult admissions to a medical ICU due
to adverse drug events. … https://psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events … Examining adverse drug events that led to admission to the intensive care unit, this study found that … https://psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events