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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical … https://psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients … Results indicate that 16% of patients experienced at least one nurse-sensitive adverse
event during … Extrapolated nationally, the authors estimate the economic
burden of nurse-sensitive adverse events
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psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized … A systematic review of methods for medical record
analysis to detect adverse events in hospitalized … https://psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events- … MRR reveals more adverse events than
other methods; however, research is still lacking or is of moderate … /issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
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psnet.ahrq.gov/node/851063/psn-pdf
June 28, 2023 - Emotional responses and support needs of healthcare
professionals after adverse or traumatic experiences … Emotional responses and support needs of healthcare professionals after
adverse or traumatic experiences … Healthcare providers may experience emotional distress after involvement in an adverse or traumatic … events as well as the types of support needed after involvement in an adverse event. … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists … Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system- … chiropractors-and
Voluntary adverse event reporting among chiropractors is an ongoing challenge. … physiotherapist office visits between October 2015 and December 2017, 21% reported
experiencing an adverse
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psnet.ahrq.gov/node/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant … Communication matters when it comes to adverse events: associations
of adverse events during implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse- … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
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psnet.ahrq.gov/node/74754/psn-pdf
February 09, 2022 - Adverse events during intrahospital transport of critically
ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill
patients: A systematic review and meta-analysis … The authors conducted a systematic review and meta-analysis of all types of
adverse events, critical … or life-threatening adverse events, and death occurring during intra-hospital
transport. … adverse events and death are low.
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psnet.ahrq.gov/node/866863/psn-pdf
October 02, 2024 - The nature of adverse events in dentistry.
October 2, 2024
Tokede B, Yansane A, Walji MF, et al. … The nature of adverse events in dentistry. … https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry
Patient safety in dentistry is relatively … Among 5,033
patients, 1.4% had experienced an adverse event, most of which were mild or moderate and … https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - become a widely used way to retrospectively analyze medical
records in order to identify errors and adverse … Triggers alert patient safety personnel to
possible adverse events so they can review the medical record … to determine if an actual or potential
adverse event has occurred. … The main value of triggers is efficiency, since a complete review of every
medical record to find adverse … There was no expectation that most cases would turn out to be adverse events.
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psnet.ahrq.gov/node/867690/psn-pdf
March 05, 2025 - Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective … Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective … https://psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four … -
retrospective
Longitudinal trends in adverse events (AEs) can provide insights into incidence, preventability … four studies that included 19-20 hospitals were
analyzed to estimate the occurrence of diagnostic adverse
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psnet.ahrq.gov/node/45992/psn-pdf
January 01, 2020 - Barriers and facilitators of adverse event reporting by
adolescent patients and their families. … Barriers and Facilitators of Adverse Event Reporting by
Adolescent Patients and Their Families. … -
families
Prior studies have demonstrated that patients and families can report adverse events that … This qualitative study explored perceptions of adolescent patients and their
parents about adverse event … Positive perceptions of care led to participants being more willing to
report an adverse event; whereas
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psnet.ahrq.gov/node/47265/psn-pdf
February 22, 2019 - Introduction of a mobile adverse event reporting system
is associated with participation in adverse … Introduction of a Mobile Adverse Event Reporting System Is
Associated With Participation in Adverse … -
adverse-event
Physicians historically are low utilizers of voluntary error reporting systems. … https://psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event … https://psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
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psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and … Insulin pump-associated adverse events: a qualitative descriptive
study of clinical consequences and … https://psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical … -
consequences
Insulin pump malfunctions are a known contributor to adverse events. … This study used six months of
adverse events reported to the Food and Drug Administration's (FDA) Manufacturer
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psnet.ahrq.gov/node/852444/psn-pdf
August 16, 2023 - Comparing rates of adverse events detected in incident
reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting
and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … This systematic
review examined the difference in adverse events detected using the Global Trigger Tool … In 12 of the 14 included studies, less than 10% of adverse
events detected using the Global Trigger
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psnet.ahrq.gov/node/73399/psn-pdf
June 16, 2021 - Examining causes and prevention strategies of adverse
events in deceased hospital patients: a retrospective … Examining causes and prevention strategies of adverse events in
deceased hospital patients: a retrospective … This study used trained reviewers to examine root causes of adverse events in 571 deceased hospital … Preventable adverse events were commonly caused by technical,
organizational, and human causes; technical … causes also commonly contributed to preventable deaths
from adverse events.
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digital.ahrq.gov/principal-investigator/nanji-karen-c
January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Patient harm in cataract surgery: A series of adverse events in Massachusetts.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017045-lazarus-final-report-2011.pdf
January 01, 2011 - Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS)
Grant Final … Adverse events from drugs and vaccines are common, but underreported. … Although 25% of
ambulatory patients experience an adverse drug event, less than 0.3% of all adverse … Likewise, fewer than 1% of vaccine adverse events are reported. … New
surveillance methods for drug and vaccine adverse effects are needed.
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psnet.ahrq.gov/node/47815/psn-pdf
January 01, 2021 - The relationship between culture of safety and rate of
adverse events in long-term care facilities. … The Relationship Between Culture of Safety and Rate of Adverse
Events in Long-Term Care Facilities. … https://psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care … -
facilities
Prior research on the relationship between culture of safety and adverse events has produced … researchers found an
association between improved safety culture scores and a decreased risk of certain adverse
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psnet.ahrq.gov/node/45969/psn-pdf
January 07, 2019 - Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA)
study. … Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … Health care providers who experience psychological harm associated with adverse events are often
referred … This survey of surgeons found that the majority who could recall an
intraoperative adverse event experienced … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
https
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digital.ahrq.gov/sites/default/files/docs/activity/electronic_support_for_public_health___vaccine_adverse_event_reporting_system_2010_pdf__2.pdf
January 01, 2010 - Electronic Support for Public Health -- Vaccine Adverse Event Reporting System
3 | ElEctronic Support … for public HEaltH–VaccinE adVErSE
EVEnt rEporting SyStEm
Electronic Support for Public Health–Vaccine … Adverse
Event Reporting System
Principal Investigator: Lazarus, Ross, M.B.B.S., M.P.H., M.Med., … vaccine event detection and reporting to the National Vaccine Adverse Event Reporting System
(VAERS … When a possible adverse
event is detected, it is recorded and the appropriate clinician is notified
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psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - Adverse events in long-term care residents transitioning
from hospital back to nursing home. … Adverse Events in Long-term Care Residents Transitioning From
Hospital Back to Nursing Home. … Investigators found that adverse
events occurred after approximately half of discharges. … Common adverse events included falls, pressure
ulcers, health care–associated infections, and adverse … Most adverse events were deemed
preventable or ameliorable.