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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/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/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/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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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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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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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/854990/psn-pdf
November 01, 2023 - Identifying contributing factors associated with dental
adverse events through a pragmatic electronic … Identifying contributing factors associated with dental adverse
events through a pragmatic electronic … https://psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through … -
pragmatic
Understanding factors that contribute to adverse events (AE) is key to preventing them … https://psnet.ahrq.gov/issue/classifying-adverse-events-dental-office
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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/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/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.
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psnet.ahrq.gov/node/50652/psn-pdf
January 01, 2020 - Preventable adverse drug events: descriptive
epidemiology. … Preventable adverse drug events: Descriptive epidemiology. … https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
This retrospective … Preventable adverse drug
events commonly involved anticoagulants, diuretics, insulin, and aspirin, and … /primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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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/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/46258/psn-pdf
January 01, 2021 - Development of a trigger tool to identify adverse drug
events in elderly patients with multimorbidity … Development of a Trigger Tool to Identify Adverse Drug
Events in Elderly Patients With Multimorbidity … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients- … multimorbidity
Adverse drug events in older patients are common. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
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psnet.ahrq.gov/node/60876/psn-pdf
September 02, 2020 - Serious adverse events in pediatric procedural sedation
before and after the implementation of a pre-sedation … Serious adverse events in pediatric procedural sedation before and after the
implementation of a pre-sedation … This retrospective study evaluated the impact of a pre-sedation checklist on serious adverse events … There were significantly
more serious adverse events recorded after the implementation of the checklist … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
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psnet.ahrq.gov/node/50552/psn-pdf
October 16, 2019 - Moral distress in intensive care unit personnel is not
consistently associated with adverse medication … events
and other adverse events
October 16, 2019
Dodek P, Norena M, Ayas N, et al. … Moral distress in intensive care unit personnel is not consistently
associated with adverse medication … events and other adverse events. … No consistent relationships between medication errors or adverse
events, or other adverse safety events
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psnet.ahrq.gov/node/73879/psn-pdf
September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events … Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events … Hospital adverse events are common and can contribute to serious patient harm. … Findings indicate that hospital adverse events have increased over time
and that over half are considered … https://psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
https://
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psnet.ahrq.gov/node/74270/psn-pdf
January 19, 2022 - Adverse events associated with patient isolation: a
systematic literature review and meta-analysis. … Adverse events associated with patient isolation: a systematic
literature review and meta-analysis. … https://psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and … This
systematic review examined adverse physical and psychosocial events associated with patient isolation … A
meta-analysis of seven observational studies showed no adverse events related to clinical care or
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psnet.ahrq.gov/node/50772/psn-pdf
January 08, 2020 - Integrating adverse event reporting into a free-text mobile
application used in daily workflow increases … adverse
event reporting by physicians. … Integrating Adverse Event Reporting Into a Free-Text Mobile
Application Used in Daily Workflow Increases … Adverse Event Reporting by Physicians. … https://psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily