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psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
September 25, 2024 - Study
Involving patients and/or their next of kin in serious adverse event investigations … Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study … Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study … event investigations in health care. … event.
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psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits
May 31, 2017 - Adverse events in patients with return emergency department visits. … event. … An adverse event was present in 12% of return visits that occurred within 72 hours of the initial visit … event reporting. … March 11, 2020
Creating an infrastructure for safety event reporting and analysis in
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psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
March 30, 2011 - event reports. … Inter-rater reliability of a classification system for hospital adverse drug event reports. … Inter-rater reliability of a classification system for hospital adverse drug event reports. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … January 9, 2014
Improvement of medication event interventions through use of an electronic
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psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study
December 03, 2008 - Study of Adverse Events' (IBEAS). … event? … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … April 28, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … in adverse event rates in the Irish healthcare system.
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psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
March 11, 2020 - Book/Report
Special Section: Event Analysis and Risk Management. … Citation Text:
Special Section: Event Analysis and Risk Management. Alemi F ed. … Adverse event analysis is core for organizational learning from poor performance. … Copy Citation
Related Resources From the Same Author(s)
Adverse events present … December 1, 2010
Adverse Events: Expecting too Much of Nurses and too Little of Nursing
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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - Sentinel Event Alerts
Preventing adverse events caused by emergency electrical power … Citation Text:
Preventing adverse events caused by emergency electrical power system failures. … Sentinel Event Alert. 2006;37(37):1-3. … Copy URL
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Citation Text:
Preventing adverse … Sentinel Event Alert. 2006;37(37):1-3.
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psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
September 29, 2017 - Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … September 29, 2017
Families as partners in hospital error and adverse event surveillance … Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants
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psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
September 14, 2022 - event reports from Dutch hospitals. … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event … This study analyzed more than 100 serious adverse event (SAE) reports in acute care using four investigation … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event … event reports.
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psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
October 08, 2014 - Study
Adverse drug event surveillance and drug withdrawals in the United States, … Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance … Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance … October 8, 2014
Quality assessment of spontaneous triggered adverse event reports received … July 10, 2008
Adverse drug events in ambulatory care.
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - Book/Report
Adverse Health Events in Minnesota: Annual Reports. … Citation Text:
Adverse Health Events in Minnesota: Annual Reports. … February 9, 2011
Integrating adverse event reporting into a free-text mobile application … used in daily workflow increases adverse event reporting by physicians. … February 28, 2015
Sentinel Event Program.
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psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
September 19, 2016 - Qualitative study about the experiences of colleagues of health professionals involved in an adverse … event. … Event. … Event. … event.
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … event surveillance system. … A trained clinical observer assessed triggers designed to indicate a possible adverse event in general … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … November 15, 2017
Study of a multisite prospective adverse event surveillance system.
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event … This notice calls for comments on a proposed government plan to research and promote adverse drug event … Drug Event Prevention. … Drug Event Prevention. … Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants
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psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - event rates. … event rates. … event rates. … event rates. … event outcomes and patient safety culture.
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psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
August 18, 2021 - Study
Intended and unintended effects of large-scale adverse event disclosure: a … Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … Those patients exposed to a large-scale adverse event during dental care were more likely to seek non-VA … Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … event disclosure support program generated through embedded research in the Veterans Health Administration
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psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
July 14, 2010 - Commentary
Disclosing adverse events: you said it, now write it. … Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55. … This article discusses how to properly document an adverse event . … November 18, 2016
Reflection on adverse event disclosure in the postsurgical hospital … June 16, 2010
Managing the adverse event occurring during elective, ambulatory pediatric
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psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - event rates in administrative data. … March 3, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … in adverse event rates in the Irish healthcare system. … March 31, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … in adverse event rates in the Irish healthcare system.
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psnet.ahrq.gov/issue/patient-perspectives-patient-provider-communication-after-adverse-events
March 28, 2011 - Patient perspectives of patient-provider communication after adverse events. … event. … effective communication helped patients deal with the emotional, financial, and physical trauma of the event … Drug Event Reporting System—MEADERS. … September 25, 2013
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - Study
Analysis of hospital-level readmission rates and variation in adverse events … event data , researchers found that patients admitted to hospitals with high all-cause readmission rates … were more likely to experience an adverse event during their admission. … August 25, 2021
Trends in adverse event rates in hospitalized patients, 2010-2019. … Development and validation of a deep learning model for detection of allergic reactions using safety event
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psnet.ahrq.gov/issue/lessons-event-reports
January 16, 2025 - Multi-use Website
Lessons from Event Reports. … Citation Text:
Lessons from Event Reports. Patient Safety Authority. … This searchable collection of projects initiated in response to event reports supports the spread of … Copy URL
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Lessons from Event … December 12, 2023
Adverse Events.