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psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
December 29, 2014 - event reporting in thoracic surgery. … Evaluation of an electronic health record structured discharge summary to provide real time adverse event … event reporting platform. … Evaluation of an electronic health record structured discharge summary to provide real time adverse event … event rates.
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psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
May 25, 2022 - event database to identify and categorize health information technology related events. … Toward safer health care: a review strategy of FDA medical device adverse event database to identify … Improved health information technology (IT) event databases are necessary to better understand safety … Toward safer health care: a review strategy of FDA medical device adverse event database to identify … Responding to health information technology reported safety events: insights from patient safety event
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psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts
August 18, 2021 - Ensuring sufficient patient notification efforts after a large-scale adverse event. … Ensuring sufficient patient notification efforts after a large-scale adverse event. … This article provides an analytic framework for healthcare organizations to consider in the event of … Ensuring sufficient patient notification efforts after a large-scale adverse event. … January 22, 2017
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric
November 23, 2016 - Study
Emergency medical services provider pediatric adverse event rate varies by … Emergency Medical Services Provider Pediatric Adverse Event Rate Varies by Call Origin. … This study found that rates of adverse events and near misses were higher when pediatric patients came … Emergency Medical Services Provider Pediatric Adverse Event Rate Varies by Call Origin. … March 22, 2017
Adverse drug event–related emergency department visits associated with
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psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
February 03, 2021 - Review
National and institutional trends in adverse events over time: a systematic … National and institutional trends in adverse events over time: a systematic review and meta-analysis … Findings from this systematic review demonstrate minimal reduction in overall risk of adverse event rates … The meta-analysis of included studies estimated one adverse event prevented for every 59 hospital admissions … Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.
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psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
June 08, 2022 - Study
Monitoring preventable adverse events and near misses: number and type identified … a multi-focal approach to adverse event data collection may more effectively inform organizations. … relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event … August 3, 2022
Disparities in adverse event reporting for hospitalized children. … July 18, 2016
Adverse events in healthcare: learning from mistakes.
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psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
November 16, 2022 - Study
Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized … Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex … I-PASS , a structured hand-off tool, can reduce preventable adverse events during transitions of care … Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex … March 10, 2019
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - Commentary
A model for medication safety event detection. … A model for medication safety event detection. … A model for medication safety event detection. … July 26, 2023
Families as partners in hospital error and adverse event surveillance. … drug event surveillance and voluntary reporting in the pediatric environment.
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psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
June 15, 2022 - Adverse drug events (ADE) are common in older adults. … July 1, 2016
Adverse drug event-related admissions to a pediatric emergency unit. … drug event diagnosis or prognosis: a systematic review. … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … Drug Events
Computerized Adverse Event Detection
View More
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psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
October 26, 2010 - Analysis of risk factors for adverse drug events in critically ill patients*. … Analysis of risk factors for adverse drug events in critically ill patients*. … RIS
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Related Resources From the Same Author(s)
Adverse-drug-event … August 30, 2017
Improving adverse drug event detection in critically ill patients through … January 12, 2011
Adverse drug event reporting in intensive care units: a survey of current
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psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events
August 31, 2011 - Comparison of computerized surveillance and manual chart review for adverse events. … Comparison of computerized surveillance and manual chart review for adverse events. … March 12, 2011
Adverse drug event rates in six community hospitals and the potential … drug event quality measure. … March 17, 2010
Understanding pharmacist decision making for adverse drug event (ADE)
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psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
November 16, 2022 - A systemwide strategy to embed equity into patient safety event analysis. … cause analysis (RCA) investigations are conducted to identify systemic issues that contributed to an adverse … event. … event. … July 7, 2021
Examining causes and prevention strategies of adverse events in deceased
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psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
December 23, 2011 - event on hospital length of stay. … A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length … A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length … drug event triggers designed for the outpatient setting. … 21, 2023
Improving safety recommendations before implementation: a simulation-based event
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psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event
October 21, 2016 - Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants … Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants … Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants … Drug Event Prevention. … Drug Event Prevention.
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - event during hospitalization. … April 4, 2011
Adverse drug events in ambulatory care. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … event reporting in thoracic surgery. … drug event quality measure.
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psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
November 03, 2015 - Study
Changes in adverse event rates in hospitals over time: a longitudinal retrospective … Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … A random sampling of hospitals in the Netherlands found that adverse event rates increased from 4.1% … Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … March 2, 2012
Anticoagulation-associated adverse drug events.
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psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
May 27, 2011 - Study
Follow-up study of medication errors reported to the Vaccine Adverse Event … Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). … Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). … December 19, 2014
Rapid learning of adverse medical event disclosure and apology. … Drug Events
Epidemiology of Errors and Adverse Events
Root Cause Analysis
Failure Mode Effects
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psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
May 08, 2019 - It replaces the Institute's Guidelines for Informing the Media After an Adverse Event first published
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psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
November 11, 2015 - Using prospective clinical surveillance to identify adverse events in hospital. … Using prospective clinical surveillance to identify adverse events in hospital. … event classification. … drug event detection. … February 20, 2010
Development of a measure of patient safety event learning responses
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psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review
January 28, 2010 - Adverse events are common on the intensive care unit: results from a structured record review. … at a Swedish hospital and found that nearly 1 in 5 patients suffered an adverse event, half of which … November 16, 2022
Families as partners in hospital error and adverse event surveillance … May 30, 2012
Patient safety event reporting in critical care: a study of three intensive … September 30, 2010
Adverse drug event reporting in intensive care units: a survey of