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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60340/psn-pdf
    May 20, 2020 - Association between cancer-specific adverse event triggers and mortality: a validation study. … specific adverse event triggers and mortality: A validation study. … https://psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality … https://psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study … https://psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845640/psn-pdf
    March 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex … PASS on adverse event rates in hospitalized children with complex chronic conditions. … https://psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized … https://psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex … https://psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50573/psn-pdf
    October 23, 2019 - Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and … Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and … https://psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role- … https://psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and … https://psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841770/psn-pdf
    December 21, 2022 - A recent two-fold increase in medical adverse event deaths among US inpatients. … A recent two-fold increase in medical adverse event deaths among US inpatients. … https://psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients … From 2014 to 2019, researchers identified a nearly 16% annual increase in deaths attributed to adverse … https://psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837728/psn-pdf
    July 27, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … Trends in adverse event rates in hospitalized patients, 2010-2019. … https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019 Improving patient … events (e.g., adverse drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired … https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019 https://psnet.ahrq.gov
  6. psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
    July 31, 2019 - event. … event surveillance system. … event surveillance system. … July 23, 2008 The incidence of adverse drug events in two large academic long-term care … April 7, 2010 Managing the adverse event occurring during elective, ambulatory pediatric
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47856/psn-pdf
    June 02, 2019 - The impact of patient–physician alliance on trust following an adverse event. … The impact of patient-physician alliance on trust following an adverse event. … https://psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event Maternal … Patients' reports of adverse events were associated with lack of trust in physicians. … https://psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event https://
  8. psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
    March 18, 2013 - This retrospective study in the Netherlands encompasses three national major adverse event studies. … These authors previously reported that the adverse event rate in the Netherlands had increased between … In this current study, there was no change in overall adverse event rates in 2011/2012 compared to 2008 … event rates in hospitals over time: a longitudinal retrospective patient record review study. … January 13, 2016 Post event debriefs: a commitment to learning how to better care for
  9. psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
    December 15, 2021 - Adverse event investigation has not traditionally included patient perspectives. … In this study, investigators interviewed patients and family members following an adverse event to determine … The authors conclude that patient perspectives should be included in event analysis. … November 23, 2016 Improving communication and resolution following adverse events using … About The Topic Hospitals Health Care Providers Medicine Epidemiology of Errors and Adverse
  10. psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
    January 03, 2017 - Study Adverse drug event rates in six community hospitals and the potential impact … Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician … Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician … November 12, 2014 Relationship between medication event rates and the Leapfrog computerized … April 14, 2011 As industry automates, adverse events continue to haunt caregivers.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45180/psn-pdf
    May 05, 2017 - Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. … Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. … https://psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient- … This study proposes adverse event–free admissions as a potential measure of safety, defining the term … as any hospitalization in which the patient does not experience a preventable adverse event.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46867/psn-pdf
    February 20, 2019 - Connecting perspectives on quality and safety: patient- level linkage of incident, adverse event and … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and … ://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident- adverse-event-and … https://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and … https://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
  13. psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
    April 24, 2018 - event, 22% reported absenteeism and 23% reported considering leaving the ICU. … After involvement in an adverse event, respondents said that they would prefer peer support and the … event surveillance. … February 10, 2021 The Swiss cheese model of adverse event occurrence—closing the holes … Addressing mistreatment of providers by patients and family members as a patient safety event
  14. psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
    April 11, 2011 - The use of trigger methodology to detect medical errors, including adverse drug events, has been widely … event, such as use of vitamin K to treat coagulopathy.  … event.  … drug event surveillance and voluntary reporting in the pediatric environment. … drug event quality measure.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41094/psn-pdf
    January 25, 2012 - Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse- … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47234/psn-pdf
    October 17, 2018 - Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event- reporting-system … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system … -2006 https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system
  17. psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - December 1, 2021 Integrating adverse event reporting into a free-text mobile application … used in daily workflow increases adverse event reporting by physicians. … January 8, 2020 Introduction of a mobile adverse event reporting system is associated … with participation in adverse event reporting. … February 22, 2019 Electronic approaches to making sense of the text in the adverse event
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … on implementation of an adverse event surveillance system. … A trained clinical observer assessed triggers designed to indicate a possible adverse event in general … https://psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73632/psn-pdf
    January 01, 2022 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … Encouraging adverse event reporting among clinicians, including medical trainees, is essential to improving … The intervention led to increased event reporting in the short- and long-term. … improving-incident-reporting-among-physician-trainees https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44215/psn-pdf
    November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000 … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … https://psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers … - united-states-2000 Vaccination-related errors reported to the National Vaccine Adverse Event Reporting … One-fourth of reported errors caused an adverse health event, with 8% of these resulting in serious

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