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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - Study
Building a framework for trust: critical event analysis of deaths in surgical … Building a framework for trust: critical event analysis of deaths in surgical care. … Findings include a decrease over time in the percentage of deaths for which adverse events in management … Building a framework for trust: critical event analysis of deaths in surgical care. … June 23, 2009
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/node/44345/psn-pdf
October 05, 2015 - Apologies following an adverse medical event: the
importance of focusing on the consumer's needs. … Apologies following an adverse medical event: The importance of
focusing on the consumer's needs. … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers- … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
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psnet.ahrq.gov/node/865970/psn-pdf
May 29, 2024 - A scoping review of the methodological approaches used
in retrospective chart reviews to validate adverse … event
rates in administrative data. … event rates in administrative data. … Administrative datasets offer an efficient method of identifying potential adverse events (AE) but … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
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psnet.ahrq.gov/node/44000/psn-pdf
July 18, 2016 - Elucidating reasons for resident underutilization of
electronic adverse event reporting. … Elucidating Reasons for Resident Underutilization of Electronic Adverse
Event Reporting. … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event- … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. … Incident reporting generates data about adverse events. … patient safety event report databases. … May 4, 2016
Design of a retrospective patient record study on the occurrence of adverse … Topic
Hospitals
Quality and Safety Professionals
Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/node/45308/psn-pdf
September 28, 2016 - Measurement of patient safety: a systematic review of the
reliability and validity of adverse event … Measurement of patient safety: a systematic review of
the reliability and validity of adverse event … -
event-detection
Detection of safety hazards remains a challenge. … https://psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection … https://psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
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psnet.ahrq.gov/node/44120/psn-pdf
November 06, 2015 - Designing highly reliable adverse-event detection
systems to predict subsequent claims. … Designing highly reliable adverse-event detection systems to predict
subsequent claims. … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-
subsequent-claims … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
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psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
April 24, 2018 - Commentary
Virginia Tech as a sentinel event: the role of psychiatry in managing … Related Resources From the Same Author(s)
Families as partners in hospital error and adverse … event surveillance. … February 17, 2017
Detecting adverse events in surgery: comparing events detected by the … April 19, 2023
Analysis of suicides reported as adverse events in psychiatry resulted
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psnet.ahrq.gov/node/40791/psn-pdf
February 09, 2012 - Adverse event rates as measures of hospital
performance. … Adverse event rates as measures of hospital performance. … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
This study concluded … that adverse event rates in themselves are a poor marker of hospital performance,
largely because of … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41394/psn-pdf
December 29, 2014 - An adverse event screening tool based on routinely
collected hospital-acquired diagnoses. … An adverse event screening tool based on routinely collected
hospital-acquired diagnoses. … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired … -
diagnoses
This study found high levels of physician agreement using an adverse event screening tool … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
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psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - event, medical error, or patient-related injury. … reported personal problems in the past 12 months resulting from their involvement in a patient safety event … March 10, 2010
Families as partners in hospital error and adverse event surveillance. … event involvement may be mitigated by peer support. … health event: a literature review.
-
psnet.ahrq.gov/node/42036/psn-pdf
March 18, 2013 - Changes in adverse event rates in hospitals over time: a
longitudinal retrospective patient record review … Changes in adverse event rates in hospitals over time: a
longitudinal retrospective patient record review … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective … -
patient-record
A random sampling of hospitals in the Netherlands found that adverse event rates increased … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - event during hospitalization. … event and complaint data. … June 17, 2014
Recognition of adverse drug events in older hospitalized medical patients … January 18, 2013
Semi-supervised classification of patient safety event reports. … December 1, 2010
Adverse-event-reporting practices by US hospitals: results of a national
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psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
July 03, 2013 - be included in a Food and Drug Administration portal designed to collect drug- and product-related adverse … event reports. … Drug Event Prevention. … October 10, 2018
Questions and Answers on FDA's Adverse Event Reporting System (FAERS … October 3, 2017
MedWatch: The FDA Safety Information and Adverse Event Reporting Program
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psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - event. … Event. … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-
adverse-event … //psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event … //psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - Commentary
Post-event debriefings during neonatal care: why are we not doing them … Post-event debriefings during neonatal care: why are we not doing them, and how can we start? … Post-event debriefings during neonatal care: why are we not doing them, and how can we start? … July 11, 2017
Adverse events in hospitalized pediatric patients. … August 14, 2018
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
December 21, 2016 - Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. … However, significant barriers to reporting exist and most systems capture only a fraction of adverse … September 19, 2016
Adverse drug event detection in pediatric oncology and hematology … May 9, 2018
Families as partners in hospital error and adverse event surveillance. … Administrators
Medicine
Psychological and Social Complications
Epidemiology of Errors and Adverse
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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 … -
consequences
Insulin pump malfunctions are a known contributor to adverse events. … https://psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
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psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care … The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care … events-part-care
When an error or adverse event occurs, patients and families want to be informed. … In this study of oncology
patients, more than one quarter perceived an adverse event had occurred. … While most were informed soon
after the event occurred and given an explanation, fewer than half were
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psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
June 21, 2023 - Study
Medication safety event reporting: factors that contribute to safety events … Medication safety event reporting: factors that contribute to safety events during times of organizational … Medication safety event reporting: factors that contribute to safety events during times of organizational … February 22, 2011
Costs of intravenous adverse drug events in academic and nonacademic … January 25, 2017
Families as partners in hospital error and adverse event surveillance