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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40408/psn-pdf
    July 08, 2013 - Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. … Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event- standardized-patient … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
  2. psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
    November 13, 2009 - It is generally agreed that approximately 1 in 10 hospitalized patients experiences an adverse event … , and recent research has also quantified the daily risk of preventable adverse events for a typical … November 13, 2009 How event reporting by US hospitals has changed from 2005 to 2009. … July 10, 2017 Adverse-event-reporting practices by US hospitals: results of a national … September 20, 2011 Families as partners in hospital error and adverse event surveillance
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45195/psn-pdf
    September 14, 2016 - Adverse drug event reporting systems: a systematic review. … Adverse drug event reporting systems: a systematic review. … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review Adverse drug events … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43389/psn-pdf
    July 30, 2014 - Simulation based adverse event reporting system: development and feasibility. … Simulation Based Adverse Event Reporting System: Development and Feasibility. … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility … This study introduced an online adverse event reporting system into simulation training for nursing … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38649/psn-pdf
    May 20, 2009 - Managing the adverse event occurring during elective, ambulatory pediatric surgery. … Managing the adverse event occurring during elective, ambulatory pediatric surgery. … https://psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric- … https://psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery … https://psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery
  6. psnet.ahrq.gov/issue/facilitated-survey-instrument-captures-significantly-more-anesthesia-events-does-traditional
    September 13, 2017 - facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event … facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event … facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event … September 18, 2009 Adverse event reporting: lessons learned from 4 years of Florida office … July 20, 2009 Residents report on adverse events and their causes.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37919/psn-pdf
    July 16, 2008 - Adverse event protocol for interventional pain medicine: the importance of an organized response. … Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. … https://psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized … https://psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response … https://psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
  8. psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
    February 15, 2023 - Over half reported being involved in an event in the prior year. … event. … event. … Patient, carer and family experiences of seeking redress and reconciliation following a life-changing eventevent.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37223/psn-pdf
    December 23, 2011 - Studying critical values: adverse event identification following a critical laboratory values study … Studying critical values: adverse event identification following a critical laboratory values study … https://psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical … https://psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values … https://psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
  10. psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - Development of a measure of patient safety event learning responses. … of learnings from the event. … Development of a measure of patient safety event learning responses. … June 28, 2010 Learning from preventable adverse events in health care organizations: … December 19, 2014 Adverse event and error of unexpected life-threatening events within
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843321/psn-pdf
    February 01, 2023 - Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. … https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event … https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient … https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44094/psn-pdf
    November 03, 2015 - Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure- controlled-after … Those patients exposed to a large- scale adverse event during dental care were more likely to seek non-VA … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45810/psn-pdf
    May 05, 2017 - Adverse event and error of unexpected life-threatening events within 24h of emergency department admission … Adverse event and error of unexpected life-threatening events within 24hours of ED admission. … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h- … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
  14. psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
    July 18, 2017 - event rates over time, and guide improvement efforts. … March 19, 2019 View More Related Resources Applied use of safety event … February 10, 2015 Relationship between medication event rates and the Leapfrog computerized … December 18, 2013 Automated adverse event detection collaborative: electronic adverseevent identification, classification, and corrective actions across academic pediatric institutions.
  15. psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
    February 19, 2014 - Study Improving adverse drug event detection in critically ill patients through screening … Improving adverse drug event detection in critically ill patients through screening intensive care unit … Improving adverse drug event detection in critically ill patients through screening intensive care unit … June 13, 2012 The cost of opioid–related adverse drug events. … December 16, 2020 Analysis of risk factors for adverse drug events in critically ill
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41561/psn-pdf
    August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
  17. psnet.ahrq.gov/issue/sepsis-recognizing-next-event
    July 13, 2010 - Commentary Sepsis: recognizing the next event. … Sepsis: recognizing the next event. … Sepsis: recognizing the next event. … July 2, 2014 Self-reported adverse events in health care that cause harm: a population-based
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37274/psn-pdf
    December 23, 2011 - 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 … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
  19. psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
    December 19, 2014 - Study Improvement of medication event interventions through use of an electronic … Improvement of medication event interventions through use of an electronic database. … Improvement of medication event interventions through use of an electronic database. … September 24, 2017 Medication event huddles: a tool for reducing adverse drug events. … August 24, 2011 Medication reconciliation for reducing drug-discrepancy adverse events
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862996/psn-pdf
    February 21, 2024 - disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverseevent reporting system. … Event Reporting System. … descriptive-analysis-disproportionate-medication-errors-and-associated-patient Medication errors and adverse … Using data from the Netherlands’ Food and Drug Administration’s Adverse Event Reporting System (FAERS

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