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psnet.ahrq.gov/node/41205/psn-pdf
June 15, 2012 - Quality assessment of spontaneous triggered adverse
event reports received by the Food and Drug
Administration … Quality assessment of spontaneous triggered adverse event
reports received by the Food and Drug Administration … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received- … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
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psnet.ahrq.gov/issue/your-safety-our-hands-hospital
July 07, 2021 - This annual report shares the results of Western Australia's sentinel event reporting program. … Medication errors were the highest recorded sentinel event in the latest period. … May 18, 2018
Serious Adverse Events Reports. … June 17, 2014
Medication-Related Adverse Outcomes in U.S. … December 6, 2006
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems
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psnet.ahrq.gov/node/35129/psn-pdf
June 22, 2009 - Aftermath of an adverse event: supporting health care
professionals to meet patient expectations through … Aftermath of an adverse event: supporting health care professionals to meet patient
expectations through … https://psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient … https://psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations … https://psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
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psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - A human factors and survey methodology-based design
of a web-based adverse event reporting system for … A human factors and survey methodology-based design of a web-
based adverse event reporting system for … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-
event-reporting-system … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
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psnet.ahrq.gov/node/45284/psn-pdf
January 27, 2019 - Emergency medical services provider pediatric adverse
event rate varies by call origin pediatric emergency … Emergency Medical Services Provider Pediatric Adverse Event
Rate Varies by Call Origin. … https://psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call … https://psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric … https://psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric
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psnet.ahrq.gov/node/44276/psn-pdf
July 08, 2015 - 2014 Guide to State Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
State reporting systems … This analysis of 27 state-level reporting programs highlights that while adverse event reporting
has … https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
https://psnet.ahrq.gov/ … psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
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psnet.ahrq.gov/node/46874/psn-pdf
March 21, 2018 - Pediatric adverse event rates associated with
inexperience in teaching hospitals: a multilevel analysis … Pediatric Adverse Event Rates Associated With Inexperience in Teaching
Hospitals: A Multilevel Analysis … https://psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals … https://psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals-multilevel-analysis … https://psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals-multilevel-analysis
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psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
March 09, 2011 - Many adverse event identification methods cannot detect errors until well after the event has occurred … The algorithms accurately identified a range of postoperative adverse events, with a lower false negative … November 16, 2022
Families as partners in hospital error and adverse event surveillance … September 23, 2020
Assessment of adverse drug events among patients in a tertiary care … event quality measure.
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psnet.ahrq.gov/node/48101/psn-pdf
August 14, 2019 - Partnering with families and patient advocates: another
line of defense in adverse event surveillance … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
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psnet.ahrq.gov/node/44035/psn-pdf
May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of
pump safety standards, adverse event reporting … Insulin pump risks and benefits: a clinical appraisal of pump
safety standards, adverse event reporting … https://psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-
adverse-event … This policy statement describes ways to
use adverse event data, manufacturer information, and technical … https://psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
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psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
December 15, 2011 - Patients who experience a preventable adverse event while hospitalized may experience prolonged hospitalizations … event (measured by the AHRQ Patient Safety Indicators ) occurred during the index hospitalization. … December 15, 2011
Detecting adverse events in surgery: comparing events detected by the … June 4, 2014
Using estimated true safety event rates versus flagged safety event rates … August 21, 2013
National trends in hospital-acquired preventable adverse events after
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psnet.ahrq.gov/node/35982/psn-pdf
September 17, 2010 - 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). … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting- … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
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psnet.ahrq.gov/node/72793/psn-pdf
March 03, 2021 - Mitigating imperfect data validity in administrative data
PSIs: a method for estimating true adverse … event rates. … Mitigating imperfect data validity in administrative data PSIs: a
method for estimating true adverse … event rates. … event rates.
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psnet.ahrq.gov/node/42023/psn-pdf
May 25, 2013 - Description and evaluation of adaptations to the Global
Trigger Tool to enhance value to adverse event … Description and evaluation of adaptations to the global trigger
tool to enhance value to adverse event … https://psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-
adverse-event … https://psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event … https://psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
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psnet.ahrq.gov/node/42486/psn-pdf
August 14, 2013 - An adverse event trigger tool in dentistry: a new
methodology for measuring harm in the dental office … An adverse event trigger tool in dentistry: a new methodology for
measuring harm in the dental office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context. … Reflection on adverse event disclosure in the postsurgical hospital
context. … https://psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
Communication … between surgeons and patients following an adverse event has received little attention. … https://psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
https:
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psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers
September 06, 2017 - event. … October 28, 2020
The nature of adverse events in dentistry. … March 13, 2024
Families as partners in hospital error and adverse event surveillance. … October 2, 2024
Identifying contributing factors associated with dental adverse events … December 21, 2014
An adverse event trigger tool in dentistry: a new methodology for measuring
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - to determine if an actual or potential
adverse event has occurred. … When the trigger correctly identifies an adverse event, causative factors can be
determined and interventions … Conceptually, though, the method resembles that of major adverse
event studies such as the Harvard Medical … After
a trigger is identified, the entire chart is reviewed to determine whether an adverse event took … event was only
slightly better than chance.
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psnet.ahrq.gov/node/38511/psn-pdf
March 25, 2009 - The High Costs of Weak Compliance With the New York
State Hospital Adverse Event Reporting and Tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting … It observes trends of adverse event reporting, finds that New York City
hospitals report dramatically … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
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psnet.ahrq.gov/node/39832/psn-pdf
September 08, 2010 - event
in a regional health care service in Italy. … event in a regional health care service in Italy. … //psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-
adverse-event … https://psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event … https://psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event