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Showing results for "adverse event".
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341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - reporting-patient-safety-events https://psnet.ahrq.gov/primer/detection-safety-hazards https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … Failure to receive feedback after reporting an event is a commonly cited barrier to event reporting … psnet.ahrq.gov/issue/medmarxr https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https … ://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey https:

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866192/psn-pdf
     June 26, 2024 - A systemwide strategy to embed equity into patient safety event analysis. … analysis (RCA) investigations are conducted to identify systemic issues that contributed to an adverse … event. … health literacy), and organizational (e.g., access) factors that could have impacted the outcome of the adverse … event.

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45945/psn-pdf
     April 24, 2018 - Families as partners in hospital error and adverse event surveillance. … Families as Partners in Hospital Error and Adverse Event Surveillance. … https://psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance Detecting … Investigators compared adverse events detected with these mechanisms to adverse events identified through … https://psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance https://

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43254/psn-pdf
     May 01, 2015 - Investigating the long-term consequences of adverse medical events among older adults. … event, 62% of which originated in the ambulatory setting. … Patients who experienced an adverse medical event had much higher mortality rates, though it should … Medicare expenditures increased sharply during an adverse medical event episode and remained high following … the event.

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37514/psn-pdf
     February 04, 2015 - An analysis of adverse event costs, the medical liability system, and incentives for patient safety … An Analysis of Adverse Event Costs, the Medical Liability System, and Incentives for Patient Safety … https://psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability- … https://psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives … https://psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61016/psn-pdf
     October 14, 2020 - This study used perioperative adverse event data reported to a patient safety organization to identify … pediatric anesthesia transport- associated adverse events. … A small proportion (5%) of pediatric anesthesia adverse events were associated with transport, but the … A previous WebM&M discussed a perioperative respiratory event in a pediatric patient during intrahospital … wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46777/psn-pdf
     January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. … Safety analysis over time: seven major changes to adverse event investigation. … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation … In-depth review and analysis of adverse events can both inform and detract from progress in patient … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39647/psn-pdf
     November 02, 2010 - Validation of hospital administrative dataset for adverse event screening. … Validation of Hospital Administrative Dataset for adverse event screening. … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening Use … of administrative datasets to identify adverse events can be problematic, as these datasets are generally … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening https

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42326/psn-pdf
     June 05, 2013 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https … ://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847728/psn-pdf
     April 19, 2023 - Development and interrater agreement of a novel classification system combining medical and surgical adverse … event reporting. … Development and interrater agreement of a novel classification system combining medical and surgical adverse … event reporting. … development and testing of a novel Quality Improvement Classification System (QICS) designed to incorporate adverse

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867134/psn-pdf
     November 13, 2024 - Improving adverse drug event reporting by healthcare professionals. … Improving adverse drug event reporting by healthcare professionals. … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals Adverse … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals https:// … https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43413/psn-pdf
     October 20, 2014 - The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive … The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37971/psn-pdf
     April 21, 2011 - Managing an acute adverse event in a radiology department. … Managing an acute adverse event in a radiology department. … https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department This article describes … a process for analyzing adverse events and explains concepts including error detection, reporting, … https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40979/psn-pdf
     June 01, 2012 - The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … https://psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error This study … suggests that diagnostic coding error may significantly underestimate the costs associated with adverse … https://psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error https:/

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846760/psn-pdf
     March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis … Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43820/psn-pdf
     February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. … Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. … https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse … https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event https://psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35368/psn-pdf
     July 20, 2009 - Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data. … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data The … investigators examined reported adverse incidents from office surgical procedures and found no correlation … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40999/psn-pdf
     January 01, 2012 - Improving patient safety via automated laboratory-based adverse event grading. … Improving patient safety via automated laboratory-based adverse event grading. … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading … This study reports on the development of an automated system for identifying adverse events in clinical … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. … This report used similar methodology based on trigger tools to determine adverse event incidence among … The study found that 29% of patients experienced an adverse event during their stay, a proportion nearly … Nearly one-fourth of patients who had an adverse event required transfer to an acute care hospital for … A previous WebM&M commentary discussed an adverse event at a rehabilitation facility.

360. Omissions of care in nursing home settings: a narrative review. | PSNet
     psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
     November 18, 2020 - The authors reviewed an additional 327 articles reporting adverse events attributable to omissions of … care, and identified nineteen event types, with the most common being all-cause mortality, falls, and … November 18, 2020 National Action Plan for Adverse Drug Event Prevention: recommendations … January 23, 2017 Measuring harm in health care: optimizing adverse event review. … Drug Event Prevention.