Results

Total Results: over 10,000 records

Showing results for "adverse event".
Users also searched for: patient safety indicators

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39357/psn-pdf
     June 27, 2011 - The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … https://psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event Drawing on literature … https://psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event https://psnet.ahrq.gov

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44378/psn-pdf
     August 05, 2015 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … - event-prevention Adverse drug events continue to contribute to preventable errors for both hospitalized … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention … /national-action-plan-adverse-drug-event-prevention

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35211/psn-pdf
     June 13, 2011 - JCAHO views medication reconciliation as adverse-event prevention. June 13, 2011 Thompson CA. … JCAHO views medication reconciliation as adverse-event prevention. … https://psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention This article … https://psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention https://psnet.ahrq.gov

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45969/psn-pdf
     January 07, 2019 - Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … This survey of surgeons found that the majority who could recall an intraoperative adverse event experienced … ://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45292/psn-pdf
     September 07, 2016 - Electronic approaches to making sense of the text in the adverse event reporting system. … Electronic approaches to making sense of the text in the adverse event reporting system. … https://psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system … Voluntary incident reports are critical to identifying adverse events, but reading through the text can … https://psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system https

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853067/psn-pdf
     August 30, 2023 - The Pursuing Excellence Collaborative: engaging first- year residents and fellows in patient safety event … The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event … pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows- patient-safety Previous research suggests that residents may underutilize adverse … event reporting tools. … pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - (or where an adverse event is strongly suspected). … record to determine if an actual or potential adverse event has occurred. … In cases in which the trigger correctly identifies an adverse event, causative factors can be determined … event. … Novel approaches to adverse event detection have focused on ways in which errors may be detected in

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46778/psn-pdf
     April 12, 2019 - Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation … Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals After Implementation … https://psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals- … after-implementation Adverse event reporting systems are central to many patient safety programs, but … a decrease in the adverse event rate at two academic medical centers.

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74051/psn-pdf
     January 01, 2022 - Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical … Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical … https://psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence … This retrospective study compared adverse event rates between pediatric patient transport both with, … Adverse event rates were not significantly impacted by parental presence.

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44342/psn-pdf
     November 03, 2015 - 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 … , while preventable adverse events were markedly reduced by 45%. … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60670/psn-pdf
     July 08, 2020 - Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … areas of improvement for healthcare facilities, the authors analyzed data reported to one state’s adverse … event reporting system. … The authors identified 343 adverse events between January 1 and April 15, 2020.

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867676/psn-pdf
     February 26, 2025 - communication includes key facts, results of the root cause analysis and other investigations into the adverse … event, and any improvements made to patient safety. … If following the investigation, the adverse event is determined to be the result of substandard care, … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events … Near misses are significantly more common than adverse events and can shine a light on potential safety

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37814/psn-pdf
     April 11, 2011 - Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … - event This study found that events captured from safety reporting systems resulted in similar adverse … https://psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event … https://psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43324/psn-pdf
     July 23, 2014 - Incidence of adverse events in an integrated US healthcare system: a retrospective observational study … Incidence of adverse events in an integrated US healthcare system: a retrospective observational study … observational-study This analysis of surgical adverse event reports in an integrated health system … The authors suggest that tracking specific adverse event rates by surgical type and patient characteristics … https://psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851063/psn-pdf
     June 28, 2023 - Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences … Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences … Healthcare providers may experience emotional distress after involvement in an adverse or traumatic … event. … events as well as the types of support needed after involvement in an adverse event.

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38308/psn-pdf
     April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. … Adverse-event-reporting practices by US hospitals: results of a national survey. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … Reducing adverse events on an institutional level requires a comprehensive error-reporting system and … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey https

397. ADEs and automation. | PSNet
     psnet.ahrq.gov/issue/ades-and-automation
     January 15, 2014 - This article illustrates how one hospital used automated triggers  to collect adverse drug event (ADE … The tactic increased event capture and informed priorities for safety improvement work. … January 15, 2014 Automated adverse event detection collaborative: electronic adverse … event identification, classification, and corrective actions across academic pediatric institutions. … December 18, 2013 Measuring adverse events and levels of harm in pediatric inpatients

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38026/psn-pdf
     March 21, 2017 - Does error and adverse event reporting by physicians and nurses differ? … Does error and adverse event reporting by physicians and nurses differ? … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ Hospital … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https … rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals https://psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60965/psn-pdf
     September 30, 2020 - Data collection for adverse events reporting by US dental schools. … Data collection for adverse events reporting by US dental schools. … https://psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools This study reviewed … adverse event reporting forms from 16 dental schools and found that the forms were not standardized … Adoption of a standardized method for event collection and assessment would allow for quality improvement

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/859348/psn-pdf
     December 20, 2023 - Are adverse events related to the completeness of clinical records? … Are adverse events related to the completeness of clinical records? … Identifying, measuring and tracking adverse events is an important component of continuous safety … The researchers found that 16% of hospitalizations included at least one adverse event, with the most … event detection.