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psnet.ahrq.gov/node/854982/psn-pdf
November 01, 2023 - Adverse drug event prevention and detection in older
emergency department patients. … Adverse drug event prevention and detection in older emergency department patients. … https://psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department- … https://psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients … https://psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients
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psnet.ahrq.gov/node/836961/psn-pdf
April 20, 2022 - Coping and recovery in surgical residents after adverse
events: the second victim phenomenon. … Coping and recovery in surgical residents after adverse events: the second victim
phenomenon. … https://psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim … -
phenomenon
Some clinicians experience profound emotional distress following an adverse event, known … Importantly, while three quarters of residents reported they did not get emotional support following the
event
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psnet.ahrq.gov/node/854995/psn-pdf
November 01, 2023 - Intervention of pharmacist included in multidisciplinary
team to reduce adverse drug event: a qualitative … Intervention of pharmacist included in multidisciplinary
team to reduce adverse drug event: a qualitative … -
event-qualitative
An increasing strategy to reduce adverse drug events (ADE) is pharmacist medication … https://psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative … https://psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative
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psnet.ahrq.gov/node/46374/psn-pdf
August 30, 2017 - Structured patient handoffs: the movement toward
adverse event reduction in the perioperative unit. … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-
perioperative-unit … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
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psnet.ahrq.gov/node/44923/psn-pdf
June 07, 2016 - Completeness of serious adverse drug event reports
received by the US Food and Drug Administration in … Completeness of serious adverse drug event reports received
by the US Food and Drug Administration in … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug … -
administration-2014
According to this study, many adverse drug event reports submitted by drug manufacturers … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Associations between patient factors and adverse events
in the home care setting: a secondary data analysis … of
two Canadian adverse event studies. … of two canadian adverse event studies. … -
secondary-data
Adverse events occur frequently in the home care setting. … A previous study estimated that about 10% of
patients receiving home care experienced an adverse event
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psnet.ahrq.gov/node/46481/psn-pdf
August 20, 2018 - An electronic trigger based on care escalation to identify
preventable adverse events in hospitalised … -
hospitalised
Identifying adverse events in real time remains a patient safety challenge. … event. … event occurred,
as in prior studies. … event identification in hospitalized
patients.
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events. … Medication event huddles: a tool for reducing adverse drug events. … https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
Retrospective … adverse
drug events contemporaneously. … https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/73109/psn-pdf
April 07, 2021 - Common general surgical never events: analysis of NHS
England never event data. … Common general surgical never events: analysis of NHS England never
event data. … https://psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event- … data
Never events, a significant type of adverse event, should never occur in healthcare. … aware of the common themes may help providers to develop more
effective strategies to prevent these adverse
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - event, healthcare workers involved in unanticipated adverse events are often traumatized by the event … Healthcare workers involved in a medical error or adverse event may experience a range of emotional and … Healthcare staff involved in an adverse event can develop post-traumatic stress disorder (PTSD) with … The traumatic effects and negative feelings after involvement in an adverse event can also lead to … event.
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psnet.ahrq.gov/node/852444/psn-pdf
August 16, 2023 - Comparing rates of adverse events detected in incident
reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting
and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … 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/47688/psn-pdf
March 19, 2019 - Evaluation of an electronic health record structured
discharge summary to provide real time adverse … event
reporting in thoracic surgery. … Evaluation of an electronic health record structured discharge
summary to provide real time adverse … event reporting in thoracic surgery. … event reporting platform.
-
psnet.ahrq.gov/node/45818/psn-pdf
September 29, 2017 - National Action Plan for Adverse Drug Event Prevention:
recommendations for safer outpatient opioid … National Action Plan for Adverse Drug Event Prevention:
Recommendations for Safer Outpatient Opioid … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
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psnet.ahrq.gov/node/858175/psn-pdf
December 13, 2023 - Defining the landscape of patient harm after osteopathic
manipulative treatment: synthesis of an adverse … event
model. … Defining the landscape of patient harm after osteopathic manipulative
treatment: synthesis of an adverse … event model. … studies evaluating osteopathic manipulative treatment (OMT), researchers estimate the incidence of
adverse
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical … https://psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients … Results indicate that 16% of patients experienced at least one nurse-sensitive adverse
event during … their inpatient stay and that each additional nurse-sensitive adverse event was associated
with a significant
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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia … Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia … https://psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events- … event data, researchers found that patients
admitted to hospitals with high all-cause readmission rates … were more likely to experience an adverse
event during their admission.
-
psnet.ahrq.gov/node/43250/psn-pdf
December 01, 2016 - Adverse drug event–related emergency department visits
associated with complex chronic conditions. … Adverse drug event-related emergency department visits associated
with complex chronic conditions. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
-
psnet.ahrq.gov/node/42602/psn-pdf
October 16, 2013 - Solicitation for written comments on draft National Action
Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event … drug
event reduction. … https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention … https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
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psnet.ahrq.gov/node/73137/psn-pdf
April 14, 2021 - Adverse drug event-related admissions to a pediatric
emergency unit. … Adverse drug event-related admissions to a pediatric
emergency unit. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
This study … https://psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
https://psnet.ahrq.gov … /primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - Sentinel Event Alert. August 27, 2009;(43):1-3. … striving to achieve high reliability status—consistently providing high quality care while minimizing adverse … addressing errors at the sharp end, and maintain robust structures for analyzing and responding to adverse … September 24, 2010
The High Costs of Weak Compliance With the New York State Hospital Adverse … Event Reporting and Tracking System.