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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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.
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. 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.
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47688/psn-pdf
    March 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverseevent reporting in thoracic surgery. … Evaluation of an electronic health record structured discharge summary to provide real time adverseevent reporting in thoracic surgery. … event reporting platform.
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858175/psn-pdf
    December 13, 2023 - Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverseevent model. … Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverseevent model. … studies evaluating osteopathic manipulative treatment (OMT), researchers estimate the incidence of adverse
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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.
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. 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 AdverseEvent Reporting and Tracking System.

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