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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45458/psn-pdf
    November 30, 2016 - Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from … https://psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan- adverse-drug-event … https://psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event … https://psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention https://psnet.ahrq.gov
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43956/psn-pdf
    January 01, 2016 - harm associated with use of anticoagulants in pediatric populations through trigger- based automated adverse-event … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … drug event, an approach that has been used in other settings. … They also used the administration of a reversal agent, protamine, as a trigger to detect adverse drug … Relatively few adverse events were identified in comparison to the high number of records screened.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42992/psn-pdf
    July 03, 2014 - Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related … Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory- study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73420/psn-pdf
    June 23, 2021 - Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration … Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration … https://psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans- … This study conducted root cause analyses of 82 adverse event reports involving opioid use at the Veterans … The most frequent event type was medication administration error and the most frequent root cause was
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41985/psn-pdf
    October 26, 2016 - Legislative Report to the General Assembly: Adverse Event Reporting. … https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting This annual … publication provides data on adverse events reported to the Connecticut Department of Public Health … The most common adverse events reported were pressure ulcers and fall- related injuries or deaths. … https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting https://psnet.ahrq.gov
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45613/psn-pdf
    September 01, 2018 - https://psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events Adverse event investigation … In this study, investigators interviewed patients and family members following an adverse event to determine … However, the majority of participants were not involved in root cause analysis or other formal event … The authors conclude that patient perspectives should be included in event analysis. … https://psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - What is a “Never Event”? … Wrong Patient and Wrong Side A “never event” is defined as adverse event that is distinct, serious, … Take-Home Points A “never event” is an adverse medical error that is serious and usually avoidable, … Action after adverse events in healthcare: an integrative literature review. … Adverse Events in Hospitals: State Reporting Systems.
  8. psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
    November 11, 2015 - March 10, 2021 Adverse events following an emergency department visit. … drug event detection. … event classification. … care setting: a secondary data analysis of two Canadian adverse event studies. … event rate in high risk medical and surgical patients.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42673/psn-pdf
    October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis … Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35147/psn-pdf
    June 22, 2009 - Accuracy of adverse-drug-event reports collected using an automated dispensing system. … Accuracy of adverse-drug-event reports collected using an automated dispensing system. … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72791/psn-pdf
    March 03, 2021 - National and institutional trends in adverse events over time: a systematic review and meta-analysis … National and institutional trends in adverse events over time: a systematic review and meta-analysis … https://psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review … Findings from this systematic review demonstrate minimal reduction in overall risk of adverse event … The meta-analysis of included studies estimated one adverse event prevented for every 59 hospital admissions
  12. psnet.ahrq.gov/issue/pharmacovigilance-using-clinical-notes
    April 24, 2018 - event surveillance. … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … May 27, 2011 The impact of electronic medical records data sources on an adverse drug … event quality measure. … March 17, 2010 Understanding pharmacist decision making for adverse drug event (ADE)
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47900/psn-pdf
    January 01, 2021 - Is physician mentorship associated with the occurrence of adverse patient safety events? … Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? … https://psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events … event or near miss. … In an online survey, 85% of physicians reported involvement in either an adverse event or near miss,
  14. psnet.ahrq.gov/issue/world-federation-chiropractic-global-patient-safety-task-force-call-action
    December 23, 2020 - October 19, 2022 Prescription opioid dose reductions and potential adverse events: a … August 4, 2021 Families as partners in hospital error and adverse event surveillance. … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … event model.
  15. psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
    April 11, 2011 - drug event diagnosis or prognosis: a systematic review. … June 29, 2011 As industry automates, adverse events continue to haunt caregivers. … March 12, 2011 A systematic review of the performance characteristics of clinical event … monitor signals used to detect adverse drug events in the hospital setting. … Drug Events Nosocomial Infections Computerized Adverse Event Detection
  16. psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
    April 08, 2020 - February 15, 2023 Barriers and facilitators of adverse event reporting by adolescent … July 5, 2017 Measuring harm in health care: optimizing adverse event review. … View More Related Resources Association between cancer-specific adverseevent triggers and mortality: a validation study. … July 18, 2016 Adverse drug event detection in pediatric oncology and hematology patients
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance … Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance … - drug-event The Centers for Disease Control (CDC), the Consumer Product Safety Commission (CPSC), … https://psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event … https://psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39373/psn-pdf
    March 17, 2010 - The impact of electronic medical records data sources on an adverse drug event quality measure. … The impact of electronic medical records data sources on an adverse drug event quality measure. … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42459/psn-pdf
    July 31, 2013 - Improving adverse drug event detection in critically ill patients through screening intensive care unit … Improving adverse drug event detection in critically ill patients through screening intensive care unit … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through- … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34033/psn-pdf
    April 11, 2011 - Adverse events and preventable adverse events in children. … Adverse events and preventable adverse events in children. Pediatrics. 2005;115(1):155-60. … https://psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children Adverse events in … Adverse event and preventable adverse event rates (1% and 0.6%, respectively) were similar to those … /issue/adverse-events-hospitalized-pediatric-patients https://psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study

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