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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
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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.
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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
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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
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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
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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
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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.
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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.
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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
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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
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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
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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)
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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,
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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.
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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
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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 adverse … event triggers and mortality: a validation study. … July 18, 2016
Adverse drug event detection in pediatric oncology and hematology patients
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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
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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
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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
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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