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Showing results for "adverse event".
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4261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33703/psn-pdf
      November 01, 2010 - Automated surveillance is also becoming a standard method for safety event detection and measurement. … event, such as an adverse drug event (ADE), occurred.(11-13) For example, an example of a trigger for … misses and adverse events. … Validation of Hospital Administrative Dataset for adverse event screening. … Serious reportable adverse events in health care.

4262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35023/psn-pdf
      March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical care. … commentary discusses the role of the Scottish Audit of Surgical Mortality (SASM) on trends in adverse … Findings include a decrease over time in the percentage of deaths for which adverse events in management … conclude that voluntary mortality audits may lead to important changes in practice and focusing on adverse

4263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45684/psn-pdf
      January 01, 2020 - multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event … Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. … However, significant barriers to reporting exist and most systems capture only a fraction of adverse … Survey of Patient Safety Culture to better understand what aspects of safety culture might affect event … https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events https://psnet.ahrq.gov

4264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45468/psn-pdf
      October 11, 2017 - Identification and characterization of adverse drug events in primary care. … Identification and Characterization of Adverse Drug Events in Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care Adverse … drug event during a change in medications. … Less than 10% of patients experienced an adverse drug event, which the authors conclude represents an

4265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845347/psn-pdf
      March 01, 2023 - Race differences in a malpractice event database in a large healthcare system. … Race differences in a malpractice event database in a large healthcare system. … https://psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system Previous … research has identified disparities in adverse events and patient safety risks for Black patients compared … https://psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system https

4266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45871/psn-pdf
      January 01, 2019 - The relationship between safety culture and voluntary event reporting in a large regional ambulatory … The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large- … regional-ambulatory Detection of adverse events is particularly challenging in ambulatory settings … These results suggest that safety culture promotes reporting of adverse events.

4267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37701/psn-pdf
      February 22, 2011 - Use of a handheld computer application for voluntary medication event reporting by inpatient nurses … Use of a handheld computer application for voluntary medication event reporting by inpatient nurses … https://psnet.ahrq.gov/issue/use-handheld-computer-application-voluntary-medication-event-reporting- … by low clinician reporting rates and the fact that they identify a relatively small percentage of adverse … rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals https://psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

4268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34845/psn-pdf
      June 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near … misses and adverse events. … The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near … misses and adverse events. … https://psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and- classification-schema-near

4269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837042/psn-pdf
      April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. … https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management … https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management … leadership-role-improving-safety https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition … https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition

4270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38935/psn-pdf
      March 01, 2017 - 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 … In this sentinel event alert, the Joint Commission calls for senior health care leaders to establish … addressing errors at the sharp end, and maintain robust structures for analyzing and responding to adverse … This Sentinel Event Alert was retired in March 2017.

4271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45714/psn-pdf
      December 20, 2017 - US emergency department visits for outpatient adverse drug events, 2013–2014. … US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. … Adverse drug events (ADEs) in outpatient settings can cause significant morbidity and mortality. … Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention

4272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35889/psn-pdf
      March 10, 2011 - Automated surveillance for adverse drug events at a community hospital and an academic medical center … Automated surveillance for adverse drug events at a community hospital and an academic medical center … https://psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and- academic-medical-center … This study determined that an automated adverse drug event (ADE) surveillance system captured higher … event rates than did existing voluntary systems, particularly in a community setting.

4273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42882/psn-pdf
      November 23, 2016 - Structuring patient and family involvement in medical error event disclosure and analysis. … Structuring patient and family involvement in medical error event disclosure and analysis. … https://psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and … Although patients and family members may provide unique insights into adverse events, they are rarely … patient-engagement-and-safety https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported

4274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35767/psn-pdf
      July 20, 2010 - innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse … medical event study. … innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse … medical event study. … research-canadian The authors describe the application of Bayesian statistical methods to assess adverse

4275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47189/psn-pdf
      August 17, 2018 - Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients … Association of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients … https://psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes … drug event during their admission. … Patients who experienced an opioid-related adverse drug event had longer hospital stays, greater inpatient

4276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46052/psn-pdf
      December 19, 2017 - https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon A sentinel event affects patients, their … a hospital and explored changes in decision making, discharge rate, and peer observation after the event … https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon https://psnet.ahrq.gov/issue/sentinel-event-alert … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https … ://psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims

4277. Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet
      psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
      November 10, 2010 - drug event triggers designed for the outpatient setting. … September 25, 2019 Consensus building for development of outpatient adverse drug event … August 4, 2015 Using estimated true safety event rates versus flagged safety event rates … June 25, 2014 Using AHRQ Patient Safety Indicators to detect postdischarge adverse events … August 21, 2013 National trends in hospital-acquired preventable adverse events after

4278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36174/psn-pdf
      September 29, 2010 - Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse … drug event surveillance system. … Performance of International Classification Of Diseases, 9th Revision, Clinical Modification codes as an adverse … drug event surveillance system. … Quality (AHRQ)–supported study evaluated the effectiveness of using designated ICD-9 codes to detect adverse

4279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42423/psn-pdf
      July 17, 2013 - National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA … National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA … https://psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major … The highest- volume hospitals in this study had lower PSI event rates and failure-to-rescue rates compared … mortality seen at low-volume hospitals could be attributed solely to failures in rescuing patients once an event

4280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39673/psn-pdf
      December 21, 2014 - Effect of hospital follow-up appointment on clinical event outcomes and mortality. … Effect of hospital follow-up appointment on clinical event outcomes and mortality. … https://psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality … Hospital readmissions due to adverse events after discharge are relatively common, and may be precipitated … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov