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psnet.ahrq.gov/node/36330/psn-pdf
October 26, 2010 - Adverse-drug-event rates for high-cost and high-use
drugs in the intensive care unit. … Adverse-drug-event rates for high-cost and high-use drugs in the
intensive care unit. … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit … The researchers analyzed adverse drug events with high-cost or high-use medications and found no
relationship … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
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psnet.ahrq.gov/node/46146/psn-pdf
June 07, 2017 - Increasing patient safety event reporting in an emergency
medicine residency. … Increasing Patient Safety Event Reporting in an Emergency Medicine
Residency. … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency … Technical and psychological factors can affect adverse event reporting. … reporting-patient-safety-events
https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events
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psnet.ahrq.gov/node/41587/psn-pdf
September 19, 2016 - Supporting involved health care professionals (second
victims) following an adverse health event: a … Supporting involved health care professionals (second victims) following
an adverse health event: a … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-
adverse-health-event … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
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psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - Sentinel Event Alert. 2008;41(41):1-4. … They have been associated with adverse events in a
variety of settings, including in hospitalized patients … Please see Sentinel event alert 61: Managing the risks of direct
oral anticoagulants. … https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults … https://psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
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psnet.ahrq.gov/node/42893/psn-pdf
March 13, 2014 - Effect of patient safety strategies on the incidence of
adverse events. … Effect of patient safety strategies on the incidence of
adverse events. … that adverse event rates in a Spanish hospital increased following the introduction of
various patient … This finding is likely due to enhanced awareness leading to more event
recording, rather than a result … /issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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psnet.ahrq.gov/node/46790/psn-pdf
March 14, 2018 - When clinicians drop out and start over after adverse
events. … When Clinicians Drop Out and Start Over after Adverse Events. … https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-after-adverse-events
Clinicians … event. … In keeping with prior research, respondents reported a lack of support
after the event.
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psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - Adverse events in patients with return emergency
department visits. … Adverse events in patients with return emergency department visits. … event. … An adverse event was present in 12% of
return visits that occurred within 72 hours of the initial visit … The authors suggest that this utilization pattern
may be a promising trigger tool to identify adverse
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psnet.ahrq.gov/node/41030/psn-pdf
March 04, 2015 - A systematic review to evaluate the accuracy of electronic
adverse drug event detection. … A systematic review to evaluate the accuracy of electronic adverse
drug event detection. … https://psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection … The difficulty of accurately identifying and classifying inpatient adverse drug events (ADEs) was first … https://psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection
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psnet.ahrq.gov/node/43096/psn-pdf
August 22, 2016 - Rapid learning of adverse medical event disclosure and
apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
Obstetricians … Similar cognitive aids may help clinicians faced with
disclosing adverse events to patients. … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41193/psn-pdf
August 02, 2012 - Medicaid, hospital financial stress, and the incidence of
adverse medical events for children. … Medicaid, hospital financial stress, and the incidence of adverse
medical events for children. … https://psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events- … event. … event.
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psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - Medication, allergy, and adverse drug event
discrepancies in ambulatory care. … Medication, allergy, and adverse drug event discrepancies in
ambulatory care. … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
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psnet.ahrq.gov/node/35236/psn-pdf
June 30, 2011 - Patient perspectives of patient–provider communication
after adverse events. … Patient perspectives of patient-provider communication after adverse
events. … https://psnet.ahrq.gov/issue/patient-perspectives-patient-provider-communication-after-adverse-events … event. … effective communication helped
patients deal with the emotional, financial, and physical trauma of the event
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psnet.ahrq.gov/node/37181/psn-pdf
October 06, 2011 - Inter-rater reliability of a classification system for hospital
adverse drug event reports. … Inter-rater reliability of a classification system for hospital
adverse drug event reports. … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
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psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program. … Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. … https://psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support … event. … event.
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psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
October 17, 2018 - This research team of clinical and computational experts assessed the feasibility of identifying adverse … October 17, 2018
Identifying health information technology related safety event reports … from patient safety event report databases. … February 10, 2018
The impact of electronic medical records on hospital-acquired adverse … About The Topic
Hospitals
Information Professionals
Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/node/36490/psn-pdf
January 07, 2011 - randomised controlled trial of the effect of continuous
electronic physiological monitoring on the adverse … event
rate in high risk medical and surgical patients. … randomised controlled trial of the effect of continuous
electronic physiological monitoring on the adverse … event rate in high risk medical and surgical patients. … found that the higher intensity monitoring did not result in more treatment changes
or a reduction in adverse
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psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Assessing the potential adoption and usefulness of
concurrent, action-oriented, electronic adverse drug … event triggers designed for the outpatient setting. … event triggers designed for the outpatient setting. … Trigger tools have been shown to be an efficient way to screen for adverse events. … This AHRQ-funded
study assessed the usefulness of different adverse drug event triggers in the outpatient
-
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.
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psnet.ahrq.gov/node/35553/psn-pdf
July 03, 2013 - Maximizing the Use of State Adverse Event Data to
Improve Patient Safety. … https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
This report … https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - event reporting
JCAHO; December 5, 2001. … Near Miss or Adverse Event? … event but did not—it is more appropriate to call this case an adverse event
This patient was subjected … Adverse Event – Any injury caused by medical care. … Thus, pneumothorax from central venous catheter placement counts as an adverse event regardless of insertion