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psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
July 13, 2022 - Study
Medication, allergy, and adverse drug event discrepancies in ambulatory care … Medication, allergy, and adverse drug event discrepancies in ambulatory care. … Medication, allergy, and adverse drug event discrepancies in ambulatory care. … July 13, 2022
Emergency department visits for medical device–associated adverse events
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psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study
January 29, 2020 - Study
Association between cancer-specific adverse event triggers and mortality: a … Association between cancer‐specific adverse event triggers and mortality: A validation study. … Association between cancer‐specific adverse event triggers and mortality: A validation study. … July 19, 2017
Risk factors for adverse events in patients with breast, colorectal, and … May 23, 2018
Preventable and mitigable adverse events in cancer care: measuring risk
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psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022
November 20, 2024 - Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. … The analysis showed that in 2022, 6.2% of Medicare patients experienced at least one adverse event … Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. … event rates. … December 11, 2024
Trends in adverse event rates in hospitalized patients, 2010-2019.
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Medication Errors and Adverse Drug Events
Citation Text:
Medication Errors and Adverse Drug … An adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to … As with the more general term adverse event , the occurrence of an ADE does not necessarily indicate … Event Prevention in 2014, which identified ways to align the efforts of federal health agencies to … Drug Event (ADE)
Medication Errors/Preventable Adverse Drug Events
Look-Alike, Sound-Alike Drugs
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psnet.ahrq.gov/issue/sentinel-event
May 30, 2012 - Citation Text:
Sentinel Event. The Joint Commission. … The Sentinel Event Alert Web site includes a complete library of previous sentinel event alerts, along … November 26, 2013
Sentinel Event Alert. … The Evolution of Root Cause Analysis
February 26, 2025
Adverse … Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse
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psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
April 06, 2022 - Study
Accuracy of adverse-drug-event reports collected using an automated dispensing … Accuracy of adverse-drug-event reports collected using an automated dispensing system. … Accuracy of adverse-drug-event reports collected using an automated dispensing system. … drug event triggers designed for the outpatient setting. … Drug Events
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
April 22, 2011 - hospitals: the Canadian Paediatric Adverse Events Study. … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. … in hospitalized children, and found that nearly 1 in 10 pediatric patients suffers an adverse event … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. … January 15, 2020
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … February 22, 2023
Adverse drug event surveillance and drug withdrawals in the United … Drug Events
Computerized Adverse Event Detection
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Surgical ‘never events’: How common are adverse occurrences? … Surgical ‘never events’: How common are adverse occurrences? … July 12, 2010
Families as partners in hospital error and adverse event surveillance. … March 13, 2013
Venous thromboembolism after trauma: a never event? … August 8, 2010
No pay for "never event" errors becoming standard.
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - Study
Surgeons' disclosures of clinical adverse events. … Surgeons' Disclosures of Clinical Adverse Events. … Surgeons' Disclosures of Clinical Adverse Events. … event disclosure support program generated through embedded research in the Veterans Health Administration … July 13, 2009
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
May 27, 2011 - Study
Understanding pharmacist decision making for adverse drug event (ADE) detection … Understanding pharmacist decision making for adverse drug event (ADE) detection. … Understanding pharmacist decision making for adverse drug event (ADE) detection. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … June 29, 2011
Consensus building for development of outpatient adverse drug event triggers
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psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
November 04, 2014 - Study
Rapid learning of adverse medical event disclosure and apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … Similar cognitive aids may help clinicians faced with disclosing adverse events to patients. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … January 9, 2014
Assessing residents' communication skills: disclosure of an adverse event
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting. … Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4). … Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. … Copy URL
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Citation
Citation Text:
Diagnostic safety event … December 1, 2011
To what extent are adverse events found in patient records reported
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psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006
December 15, 2010 - Study
Serious adverse drug events reported to the FDA: analysis of the FDA Adverse … Event Reporting System 2006–2014 database. … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006 … This retrospective study reviewed serious and fatal adverse drug events (ADEs) reported to the Food … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006
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psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
December 01, 2019 - Study
The patients' perspective: hematological cancer patients' experiences of adverse … When an error or adverse event occurs, patients and families want to be informed. … In this study of oncology patients, more than one quarter perceived an adverse event had occurred. … While most were informed soon after the event occurred and given an explanation, fewer than half were … October 6, 2021
Central venous catheter guidewire retention: lessons from England's never event
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psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
July 30, 2014 - Study
Participation in a system-thinking simulation experience changes adverse event … Participation in a system-thinking simulation experience changes adverse event reporting. … This study found that improvements in systems thinking increase adverse event (AE) reporting patterns … Participation in a system-thinking simulation experience changes adverse event reporting. … event reporting system: development and feasibility.
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psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
October 21, 2010 - Organizational Policy/Guidelines
WHO Draft Guidelines for Adverse Event Reporting … Citation Text:
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems. … Event Reporting and Learning Systems. … March 20, 2024
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Related Resources
Adverse Health Events … June 23, 2015
Consumer Guide to Adverse Health Events.
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psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
April 20, 2016 - Commentary
Adverse event reporting tool to standardize the reporting and tracking … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … October 26, 2022
Adverse event and complication tracking in anaesthesiology: dependence … February 5, 2014
Barriers to adverse event and error reporting in anesthesia.
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … Download Citation
Related Resources From the Same Author(s)
Impact of adverse … Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse
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psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
November 27, 2013 - : a secondary data analysis of two Canadian adverse event studies. … of two canadian adverse event studies. … A previous study estimated that about 10% of patients receiving home care experienced an adverse event … of two canadian adverse event studies. … November 27, 2013
The Canadian Adverse Events Study: the incidence of adverse events