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Showing results for "adverse event".
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601. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37550/psn-pdf
     June 29, 2011 - Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse … event reporting system. … Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse … event reporting system. … psnet.ahrq.gov/issue/testing-technology-acceptance-model-evaluating-healthcare-professionals- intention-use-adverse

602. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36895/psn-pdf
     March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect … adverse drug events in the hospital setting. … A systematic review of the performance characteristics of clinical event monitor signals used to detect … adverse drug events in the hospital setting. … The authors analyzed the literature and identified laboratory and pharmacy triggers used to detect adverse

603. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44006/psn-pdf
     April 22, 2015 - One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse … event: a patient record review in six Belgian hospitals. … One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse … event: a patient record review in six Belgian hospitals. … This study challenges that viewpoint, finding that preventable adverse events may have contributed to

604. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40841/psn-pdf
     October 16, 2012 - : A model of adverse events and length of stay for medical inpatients. … A model of adverse events and length of stay for medical inpatients. … https://psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical- … techniques to address a related but distinct question: what is the daily risk of a patient safety event … event increases with increasing hospital length of stay.

605. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44635/psn-pdf
     June 21, 2016 - Evaluation of perioperative medication errors and adverse drug events. … At least one medication error or adverse drug event occurred in nearly half of the 277 operations observed … drug event; 80% of these errors were deemed preventable. … There were no differences in event rates among resident physicians, nurse anesthetists, and staff anesthesiologists … ://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

606. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40904/psn-pdf
     January 04, 2012 - Effect of illness severity and comorbidity on patient safety and adverse events. … Effect of illness severity and comorbidity on patient safety and adverse events. … https://psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events … The likelihood of suffering an adverse event is directly tied to length of hospitalization, and this … By linking adverse event data from various sources—including Patient Safety Indicators, voluntary error

607. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37135/psn-pdf
     October 04, 2011 - Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse … event classification. … Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse … event classification. … psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty- associated-adverse

608. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73473/psn-pdf
     January 01, 2022 - Improving safety recommendations before implementation: a simulation-based event analysis to optimize … interventions designed to prevent recurrence of adverse events. … Improving safety recommendations before implementation: a simulation-based event analysis to optimize … interventions designed to prevent recurrence of adverse events. … https://psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-

609. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43567/psn-pdf
     October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action … aims to align the efforts of multiple federal programs committed to reducing patient harms related to adverse … common usage and their very high potential to cause clinically significant, preventable, and measurable adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention https://psnet.ahrq.gov

610. 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

611. 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

612. 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

613. 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.

614. 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

615. 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

616. 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

617. 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

618. 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.

619. 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.

620. 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