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Showing results for "adverse event".
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8601. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
      May 01, 2024 - October 18, 2023 Which adverse events and which drugs are implicated in drug-related … Opportunities for Providing Safe Care February 23, 2022 Cutaneous Procedures Adverse … March 17, 2021 Data collection for adverse events reporting by US dental schools.

8602. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
      March 09, 2022 - Resources From the Same Author(s) Predictive power of the "trigger tool" for the detection of adverse … Inappropriate hospital admission as a risk factor for the subsequent development of adverse … Units Critical Care Critical Care Nursing Hospital Pharmacy Medication Errors/Preventable Adverse

8603. National trends in the safety performance of electronic health record systems from 2009 to 2018. | PSNet
      psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-2009-2018
      July 29, 2020 - performance of electronic health record (EHR) systems using simulated medication orders that can lead to adverse … January 17, 2024 Key use cases for artificial intelligence to reduce the frequency of adverse … newly implemented commercial computerized provider order-entry system: override appropriateness and adverse

8604. Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. | PSNet
      psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-medication-discrepancies-during
      August 26, 2020 - December 2, 2020 Communication matters when it comes to adverse events: associations … of adverse events during implant treatment with patients' communication quality and trust assessments … January 27, 2012 Medication reconciliation for reducing drug-discrepancy adverse events

8605. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. | PSNet
      psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
      July 27, 2022 - December 15, 2021 Using patient safety indicators to estimate the impact of potential adverse … Patient Engagement in Safety January 1, 2017 Preventable adverse … Professionals Information Professionals Medicine Nurse Care Epidemiology of Errors and Adverse

8606. Professional, structural and organisational interventions in primary care for reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
      December 16, 2020 - These results highlight the challenge of reducing serious adverse drug events in outpatient care . … September 26, 2012 Adverse drug events resulting from patient errors in older adults. … Topic Ambulatory Care Health Care Providers Primary Care Medication Errors/Preventable Adverse

8607. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. | PSNet
      psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
      June 28, 2011 - Citation Related Resources From the Same Author(s) A comparison of hospital adverse … June 28, 2011 Effect of illness severity and comorbidity on patient safety and adverse … September 12, 2012 Effect of illness severity and comorbidity on patient safety and adverse

8608. 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-

8609. 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

8610. 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

8611. 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

8612. 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

8613. 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.

8614. 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

8615. 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

8616. 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

8617. 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

8618. 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.

8619. 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.

8620. 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