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Showing results for "adverse event".
Users also searched for: patient safety indicators

8981. Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
      November 20, 2019 - March 22, 2024 Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there … September 10, 2014 Adverse Events in Hospitals: Public Disclosure of Information About

8982. Department of Defense Health Care Quality. | PSNet
      psnet.ahrq.gov/issue/department-defense-health-care-quality
      February 11, 2025 - June 10, 2020 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … February 9, 2011 Incidence of Adverse Events in Indian Health Service Hospitals.

8983. Patient Safety in the Office-Based Practice Setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
      May 10, 2016 - October 25, 2017 Reducing Adverse Drug Events Related to Opioids Implementation Guide … The Topic Ambulatory Care Health Care Providers Medicine Epidemiology of Errors and Adverse

8984. How PSOs Help Health Care Organizations Improve Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
      May 25, 2016 - November 23, 2016 Origin of Adverse Drug Events in US Hospitals, 2011. … Topic Hospitals Quality and Safety Professionals Medicine Epidemiology of Errors and Adverse

8985. Is myocardial infarction overdiagnosed? | PSNet
      psnet.ahrq.gov/issue/myocardial-infarction-overdiagnosed
      June 28, 2017 - October 7, 2013 Families as partners in hospital error and adverse event surveillance

8986. Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
      September 23, 2020 - Vital signs are still vital: instability on discharge and the risk of post-discharge adverse … Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes … Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes … March 28, 2011 Improving self-reporting of adverse drug events in a West Virginia hospital

8987. Out-of-hospital medication errors among young children in the United States, 2002–2012. | PSNet
      psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012
      June 14, 2017 - Adverse drug events are most likely with liquid medications and often occur because of confusion with … November 17, 2011 Medication errors and adverse drug events in pediatric inpatients. … July 14, 2010 Detecting adverse drug reactions on paediatric wards: intensified surveillance … June 22, 2009 Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.

8988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49735/psn-pdf
      June 01, 2015 - event. … setting (2), and annually 150,000 or more patients experience diagnosis-related harm.(3) Moreover, adverse … event. … Ambulatory care adverse events and preventable adverse events leading to a hospital admission. … The nature of adverse events in hospitalized patients.

8989. 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

8990. 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

8991. 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

8992. 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

8993. 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.

8994. 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

8995. 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

8996. 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

8997. 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

8998. 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.

8999. 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.

9000. 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