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Showing results for "adverse event".
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9261. Diagnostic error in a national incident reporting system in the UK. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
      February 15, 2013 - June 28, 2011 Adverse events and near miss reporting in the NHS. … Care Providers Quality and Safety Professionals Diagnostic Errors Epidemiology of Errors and Adverse

9262. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet
      psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
      March 11, 2013 - January 4, 2012 Cost of illness of patient-reported adverse drug events: a population-based … February 1, 2013 Incidence and preventability of adverse events requiring intensive care

9263. Costs and benefits of an early-alert surveillance system for hospital inpatients. | PSNet
      psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
      January 24, 2024 - June 27, 2018 Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized … June 30, 2011 Measurement of adverse events using "incidence flagged" diagnosis codes

9264. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. | PSNet
      psnet.ahrq.gov/issue/simulation-and-diagnostic-process-pilot-study-trauma-and-rapid-response-teams
      July 16, 2015 - March 1, 2011 Preventable adverse drug events in hospitalized patients: a comparative … Facility and Group Administrators Educators Diagnostic Errors Epidemiology of Errors and Adverse

9265. Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital. | PSNet
      psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
      September 02, 2020 - November 23, 2016 Identifying causes of adverse events detected by an automated trigger … June 16, 2009 Characteristics of medication errors and adverse drug events in hospitals

9266. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet
      psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
      December 04, 2016 - Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse … April 4, 2011 Analysis of adverse events in pediatric surgery using criteria validated

9267. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. | PSNet
      psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
      March 19, 2018 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … April 21, 2010 Importance of prevention and early intervention of adverse events in pediatric

9268. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
      February 06, 2019 - Non-conveyance of older adult patients and association with subsequent clinical and adverse … July 20, 2022 Occurrence of no-harm incidents and adverse events in hospitalized patients … July 12, 2023 A systems approach to analyzing and preventing hospital adverse events.

9269. Medication Administration Errors | PSNet
      psnet.ahrq.gov/primer/medication-administration-errors
      December 15, 2024 - improving safety since Bates and colleagues' reports in the 1990s characterized the frequency of adverse … As described in related primers on medication errors and adverse drug events and on the pharmacist's … routinely to ensure understanding of indication for therapy, intended outcomes, and signs and symptoms of adverse … Tube and Poor Communication November 29, 2023 Development of a pediatric adverse … May 29, 2014 Adverse drug events in hospitalized cardiac patients.

9270. 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

9271. 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

9272. 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

9273. 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.

9274. 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

9275. 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

9276. 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

9277. 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

9278. 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.

9279. 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.

9280. 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