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Showing results for "adverse event".
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9281. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet
      psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
      May 01, 2017 - These improvements coincided with nationwide efforts to reduce adverse events, such as the Partnership … Executives and Administrators Infectious Diseases Nosocomial Infections Epidemiology of Errors and Adverse

9282. Rapid response team implementation and in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
      December 03, 2014 - Related Resources From the Same Author(s) Predicting potential postdischarge adverse … Care Executives and Administrators Critical Care Hospital Medicine Epidemiology of Errors and Adverse

9283. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. | PSNet
      psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center
      January 19, 2012 - September 30, 2010 Automated identification of antibiotic overdoses and adverse drug … and Administrators General Internal Medicine Hospital Medicine Epidemiology of Errors and Adverse

9284. Can a structured checklist prevent problems with laparoscopic equipment? | PSNet
      psnet.ahrq.gov/issue/can-structured-checklist-prevent-problems-laparoscopic-equipment
      August 10, 2016 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … September 7, 2022 Predictive power of the "trigger tool" for the detection of adverse

9285. Perspectives on patient and family engagement with reduction in harm: the forgotten voice. | PSNet
      psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
      December 01, 2011 - June 2, 2019 Effect of illness severity and comorbidity on patient safety and adverse … December 9, 2009 Impact of patient safety culture on missed nursing care and adverse

9286. Peer support for nurses as second victims: resilience, burnout, and job satisfaction. | PSNet
      psnet.ahrq.gov/issue/peer-support-nurses-second-victims-resilience-burnout-and-job-satisfaction
      March 03, 2019 - Adverse events  can have significant psychological impacts on the providers involved and involvement … December 21, 2017 The impact of adverse events on clinicians: what's in a name?

9287. A case of adverse drug reaction induced by dispensing error. | PSNet
      psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
      August 17, 2022 - Commentary A case of adverse drug reaction induced by dispensing error. … A case of adverse drug reaction induced by dispensing error. … led to an elderly patient mistakenly taking two contraindicated medications, which resulted in an adverse … A case of adverse drug reaction induced by dispensing error. … Topic Hospitals Health Care Providers Internal Medicine Medication Errors/Preventable Adverse

9288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33584/psn-pdf
      March 15, 2025 - between clinicians at times of transitions in care are discussed in the Handoffs, Readmission and Adverse … https://psnet.ahrq.gov/primer/handoffs-and-signouts https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov

9289. A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. | PSNet
      psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
      June 12, 2008 - Interpretation of Positive Blood Cultures January 1, 2008 Residents report on adverse … January 5, 2017 ACOG Committee Opinion #681: disclosure and discussion of adverse events

9290. 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

9291. 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

9292. 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

9293. 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.

9294. 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

9295. 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

9296. 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

9297. 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

9298. 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.

9299. 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.

9300. 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