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Showing results for "adverse event".
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9301. Simulation training in obstetrics. | PSNet
      psnet.ahrq.gov/issue/simulation-training-obstetrics
      September 02, 2015 - Adverse events in obstetrics put both maternal and infant patients at risk. … February 23, 2011 View More Related Resources Reducing adverse … Topic Labor and Delivery Health Care Providers Obstetrics Epidemiology of Errors and Adverse

9302. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
      September 28, 2017 - June 8, 2011 Adverse incidents, patient flow and nursing workforce variables on acute … November 29, 2009 Nurse reports of adverse events during sedation procedures at a pediatric … November 11, 2009 The increased incidence of anesthetic adverse events in late afternoon

9303. Interventions for reducing medication errors in children in hospital. | PSNet
      psnet.ahrq.gov/issue/interventions-reducing-medication-errors-children-hospital
      May 19, 2018 - June 7, 2023 Lack of awareness of community-acquired adverse drug reactions upon hospital … March 23, 2012 Medication errors and adverse drug events in pediatric inpatients. … Care Executives and Administrators Pediatrics Hospital Pharmacy Medication Errors/Preventable Adverse

9304. Medication safety infrastructure in critical-access hospitals in Florida. | PSNet
      psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
      December 06, 2017 - December 6, 2017 Identifying and characterizing preventable adverse drug events for prioritizing … September 30, 2010 Systematic review of the incidence and characteristics of preventable adverse … July 29, 2020 Association between paediatric intraoperative anaesthesia handover and adverse

9305. Medical reconciliation in patients discharged from the emergency department. | PSNet
      psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
      March 04, 2015 - June 3, 2020 Effects of teamwork training on adverse outcomes and process of care in … January 12, 2011 Identification of adverse events in ground transport emergency medical … December 6, 2017 Medication dispensing errors and potential adverse drug events before

9306. A call to action for anticoagulation stewardship. | PSNet
      psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship
      March 04, 2020 - Anticoagulants are high-risk medications due to their narrow therapeutic window and association with adverse … Commission NPSG.03.05.01 Elements of Performance March 4, 2020 Root cause analysis of adverse … Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse

9307. Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
      April 19, 2017 - June 9, 2015 Disclosing adverse events to patients: international norms and trends. … January 18, 2023 Communication and Resolution After an Adverse Health Care Incident. … December 8, 2016 ACOG Committee Opinion #681: disclosure and discussion of adverse events

9308. Improving pathologists' communication skills. | PSNet
      psnet.ahrq.gov/issue/improving-pathologists-communication-skills
      May 18, 2022 - May 18, 2011 Surgical specimen management: a descriptive study of 648 adverse events … December 19, 2018 Association between handover of anesthesia care and adverse postoperative … Care Providers Pathology and Laboratory Medicine Diagnostic Errors Epidemiology of Errors and Adverse

9309. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - By the following morning, the patient had returned to his baseline with no apparent adverse effects. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Systems analysis of adverse drug events. ADE Prevention Study Group. … Results of the opioid knowledge assessment from the PA Hospital Engagement Network adverse drug event

9310. 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

9311. 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

9312. 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

9313. 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.

9314. 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

9315. 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

9316. 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

9317. 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

9318. 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.

9319. 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.

9320. 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