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Showing results for "adverse event".
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9341. Nursing management of medication errors. | PSNet
      psnet.ahrq.gov/issue/nursing-management-medication-errors
      November 02, 2022 - Related Resources Comparing the outcomes of reporting and trigger tool methods to capture adverse … The Topic Hospitals Nurses Nurse Managers Nurse Care Medication Errors/Preventable Adverse

9342. Preventing pressure ulcers: the goal is zero. | PSNet
      psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
      September 30, 2010 - March 23, 2012 As industry automates, adverse events continue to haunt caregivers. … March 12, 2011 National estimates of adverse events during nonpsychiatric hospitalizations

9343. Medical emergency team calls: the need to communicate a resuscitation plan. | PSNet
      psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
      November 26, 2014 - January 15, 2009 The Research on Adverse Drug Events and Reports (RADAR) project. … 2023 Effectiveness of continuous or intermittent vital signs monitoring in preventing adverse

9344. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. | PSNet
      psnet.ahrq.gov/issue/medicolegal-aspect-error-pathology-search-jury-verdicts-and-settlements
      February 04, 2016 - October 18, 2017 Surgical specimen management: a descriptive study of 648 adverse events … Laboratory Medicine Diagnostic Errors Transfusion Complications Epidemiology of Errors and Adverse

9345. Implementation of the SBAR communication technique in a tertiary center. | PSNet
      psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
      March 27, 2019 - Resources From the Same Author(s) The impact of internal service quality on preventable adverse … July 21, 2021 Adverse events associated with home blood transfusion: a retrospective

9346. Surveillance: a strategy for improving patient safety in acute and critical care units. | PSNet
      psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
      September 27, 2016 - This commentary describes how surveillance can prevent adverse events and medical errors in critical … February 8, 2017 Full disclosure of adverse events to patients and families in the ICU

9347. Safer Healthcare: Strategies for the Real World. | PSNet
      psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
      March 23, 2022 - Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse … Topic Hospitals Ambulatory Care Risk Managers Medicine Epidemiology of Errors and Adverse

9348. High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. | PSNet
      psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
      October 09, 2013 - December 15, 2010 Identification and Prevention of Common Adverse Drug Events in the … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9349. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet
      psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
      September 13, 2016 - October 31, 2018 A patient-initiated voluntary online survey of adverse medical events … 23, 2016 Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse

9350. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet
      psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
      October 29, 2014 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse … Psychiatry and Clinical Psychology) Psychological and Social Complications Epidemiology of Errors and Adverse

9351. 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

9352. 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

9353. 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.

9354. 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

9355. 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

9356. 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

9357. 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

9358. 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.

9359. 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.

9360. 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