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Showing results for "adverse event".
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9361. A critical appraisal of AHRQ's "Diagnostic Errors" report. | PSNet
      psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report
      July 13, 2016 - September 30, 2020 Emergency department adverse events detected using the emergency department … August 24, 2022 Adverse events present on arrival to the emergency department: the ED

9362. Outcomes with overlapping surgery at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/outcomes-overlapping-surgery-large-academic-medical-center
      May 03, 2023 - November 15, 2018 Operating at night does not increase the risk of intraoperative adverse … Facility and Group Administrators Surgery Intraoperative Complications Epidemiology of Errors and Adverse

9363. Potential drug interactions and duplicate prescriptions among cancer patients. | PSNet
      psnet.ahrq.gov/issue/potential-drug-interactions-and-duplicate-prescriptions-among-cancer-patients
      April 27, 2010 - systems in preventing these events, their findings noted only potential drug interactions and not true adverse … Ambulatory Care Physicians Information Professionals Medical Oncology Side Effects/Adverse

9364. The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. | PSNet
      psnet.ahrq.gov/issue/orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
      July 18, 2016 - August 21, 2013 National trends in hospital-acquired preventable adverse events after … December 15, 2011 As industry automates, adverse events continue to haunt caregivers.

9365. Root causes of errors in a simulated prehospital pediatric emergency. | PSNet
      psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
      June 11, 2014 - December 8, 2010 Ambulance personnel perceptions of near misses and adverse events in … Care Providers Emergency Medicine Pediatric Emergency Medicine Epidemiology of Errors and Adverse

9366. Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
      March 09, 2022 - Resources From the Same Author(s) Predictive power of the "trigger tool" for the detection of adverse … Inappropriate hospital admission as a risk factor for the subsequent development of adverse

9367. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. | PSNet
      psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information
      November 18, 2016 - August 9, 2017 National estimates of adverse events during nonpsychiatric hospitalizations … August 12, 2020 Effects of individual nurse and hospital characteristics on patient adverse

9368. How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. | PSNet
      psnet.ahrq.gov/issue/how-do-stakeholders-experience-adoption-electronic-prescribing-systems-hospitals-systematic
      December 16, 2020 - March 12, 2025 Adverse events in emergency department boarding: a systematic review. … Health Care Executives and Administrators Information Professionals Epidemiology of Errors and Adverse

9369. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. | PSNet
      psnet.ahrq.gov/issue/inequities-quality-and-safety-outcomes-hospitalized-children-intellectual-disability
      June 15, 2022 - March 2, 2022 Adverse medication events related to hospitalization in the United States … and Administrators Quality and Safety Professionals Pediatrics Medication Errors/Preventable Adverse

9370. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet
      psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
      November 18, 2020 - March 1, 2023 Effect of illness severity and comorbidity on patient safety and adverse … 2022 Transforming the medication regimen review process using telemedicine to prevent adverse

9371. 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

9372. 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

9373. 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.

9374. 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

9375. 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

9376. 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

9377. 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

9378. 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.

9379. 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.

9380. 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