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Showing results for "adverse event".
Users also searched for: patient safety indicators

  1. Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. | PSNet

    psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
    June 04, 2014 - September 20, 2011 How event reporting by US hospitals has changed from 2005 to 2009. … Hospitals Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

  2. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. | PSNet

    psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
    February 22, 2017 - safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event … July 30, 2014 Adverse Events in Hospitals: Public Disclosure of Information About Events

  3. Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

    psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
    March 24, 2021 - trauma centers using the Joint Commission on Accreditation of Healthcare Organizations Patient Safety Event … March 16, 2022 Incidence of adverse events and negligence in hospitalized patients.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43677/psn-pdf
    November 19, 2014 - reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42913/psn-pdf
    January 29, 2014 - hospital-incident-reporting-systems-do-not-capture-most-patient-harm https://psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department

  6. Alert Fatigue | PSNet

    psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - Although there are few studies that quantify adverse events related to alert fatigue, this phenomenon … The Joint Commission released a sentinel event alert in April 2015 calling for health care organizations … The Topic Alert fatigue Human Factors Engineering Medical Alarm Design Computerized Adverse … Event Detection

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44529/psn-pdf
    September 30, 2015 - issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients This analysis found that adverse … Errors were rare, but adverse effects related to the medications were common, underscoring the need

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866164/psn-pdf
    June 19, 2024 - what-effectiveness-reporting-systems-promoting-learning-healthcare Organizational incident reporting systems are an important tool to identify, and learn from, adverse

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38744/psn-pdf
    July 01, 2009 - and after reduction of resident duty hours and found no significant change in surgical or procedural adverse

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41100/psn-pdf
    February 01, 2012 - Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse … Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse … Quality's Patient Safety Indicators (PSIs) are widely used to screen administrative data for evidence of adverse

  11. Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. | PSNet

    psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
    June 14, 2023 - Unprofessional and disruptive physician behavior can compromise safety culture and has been associated with adverse … Male physicians and those in procedural specialties were more likely to be involved in an event involving

  12. 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

  13. 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.

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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.

  19. 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.

  20. 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
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