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Showing results for "adverse event".
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9401. Results of a national neurosurgery resident survey on duty hour regulations. | PSNet
      psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
      September 29, 2017 - neurosurgery residents reported being involved in a motor vehicle collision or other life-threatening event … Executives and Administrators Neurosurgery Surgical Complications Epidemiology of Errors and Adverse

9402. Safety participation at the direct care level: results of a patient questionnaire. | PSNet
      psnet.ahrq.gov/issue/safety-participation-direct-care-level-results-patient-questionnaire
      August 26, 2020 - Assessing the perceived level of institutional support for the second victim after a patient safety event … December 9, 2020 Assessing adverse events after chiropractic care at a chiropractic teaching

9403. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet
      psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
      March 10, 2010 - June 23, 2010 The attributes of medical event reporting systems. … The effect of structured medication review followed by face-to-face feedback to prescribers on adverse

9404. Evaluating patient identification practices during intrahospital transfers: a human factors approach. | PSNet
      psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
      August 18, 2021 - December 23, 2020 Collaborative case review: a systems-based approach to patient safety event … October 26, 2022 A systems approach to analyzing and preventing hospital adverse events

9405. Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet
      psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human
      May 29, 2019 - February 12, 2020 Collaborative case review: a systems-based approach to patient safety event … November 16, 2015 Analysis and prioritization of near-miss adverse events in a radiology

9406. Predicting self-intercepted medication ordering errors using machine learning. | PSNet
      psnet.ahrq.gov/issue/predicting-self-intercepted-medication-ordering-errors-using-machine-learning
      May 13, 2020 - Development and validation of a deep learning model for detection of allergic reactions using safety event … Researchers Information Professionals Ordering/Prescribing Errors Epidemiology of Errors and Adverse

9407. Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet
      psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident
      July 27, 2016 - August 20, 2018 Identifying contributing factors associated with dental adverse events … October 7, 2020 Simulation-based event analysis improves error discovery and generates

9408. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. | PSNet
      psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
      March 14, 2016 - February 16, 2022 Collaborative case review: a systems-based approach to patient safety event … Hospitals Health Care Executives and Administrators Radiology Epidemiology of Errors and Adverse

9409. Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet
      psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
      December 19, 2018 - September 1, 2018 Structuring patient and family involvement in medical error event disclosure … Administrators Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9410. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
      September 04, 2016 - July 18, 2016 Uptake of quality-related event standards of practice by community pharmacies … Health Care Executives and Administrators Hospital Pharmacy Medication Errors/Preventable Adverse

9411. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet
      psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
      January 19, 2022 - July 19, 2023 Comparing rates of adverse events detected in incident reporting and the … Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event

9412. 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

9413. 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.

9414. 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

9415. 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

9416. 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

9417. 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

9418. 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.

9419. 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.

9420. 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