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Showing results for "adverse event".
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9421. Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. | PSNet
      psnet.ahrq.gov/issue/nurses-perspectives-medication-errors-and-prevention-strategies-residential-aged-care
      July 13, 2010 - July 13, 2010 The relationship between safety culture and voluntary event reporting in … Diagnostic Safety and Quality April 26, 2023 Safety climate associated with adverse

9422. Debrief it all: a tool for inclusion of Safety-II. | PSNet
      psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
      June 08, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event … The Topic Quality and Safety Professionals Safety Scientists Epidemiology of Errors and Adverse

9423. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. | PSNet
      psnet.ahrq.gov/issue/missed-acute-coronary-syndrome-during-telephone-triage-out-hours-primary-care-lessons-case
      March 11, 2020 - March 17, 2021 Examining causes and prevention strategies of adverse events in deceased … June 16, 2021 Collaborative case review: a systems-based approach to patient safety event

9424. Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. | PSNet
      psnet.ahrq.gov/issue/detach-yourself-positive-effect-psychological-detachment-patient-safety-long-term-care
      March 02, 2022 - 22, 2021 Why an open disclosure procedure is and is not followed after an avoidable adverse … event.

9425. Patient safety and legal regulations: a total-scale analysis of the scientific literature. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-legal-regulations-total-scale-analysis-scientific-literature
      November 16, 2022 - January 26, 2022 Collaborative case review: a systems-based approach to patient safety event … Topic Non-Health Care Professionals Policy Makers Medicine Epidemiology of Errors and Adverse

9426. Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet
      psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
      February 03, 2021 - January 21, 2015 Suffering in silence: a qualitative study of second victims of adverse … August 27, 2008 Exploring everyday work as a dynamic non-event and adaptations to manage

9427. Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019. | PSNet
      psnet.ahrq.gov/issue/accuracy-emergency-department-clinical-findings-diagnosis-coronavirus-disease-2019
      September 09, 2020 - Download Citation Related Resources From the Same Author(s) When safety event … September 9, 2020 Adverse events among emergency department patients with cardiovascular

9428. Preventing sentinel events caused by family members. | PSNet
      psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
      June 14, 2023 - Settings Help Improve Management of Sepsis May 31, 2023 Full disclosure of adverse

9429. Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. | PSNet
      psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
      October 16, 2013 - Study Lack of awareness of community-acquired adverse drug reactions upon hospital … Lack of awareness of community-acquired adverse drug reactions upon hospital admission : dimensions and … Lack of awareness of community-acquired adverse drug reactions upon hospital admission : dimensions and … June 22, 2009 Predicting and preventing adverse drug reactions in the very old. … June 22, 2009 Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.

9430. Sentinel events. In memory of Ben—a case study. | PSNet
      psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
      July 01, 2016 - June 10, 2015 Screening for adverse drug events: a randomized trial of automated calls

9431. 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

9432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47152/psn-pdf
      October 12, 2018 - association-interruptions-increased-risk-and-severity-medication-administration-errors https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients

9433. 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.

9434. 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

9435. 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

9436. 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

9437. 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

9438. 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.

9439. 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.

9440. 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