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9441. Evidence for anchoring bias during physician decision-making. | PSNet
      psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
      November 17, 2021 - December 1, 2010 Changes in hospital adverse events and patient outcomes associated with … September 20, 2011 Key use cases for artificial intelligence to reduce the frequency of adverse … March 9, 2022 Quality measures for patients at risk of adverse outcomes in the Veterans

9442. From HRO to HERO: making health equity a core system capability. | PSNet
      psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
      September 30, 2020 - 2021 Transforming the medication regimen review process using telemedicine to prevent adverse … March 2, 2011 Effect of social influences on pharmacists' intention to report adverse … June 2, 2021 Racial bias among emergency providers: strategies to mitigate its adverse

9443. Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet
      psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
      May 28, 2008 - relationship between nurse–physician communication, the intensive care unit practice environment, and adverse … Although some relationship between communication and adverse events was documented, the relationship … was inconsistent, and nurses' perception of the practice environment was not clearly correlated with adverse

9444. Medication assessments by care managers reveal potential safety issues in homebound older adults. | PSNet
      psnet.ahrq.gov/issue/medication-assessments-care-managers-reveal-potential-safety-issues-homebound-older-adults
      August 18, 2021 - June 9, 2021 Adverse events in long-term care residents transitioning from hospital back … March 6, 2012 Adverse drug events in the outpatient setting: an 11-year national analysis … Topic Home Care Health Care Providers Geriatrics Community Pharmacy Side Effects/Adverse

9445. Do clinician disruptive behaviors make an unsafe environment for patients? | PSNet
      psnet.ahrq.gov/issue/do-clinician-disruptive-behaviors-make-unsafe-environment-patients
      September 16, 2020 - 2010 Relationships between comprehensive characteristics of nurse work schedules and adverse … November 23, 2016 Interventions in health organisations to reduce the impact of adverse … Administrators Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9446. Understanding and responding to health literacy as a social determinant of health. | PSNet
      psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
      September 27, 2017 - Resources From the Same Author(s) Surveillance of medical device-related hazards and adverse … 12, 2022 Inaccurate penicillin allergy labeling, the electronic health record, and adverse … December 23, 2020 Association between parent comfort with English and adverse events

9447. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet
      psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
      November 30, 2012 - Missed or delayed diagnosis of cardiovascular disease can lead to adverse patient outcomes . … November 30, 2012 Adverse safety events in emergency medical services care of children … September 8, 2016 The Research on Adverse Drug Events and Reports (RADAR) project.

9448. Gender biases in estimation of others' pain. | PSNet
      psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
      March 25, 2020 - October 7, 2020 Data collection for adverse events reporting by US dental schools. … June 16, 2021 Adverse events during dental care for children: implications for practitioner … Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse

9449. Monitoring during sedation given by non-anaesthetic doctors. | PSNet
      psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors
      August 30, 2023 - January 18, 2023 Potentially inappropriate medication administration is associated with adverse … September 14, 2022 Adverse events in infants less than 6 months of age after ambulatory … View More See More About The Topic Anesthesiology Epidemiology of Errors and Adverse

9450. Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet
      psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
      March 02, 2011 - Older patients' understanding of emergency department discharge information and its relationship with adverse … and Poor Communication November 29, 2023 Root cause analyses of reported adverse … December 21, 2014 Adverse events after screening and follow-up colonoscopy.

9451. State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections. | PSNet
      psnet.ahrq.gov/issue/state-mandated-hospital-infection-reporting-not-associated-decreased-pediatric-health-care
      February 17, 2010 - Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse … March 12, 2014 Prevalence and nature of adverse medical device events in hospitalized … About The Topic Children's Hospitals Physicians Pediatrics Epidemiology of Errors and Adverse

9452. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet
      psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
      August 25, 2021 - Excess workload and  burnout  among nurses can compromise  safe  patient care and lead to  adverse outcomes … December 12, 2012 The association of shift-level nurse staffing with adverse patient … March 23, 2011 Association between language use and ICU transfer and serious adverse

9453. 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.

9454. 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

9455. 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

9456. 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

9457. 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

9458. 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.

9459. 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.

9460. 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