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

9481. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet
      psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
      March 11, 2020 - October 9, 2019 Exploring everyday work as a dynamic non-event and adaptations to manage … December 18, 2017 Is detection of adverse events affected by record review methodology

9482. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. | PSNet
      psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
      June 01, 2011 - June 1, 2011 Using a patient internet portal to prevent adverse drug events: a randomized … The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event

9483. Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet
      psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
      December 18, 2017 - December 14, 2016 Identifying systems failures in the pathway to a catastrophic event … Care Providers Family Members and Caregivers Administration Errors Epidemiology of Errors and Adverse

9484. Creating a just culture in the perioperative setting. | PSNet
      psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
      July 13, 2009 - Fear of retaliation by leaders or colleagues can prevent staff from reporting adverse events, unsafe … June 12, 2024 Grading recommendations for enhanced patient safety in sentinel event analysis

9485. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. | PSNet
      psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
      July 19, 2023 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9486. The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet
      psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
      June 03, 2020 - August 3, 2017 Adverse events in the neonatal intensive care unit: development, testing … Related Resources WebM&M Cases A Double “Never Event

9487. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. | PSNet
      psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia
      January 14, 2009 - August 4, 2021 Families as partners in hospital error and adverse event surveillance.

9488. Developing a patient measure of safety (PMOS). | PSNet
      psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
      June 25, 2014 - October 3, 2012 Families as partners in hospital error and adverse event surveillance

9489. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. | PSNet
      psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive
      November 21, 2021 - April 21, 2021 Adverse drug event-related admissions to a pediatric emergency unit.

9490. Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. | PSNet
      psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
      March 11, 2015 - Accordingly, the scope of widespread documented adverse events among outpatients is vast. … February 2, 2022 Using patient safety indicators to estimate the impact of potential adverse

9491. Managing clinical failure: a complex adaptive system perspective. | PSNet
      psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
      August 13, 2014 - February 24, 2011 Otolaryngologists' responses to errors and adverse events. … September 29, 2010 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse

9492. Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. | PSNet
      psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
      March 06, 2019 - August 4, 2021 Prospective validation of classification of intraoperative adverse events … Physicians Pharmacy Ordering/Prescribing Errors Opiates/Narcotics Epidemiology of Errors and Adverse

9493. 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.

9494. 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

9495. 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

9496. 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

9497. 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

9498. 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.

9499. 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.

9500. 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