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Showing results for "adverse event".
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9501. Patient safety in intensive care medicine: the Declaration of Vienna. | PSNet
      psnet.ahrq.gov/issue/patient-safety-intensive-care-medicine-declaration-vienna
      September 30, 2010 - February 17, 2010 Understanding medical errors and adverse events in ICU patients. … February 20, 2019 Understanding medical errors and adverse events in ICU patients.

9502. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet
      psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
      December 09, 2020 - September 23, 2020 Data collection for adverse events reporting by US dental schools. … More About The Topic Ambulatory Care Physicians Medicine Epidemiology of Errors and Adverse

9503. Addressing Health Worker Burnout. | PSNet
      psnet.ahrq.gov/issue/addressing-health-worker-burnout
      May 25, 2022 - Copy Citation Related Resources From the Same Author(s) Adverse Events in … March 16, 2022 Adverse Events Toolkit: Medical Record Review Methodology.

9504. Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet
      psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
      October 15, 2014 - September 21, 2005 Disclosure of adverse events in pediatrics. … July 26, 2011 Medication errors and adverse drug events in pediatric inpatients.

9505. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet
      psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
      March 26, 2014 - September 9, 2020 Burden of hospitalizations related to adverse drug events in the USA … Topic Operating Room Health Care Providers Anesthesiology Medication Errors/Preventable Adverse

9506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844550/psn-pdf
      September 01, 2012 - patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

9507. An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet
      psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
      April 13, 2017 - movement to shift from blame for errors and instead focus on system issues in order to enhance event … Administrators Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9508. "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. | PSNet
      psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
      December 15, 2021 - Identifying electronic medication administration record (eMAR) usability issues from patient safety event … October 28, 2020 The economic burden of nurse-sensitive adverse events in 22 medical-surgical

9509. Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. | PSNet
      psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
      March 16, 2022 - July 14, 2021 A narrative review of strategies to increase patient safety event reporting … March 27, 2019 Pediatric residents' decision-making around disclosing and reporting adverse

9510. Associations between patient safety culture and workplace safety culture in hospital settings. | PSNet
      psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings
      December 09, 2020 - December 11, 2024 Exploring relationships between hospital patient safety culture and adverse … Workforce Safety Culture in Healthcare March 27, 2024 Staff attitudes about event

9511. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet
      psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
      January 06, 2012 - October 7, 2013 Families as partners in hospital error and adverse event surveillance

9512. Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016. | PSNet
      psnet.ahrq.gov/issue/mobilising-or-standing-still-narrative-review-surgical-safety-checklist-knowledge-developed
      August 21, 2019 - July 1, 2017 The impact of critical event checklists on medical management and teamwork … Facility and Group Administrators Surgery Surgical Complications Epidemiology of Errors and Adverse

9513. 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.

9514. 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

9515. 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

9516. 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

9517. 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

9518. 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.

9519. 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.

9520. 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