-
psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-0
September 30, 2020 - January 22, 2014
Improvement of medication event interventions through use of an electronic … About The Topic
Hospitals
Pharmacists
Hospital Pharmacy
Epidemiology of Errors and Adverse
-
psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - Addressing mistreatment of providers by patients and family members as a patient safety event … Topic
Physicians
Policy Makers
Pediatrics
Public Health
Epidemiology of Errors and Adverse
-
psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
January 23, 2017 - web-based technologies, computer kiosks, and electronic health records, and focused on patient safety event … August 7, 2024
Effects of individual nurse and hospital characteristics on patient adverse
-
psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
June 02, 2019 - debrief after critical events in anesthesia is associated with failures in communication during the event … February 22, 2023
Structural racism and adverse maternal health outcomes: a systematic
-
psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
September 12, 2018 - Diagnostic Safety and Quality
April 26, 2023
Race differences in a malpractice event … April 29, 2020
Paid malpractice claims for adverse events in inpatient and outpatient
-
psnet.ahrq.gov/issue/racial-and-ethnic-disparities-common-inpatient-safety-outcomes-childrens-hospital-cohort
August 23, 2023 - November 16, 2022
Families as partners in hospital error and adverse event surveillance
-
psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
September 25, 2024 - September 25, 2024
Families as partners in hospital error and adverse event surveillance
-
psnet.ahrq.gov/issue/changes-burnout-and-satisfaction-work-life-balance-physicians-and-general-us-working
April 05, 2013 - January 20, 2016
Post event debriefs: a commitment to learning how to better care for … Administrators
Medicine
Psychological and Social Complications
Epidemiology of Errors and Adverse
-
psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
May 20, 2020 - May 18, 2016
10,000 good catches: increasing safety event reporting in a pediatric health … Pediatric Cardiology
Pediatric Hematology
Cardiothoracic Surgery
Medication Errors/Preventable Adverse
-
psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - September 3, 2011
The second victim of unanticipated adverse events. … 6, 2011
Effectiveness of a graduate medical education program for improving medical event
-
psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - February 17, 2021
Adverse event and error of unexpected life-threatening events within
-
psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
April 03, 2024 - August 4, 2021
Families as partners in hospital error and adverse event surveillance.
-
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.
-
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
-
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
-
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
-
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
-
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.
-
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.
-
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