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Showing results for "adverse event".
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9561. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet
      psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
      February 20, 2019 - October 4, 2011 Determinants of adverse events in vascular surgery. … Addressing mistreatment of providers by patients and family members as a patient safety event

9562. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. | PSNet
      psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
      May 18, 2022 - December 11, 2024 Pediatric transport safety collaborative: adverse events with parental … Developing surgical and anesthesia resident patient safety competencies through systems-based event

9563. Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
      May 19, 2021 - December 8, 2021 From implementation to sustainment: a large-scale adverse event disclosure

9564. An examination of Leapfrog safety measures and Magnet designation. | PSNet
      psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
      January 27, 2021 - February 24, 2021 Effect of Patient and Family Centered I-PASS on adverse event rates

9565. Does the perception of severity of medical error differ between varying levels of clinical seniority? | PSNet
      psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority
      August 31, 2022 - Identifying electronic medication administration record (eMAR) usability issues from patient safety event … Hospitals Physicians Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9566. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. | PSNet
      psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
      December 14, 2016 - A 2008 Joint Commission Sentinel Event Alert highlighted the increased risk of medication errors in … Computerized provider order entry holds promise as a way of preventing adverse drug events due to calculation

9567. A concept analysis of psychological safety: further understanding for application to health care. | PSNet
      psnet.ahrq.gov/issue/concept-analysis-psychological-safety-further-understanding-application-health-care
      September 21, 2022 - August 3, 2022 Collaborative case review: a systems-based approach to patient safety event … Professionals Nurse Care Psychological and Social Complications Epidemiology of Errors and Adverse

9568. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. | PSNet
      psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
      October 19, 2022 - May 25, 2016 Families as partners in hospital error and adverse event surveillance.

9569. Nurses' experiences of organizational learning. | PSNet
      psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
      July 21, 2021 - 23, 2020 Burnout and its relationship to self-reported quality of patient care and adverse … October 28, 2020 Special Section: Event Analysis and Risk Management.

9570. Eliminating explicit and implicit biases in health care: evidence and research needs. | PSNet
      psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
      May 11, 2016 - Development and validation of a deep learning model for detection of allergic reactions using safety event … January 11, 2017 Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.

9571. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet
      psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
      March 03, 2011 - September 30, 2010 Families as partners in hospital error and adverse event surveillance

9572. Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. | PSNet
      psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and
      November 03, 2010 - July 18, 2012 Standardizing patient safety event reporting between care delivered or … Room Educators Anesthesiology Fatigue and Sleep Deprivation Epidemiology of Errors and Adverse

9573. 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.

9574. 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

9575. 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

9576. 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

9577. 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

9578. 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.

9579. 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.

9580. 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