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Showing results for "adverse event".
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9601. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet
      psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
      January 19, 2022 - August 5, 2020 Automated capture of intraoperative adverse events using artificial intelligence … Quality and Safety Professionals Emergency Medicine Geriatrics Medication Errors/Preventable Adverse

9602. Doing right by our patients when things go wrong in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
      August 14, 2017 - August 2, 2015 Adverse drug events in ambulatory care. … January 19, 2014 Usability of a computerised drug monitoring programme to detect adverse

9603. Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument. | PSNet
      psnet.ahrq.gov/issue/healthcare-provider-complaints-emergency-department-preliminary-report-new-quality
      October 07, 2013 - September 30, 2020 Emergency department adverse events detected using the emergency department … August 24, 2022 Adverse events present on arrival to the emergency department: the ED

9604. Bending the patient safety curve: how much can AI help? | PSNet
      psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
      March 31, 2021 - May 20, 2019 Communication regarding adverse neonatal birth events: experiences of parents … July 7, 2021 Key use cases for artificial intelligence to reduce the frequency of adverse

9605. Can we import improvements from industry to healthcare? | PSNet
      psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
      October 30, 2010 - Imitating incidents: how simulation can improve safety investigation and learning from adverse … Quality and Safety Professionals Organizational Behaviorists Medicine Epidemiology of Errors and Adverse

9606. Huddles and debriefings: improving communication on labor and delivery. | PSNet
      psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
      February 13, 2013 - November 25, 2020 Second victims need emotional support after adverse events: even in … and Delivery Health Care Providers Obstetrics Second victims Epidemiology of Errors and Adverse

9607. Delineation of risk through the exploration of a culture of safety in community home health. | PSNet
      psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
      December 04, 2016 - October 2, 2024 Adverse events among emergency department patients with cardiovascular … July 6, 2011 Adverse safety events in emergency medical services care of children with

9608. Unintended errors with EHR-based result management: a case series. | PSNet
      psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
      April 29, 2018 - October 26, 2022 Adverse patient safety events during the COVID epidemic. … May 3, 2023 Adverse events involving telehealth in the Veterans Health Administration

9609. Patient safety and quality improvement: terminology. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
      August 18, 2021 - August 4, 2021 Adverse events in patients transitioning from the emergency department … Hospitals Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

9610. A multihospital safety improvement effort and the dissemination of new knowledge. | PSNet
      psnet.ahrq.gov/issue/multihospital-safety-improvement-effort-and-dissemination-new-knowledge
      September 23, 2020 - January 4, 2017 Effective interventions and implementation strategies to reduce adverse … November 13, 2013 Measuring the cost of hospital adverse patient safety events.

9611. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. | PSNet
      psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
      September 23, 2020 - October 3, 2017 Ventilator-related adverse events: a taxonomy and findings from 3 incident … Hospitals Health Care Providers Medicine Ordering/Prescribing Errors Epidemiology of Errors and Adverse

9612. Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
      January 09, 2018 - Adverse events are thought to be common in patients receiving home health care. … October 19, 2011 Adverse Events: Expecting too Much of Nurses and too Little of Nursing

9613. 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.

9614. 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

9615. 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

9616. 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

9617. 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

9618. 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.

9619. 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.

9620. 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