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Showing results for "adverse event".
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9621. The Perruche case and the issue of compensation for the consequences of medical error. | PSNet
      psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
      July 31, 2024 - December 13, 2023 The association of nursing home characteristics and quality with adverse … December 22, 2018 Adverse events in long-term care residents transitioning from hospital

9622. Monitoring the anaesthetist in the operating theatre—professional competence and patient safety. | PSNet
      psnet.ahrq.gov/issue/monitoring-anaesthetist-operating-theatre-professional-competence-and-patient-safety
      November 15, 2023 - November 18, 2020 Adverse Events in Anesthesia: An Integrative Review. … Operating Room Facility and Group Administrators Anesthesiology Epidemiology of Errors and Adverse

9623. Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
      May 29, 2019 - September 13, 2017 Association of hospital markup with preventable adverse events following … Hospitals Health Care Providers Pediatrics Diagnostic Errors Epidemiology of Errors and Adverse

9624. Safety incidents in family medicine. | PSNet
      psnet.ahrq.gov/issue/safety-incidents-family-medicine
      December 11, 2013 - March 21, 2012 The Canadian Adverse Events Study: the incidence of adverse events among

9625. Preventing medication errors. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors
      May 30, 2018 - January 18, 2011 Disclosing errors and adverse events in the intensive care unit. … Long-Term Care Health Care Providers Geriatrics Nurse Care Medication Errors/Preventable Adverse

9626. A piece of my mind. The art of constructive worrying. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
      June 10, 2020 - February 5, 2020 Association of hospital markup with preventable adverse events following … Hospitals Physicians Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9627. Rapid response systems: from implementation to evidence base. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
      September 24, 2010 - August 21, 2019 Effects of individual nurse and hospital characteristics on patient adverse … 23, 2011 Literature review: do rapid response systems reduce the incidence of major adverse

9628. Handing over patient care: is it just the old broken telephone game? | PSNet
      psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
      March 01, 2017 - January 20, 2010 Management of adverse surgical events: a structured education module … Operating Room Quality and Safety Professionals Educators Surgery Epidemiology of Errors and Adverse

9629. AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet
      psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
      May 25, 2016 - Traditionally, health systems have disclosed adverse events to patients only through a lengthy process … alternative approach known as "communication and resolution," which emphasizes early disclosure of adverse

9630. Surgical site signing and "time out": issues of compliance or complacence. | PSNet
      psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
      January 07, 2011 - Download Citation Related Resources From the Same Author(s) Assessment of adverse … April 10, 2024 Medicines management, medication errors and adverse medication events

9631. Improving patient care. The cognitive psychology of missed diagnoses. | PSNet
      psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
      October 03, 2012 - March 13, 2013 Comparing patient-reported hospital adverse events with medical record … March 20, 2013 Medication use leading to emergency department visits for adverse drug

9632. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet
      psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
      December 21, 2014 - November 11, 2020 Analysis of hospital-level readmission rates and variation in adverse … Development and validation of a deep learning model for detection of allergic reactions using safety event

9633. 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.

9634. 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

9635. 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

9636. 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

9637. 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

9638. 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.

9639. 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.

9640. 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