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Showing results for "adverse event".
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9641. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. | PSNet
      psnet.ahrq.gov/issue/non-dispensing-pharmacists-actions-and-solutions-drug-therapy-problems-among-elderly
      February 03, 2021 - disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse … event reporting system.

9642. The next organizational challenge: finding and addressing diagnostic error. | PSNet
      psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
      November 16, 2022 - April 16, 2018 Leading a highly visible hospital through a serious reportable event. … Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse

9643. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. | PSNet
      psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
      December 21, 2022 - usability of electronic health record (EHR)-based computerized provider order entry (CPOE) can lead to adverse … 29, 2018 A machine learning approach to reclassifying miscellaneous patient safety event

9644. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
      June 23, 2021 - ) Promoting the psychological well-being of healthcare providers facing the burden of adverse … December 16, 2020 Using event reports in real-time to identify and mitigate patient safety

9645. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. | PSNet
      psnet.ahrq.gov/issue/impact-clinical-decision-support-therapeutic-interchanges-hospital-discharge-medication
      July 29, 2020 - October 20, 2021 Effect of medication reconciliation on patient reported potential adverse … Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event

9646. Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. | PSNet
      psnet.ahrq.gov/issue/support-healthcare-workers-and-patients-after-medical-error-through-mutual-healing-another
      June 16, 2021 - Development and validation of a deep learning model for detection of allergic reactions using safety event … December 13, 2023 How different countries respond to adverse events whilst patients'

9647. A novel ICU hand-over tool: the glass door of the patient room. | PSNet
      psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
      October 12, 2009 - September 25, 2011 Effect of hospital follow-up appointment on clinical event outcomes … Providers Critical Care Discontinuities, Gaps, and Hand-Off Problems Epidemiology of Errors and Adverse

9648. Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet
      psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
      August 12, 2020 - relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event … October 7, 2020 A systems approach to analyzing and preventing hospital adverse events

9649. Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improvement effort. | PSNet
      psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
      July 19, 2023 - May 18, 2022 Adverse drug event detection in pediatric oncology and hematology patients

9650. Hospital leadership and quality improvement: rhetoric versus reality. | PSNet
      psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
      May 07, 2014 - April 24, 2017 Post event debriefs: a commitment to learning how to better care for patients … January 13, 2016 Measuring faculty reflection on adverse patient events: development

9651. Ways You Can Help Your Family Prevent Medical Errors! | PSNet
      psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
      December 24, 2008 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … More About The Topic Patients Family Members and Caregivers Medication Errors/Preventable Adverse

9652. Improving Communication During Transitions of Care. | PSNet
      psnet.ahrq.gov/issue/improving-communication-during-transitions-care
      May 18, 2016 - Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse … Patient Safety Primers Patient Safety 101 June 15, 2024 Adverse

9653. 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.

9654. 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

9655. 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

9656. 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

9657. 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

9658. 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.

9659. 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.

9660. 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