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  1. psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
    May 01, 2017 - January 24, 2018 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs … Care Executives and Administrators Medicine Medical Complications Epidemiology of Errors and Adverse
  2. psnet.ahrq.gov/issue/20-tips-help-prevent-medical-errors
    December 24, 2008 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … View More See More About The Topic Patients Medication Errors/Preventable Adverse
  3. psnet.ahrq.gov/issue/do-doctors-understand-test-results
    February 12, 2020 - December 4, 2016 Origin of Adverse Drug Events in US Hospitals, 2011. … Topic Patients Medicine Diagnostic Test Interpretation Error Epidemiology of Errors and Adverse
  4. psnet.ahrq.gov/issue/health-literacy
    December 23, 2011 - March 17, 2021 View More Related Resources Preventable adverse … See More About The Topic Health Care Providers Medication Errors/Preventable Adverse
  5. psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
    March 09, 2011 - of protocol adherence, and absence of transparency as trends that hinder learning from radiological adverse … December 4, 2016 Origin of Adverse Drug Events in US Hospitals, 2011.
  6. psnet.ahrq.gov/issue/managing-aftermath-iatrogenic-injury
    January 02, 2008 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse … September 9, 2015 Doctors' experiences of adverse events in secondary care: the professional
  7. psnet.ahrq.gov/issue/improvement-cymru
    October 20, 2014 - January 10, 2024 Healthcare-associated adverse events in alternate level of care patients … Providers Health Care Executives and Administrators Policy Makers Medication Errors/Preventable Adverse
  8. psnet.ahrq.gov/issue/amia-annual-symposium-proceedings-2011
    March 06, 2024 - February 4, 2009 Adverse Events: Expecting too Much of Nurses and too Little of Nursing … May 4, 2015 Patient Safety and Adverse Events.
  9. psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
    September 29, 2017 - November 25, 2020 Adverse events in the operating room: definitions, prevalence, and … 20, 2009 Consensus-based recommendations for standardizing terminology and reporting adverse
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37665/psn-pdf
    April 02, 2008 - between inappropriate medication use, as defined by the Beers criteria, and drug-related clinical adverse … health-outcomes-associated-potentially-inappropriate-medication-use-older-adults https://psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
  11. psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
    November 16, 2011 - March 7, 2012 Using Medical Emergency Teams to detect preventable adverse events. … May 27, 2020 Ottawa Hospital Patient Safety Study: incidence and timing of adverse events
  12. psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
    January 23, 2008 - April 5, 2013 Waking up the next morning: surgeons' emotional reactions to adverse events … Organizational Behaviorists Psychological and Social Complications Epidemiology of Errors and Adverse
  13. 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.
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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.
  19. 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.
  20. 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

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