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Showing results for "adverse event".
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9701. Curated Article Libraries | PSNet
      psnet.ahrq.gov/curated-article-libraries
      March 18, 2025 - Information Systems (2) Electronic Health Records (1) Computerized Adverse … Event Detection (2) Computerized Decision Support (2) Computerized Provider … Errors (7) Cognitive Errors ("Mistakes") (4) Epidemiology of Errors and Adverse … Pressure Ulcers (1) Medication Safety (6) Medication Errors/Preventable Adverse … Ordering/Prescribing Errors (3) Transcription Errors (2) Side Effects/Adverse

9702. Serious Safety Events: Getting to Zero. Second Edition. | PSNet
      psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition
      February 19, 2014 - February 17, 2016 Risk Management Pearls on Disclosure of Adverse Events.

9703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - been shown to be worse in the peri- hospitalization period.(5) Warfarin is responsible for 8% of all adverse … intervals (3), but in this case the hospitalization was recognized as a potentially destabilizing event … Bleeding complications with warfarin use: a prevalent adverse effect resulting in regulatory action. … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Medication use leading to emergency department visits for adverse drug events in older adults.

9704. Mismanagement of Delirium | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-delirium
      February 13, 2014 - Prior to this event, the patient lived at home and was independent in activities of daily living. … they are more likely to be effective in managing dementia-related behavioral symptoms while avoiding adverse … Adverse effects, such as dystonia, parkinsonism, neuroleptic malignant syndrome, orthostasis, and QT … Adverse outcomes after hospitalization and delirium in persons with Alzheimer disease. … February 13, 2014 Families as partners in hospital error and adverse event surveillance

9705. Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet
      psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety
      July 29, 2020 - April 22, 2011 Association of provider specialty with abortion-related morbidity and adverse … August 10, 2022 Adverse events related to accidental unintentional ingestions from cough … February 15, 2023 Structural racism and adverse maternal health outcomes: a systematic

9706. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet
      psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
      March 04, 2011 - Opioid medications are associated with increased risk of adverse drug events , including overdoses. … February 25, 2019 Patterns of potential opioid misuse and subsequent adverse outcomes … Facility and Group Administrators Medicine Opiates/Narcotics Epidemiology of Errors and Adverse

9707. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet
      psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain
      March 17, 2021 - excluded concepts important to patient safety, such as assessment of opioid misuse or abuse, possible adverse … November 4, 2020 Cost of adverse drug events related to potentially inappropriate medication … November 16, 2022 Medication adverse events in the ambulatory setting: a mixed-methods

9708. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. | PSNet
      psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
      October 03, 2011 - September 24, 2017 Screening for adverse drug events: a randomized trial of automated … March 6, 2019 Racial bias among emergency providers: strategies to mitigate its adverse … May 26, 2021 Detection of adverse events in an acute geriatric hospital over a 6-year

9709. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. | PSNet
      psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
      April 20, 2022 - Minimum nurse staffing levels have been promoted by researchers and legislators to reduce adverse … Related Resources From the Same Author(s) Occurrence of no-harm incidents and adverse … May 1, 2024 A scoping review of adverse incidents research in aged care homes: learnings

9710. Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review. | PSNet
      psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work-residential-settings
      October 25, 2023 - 2025 Instruments and warning signs for identifying and evaluating the frequency of adverse … Improving Diagnostic Safety and Quality April 26, 2023 A scoping review of adverse … April 20, 2022 Adverse events and their contributors among older adults during skilled

9711. Effect of a hospital-wide measure on the readmissions reduction program. | PSNet
      psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program
      February 14, 2017 - August 14, 2024 The association of hospital quality ratings with adverse events. … September 4, 2019 Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9712. Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet
      psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review
      September 01, 2021 - August 2, 2023 National trends in hospital-acquired preventable adverse events after … 2025 Instruments and warning signs for identifying and evaluating the frequency of adverse … Improving Diagnostic Safety and Quality April 26, 2023 A scoping review of adverse

9713. 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.

9714. 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

9715. 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

9716. 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

9717. 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

9718. 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.

9719. 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.

9720. 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