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9721. A systematic review of patient-report safety climate measures in health care. | PSNet
      psnet.ahrq.gov/issue/systematic-review-patient-report-safety-climate-measures-health-care
      September 15, 2021 - December 8, 2021 View More Related Resources Structural racism and adverse … May 27, 2020 Health care provider factors associated with patient-reported adverse events … Hospitals Ambulatory Clinic or Office Quality and Safety Professionals Epidemiology of Errors and Adverse

9722. Prevention of failure to rescue in obstetric patients: a realist review. | PSNet
      psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
      April 20, 2022 - 2022 Transforming the medication regimen review process using telemedicine to prevent adverse … September 15, 2021 Using patient safety indicators to estimate the impact of potential adverse … November 25, 2020 Effect of a cluster randomised team training intervention on adverse

9723. Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? | PSNet
      psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate
      November 16, 2022 - In this retrospective study, adverse outcomes did not differ between care teams led by senior residents … Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse … Health Care Executives and Administrators Educators Medicine Epidemiology of Errors and Adverse

9724. Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. | PSNet
      psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
      June 30, 2011 - June 30, 2011 Improvement in the detection of adverse drug events by the use of electronic … September 22, 2021 Adverse effects of computers during bedside rounds in a critical care … Topic Quality and Safety Professionals Administration Errors Epidemiology of Errors and Adverse

9725. A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. | PSNet
      psnet.ahrq.gov/issue/randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-monitoring
      June 11, 2014 - reminders within the existing electronic medical record prompting them to order laboratory tests to detect adverse … Download Citation Related Resources From the Same Author(s) Outpatient adverse … September 1, 2016 Ambulatory computerized prescribing and preventable adverse drug events

9726. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. | PSNet
      psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project
      November 16, 2022 - Potentially inappropriate opioid infusion use can result in adverse patient outcomes . … October 19, 2022 Assessing adverse events after chiropractic care at a chiropractic teaching … 2023 Improving the approach to defining, classifying, reporting and monitoring adverse

9727. "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet
      psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
      January 07, 2022 - Prior research has shown that patients prefer that errors and adverse events be fully disclosed to … 2022 To err is system: a comparison of methodologies for the investigation of adverse … April 7, 2021 Disclosure of adverse events in pediatrics.

9728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49684/psn-pdf
      May 01, 2013 - The patient received this regimen for 3 days with minimal adverse effects. … attending oncologist discussed this with the patient and he was discharged later that day with no adverse … In a review of 41 such cases, adverse events were often related to the use of look-alike medication … Incidence and types of adverse events and negligent care in Utah and Colorado. … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

9729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47568/psn-pdf
      March 06, 2019 - psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis

9730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48097/psn-pdf
      July 17, 2019 - in extrapolating these results, since malpractice claims only account for a small proportion of all adverse

9731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46941/psn-pdf
      August 01, 2018 - psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse

9732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45924/psn-pdf
      March 15, 2017 - incident This prospective study elicited incident reports from general practitioners for all types of adverse

9733. 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.

9734. 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

9735. 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

9736. 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

9737. 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

9738. 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.

9739. 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.

9740. 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