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Showing results for "adverse event".
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9781. "Health courts" and accountability for patient safety. | PSNet
      psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
      February 17, 2011 - An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement

9782. Human errors in emergency medical services: a qualitative analysis of contributing factors. | PSNet
      psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
      July 07, 2021 - A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse … event rates in administrative data.

9783. Turning off frequently overridden drug alerts: limited opportunities for doing it safely. | PSNet
      psnet.ahrq.gov/issue/turning-frequently-overridden-drug-alerts-limited-opportunities-doing-it-safely
      March 04, 2011 - Physicians Pharmacists Information Professionals Medication Safety Computerized Adverse … Event Detection View More

9784. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet
      psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice
      July 01, 2020 - April 21, 2011 Families as partners in hospital error and adverse event surveillance.

9785. Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. | PSNet
      psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
      April 06, 2011 - September 2, 2020 Use of HIT for adverse event reporting in nursing homes: barriers and

9786. Patient and family empowerment as agents of ambulatory care safety and quality. | PSNet
      psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality
      December 15, 2021 - July 29, 2020 Families as partners in hospital error and adverse event surveillance.

9787. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
      May 27, 2011 - October 10, 2017 Preventing patient harm via adverse event review: An APSA survey regarding

9788. The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. | PSNet
      psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
      February 13, 2008 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9789. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. | PSNet
      psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
      September 09, 2020 - Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse … event in a regional health care service in Italy.

9790. A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-paradigm-patient-safety-designing-support-performance-healthcare
      February 02, 2011 - February 9, 2011 Families as partners in hospital error and adverse event surveillance

9791. A narrative review of the well-being and burnout of U.S. community pharmacists. | PSNet
      psnet.ahrq.gov/issue/narrative-review-well-being-and-burnout-us-community-pharmacists
      May 10, 2023 - September 23, 2020 Families as partners in hospital error and adverse event surveillance

9792. Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. | PSNet
      psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
      December 30, 2014 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9793. 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.

9794. 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

9795. 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

9796. 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

9797. 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

9798. 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.

9799. 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.

9800. 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