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Showing results for "adverse event".
Users also searched for: patient safety indicators

9821. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
      January 19, 2022 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse … event.

9822. Communication failure in the operating room. | PSNet
      psnet.ahrq.gov/issue/communication-failure-operating-room
      February 25, 2009 - April 26, 2023 Families as partners in hospital error and adverse event surveillance.

9823. A simulation design for research evaluating safety innovations in anaesthesia. | PSNet
      psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
      February 25, 2009 - September 26, 2012 Barriers to adverse event and error reporting in anesthesia.

9824. Improving resident physician participation in reporting patient safety and quality concerns. | PSNet
      psnet.ahrq.gov/issue/improving-resident-physician-participation-reporting-patient-safety-and-quality-concerns
      May 18, 2022 - Adverse event and near miss reports are central to identifying and reconciling patient safety concerns

9825. Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. | PSNet
      psnet.ahrq.gov/issue/duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident
      August 04, 2021 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9826. Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet
      psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
      September 24, 2016 - March 26, 2015 Identifying systems failures in the pathway to a catastrophic event: an … August 12, 2014 External Inquiry into the adverse incident that occurred at Queen's Medical

9827. Disseminating innovations in health care. | PSNet
      psnet.ahrq.gov/issue/disseminating-innovations-health-care
      August 04, 2021 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse … event.

9828. A call to bridge across silos during care transitions. | PSNet
      psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions
      November 20, 2024 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9829. Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. | PSNet
      psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite
      March 13, 2019 - July 31, 2019 Families as partners in hospital error and adverse event surveillance.

9830. Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. | PSNet
      psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
      April 07, 2021 - 4, 2022 Why an open disclosure procedure is and is not followed after an avoidable adverse … event.

9831. Resident participation does not affect surgical outcomes, despite introduction of new techniques. | PSNet
      psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
      September 23, 2020 - March 14, 2022 Families as partners in hospital error and adverse event surveillance.

9832. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-study
      September 23, 2020 - September 23, 2020 Families as partners in hospital error and adverse event surveillance

9833. 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.

9834. 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

9835. 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

9836. 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

9837. 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

9838. 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.

9839. 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.

9840. 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