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

9861. Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. | PSNet
      psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
      February 15, 2011 - August 9, 2011 Families as partners in hospital error and adverse event surveillance.

9862. Production pressure and its relationship to safety: a systematic review and future directions. | PSNet
      psnet.ahrq.gov/issue/production-pressure-and-its-relationship-safety-systematic-review-and-future-directions
      August 25, 2021 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse … event.

9863. Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. | PSNet
      psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
      November 16, 2022 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9864. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. | PSNet
      psnet.ahrq.gov/issue/improving-patient-handoffs-and-transitions-through-adaptation-and-implementation-i-pass
      September 23, 2020 - and Quality April 26, 2023 Effect of Patient and Family Centered I-PASS on adverse … event rates in hospitalized children with complex chronic conditions.

9865. Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet
      psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
      July 12, 2023 - March 13, 2024 Families as partners in hospital error and adverse event surveillance.

9866. Physician perspectives on addressing anti-Black racism. | PSNet
      psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-black-racism
      July 26, 2023 - Ensuring sufficient patient notification efforts after a large-scale adverse event.

9867. Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
      November 24, 2021 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9868. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
      April 29, 2020 - October 4, 2023 Families as partners in hospital error and adverse event surveillance

9869. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
      July 29, 2020 - January 7, 2015 Medication regimen complexity and hospital readmission for an adverse … drug event.

9870. Patient safety begins with proper planning: a quantitative method to improve hospital design. | PSNet
      psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
      July 19, 2023 - December 15, 2014 Families as partners in hospital error and adverse event surveillance

9871. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic
      October 19, 2022 - January 6, 2016 Field test results of a new ambulatory care Medication Error and Adverse … Drug Event Reporting System—MEADERS.

9872. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. | PSNet
      psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside
      December 14, 2011 - July 1, 2017 Field test results of a new ambulatory care Medication Error and Adverse … Drug Event Reporting System—MEADERS.

9873. 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.

9874. 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

9875. 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

9876. 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

9877. 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

9878. 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.

9879. 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.

9880. 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