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Showing results for "adverse event".
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9881. Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet
      psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid
      December 15, 2021 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9882. Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet
      psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
      October 19, 2022 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9883. Quality and safety implications of emergency department information systems. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems
      November 30, 2012 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9884. Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet
      psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia
      June 07, 2023 - October 31, 2014 Families as partners in hospital error and adverse event surveillance

9885. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. | PSNet
      psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
      June 23, 2015 - February 9, 2011 Families as partners in hospital error and adverse event surveillance

9886. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet
      psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback
      October 26, 2010 - August 4, 2021 Families as partners in hospital error and adverse event surveillance.

9887. "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. | PSNet
      psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
      August 10, 2010 - December 6, 2017 Adverse drug event reporting systems: a systematic review.

9888. Virtual urgent care quality and safety in the time of Coronavirus. | PSNet
      psnet.ahrq.gov/issue/virtual-urgent-care-quality-and-safety-time-coronavirus
      April 24, 2018 - Related Resources From the Same Author(s) Families as partners in hospital error and adverse … event surveillance.

9889. Crew resource management improved perception of patient safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room
      April 27, 2010 - November 4, 2014 Rapid learning of adverse medical event disclosure and apology.

9890. Advancing the science of patient safety. | PSNet
      psnet.ahrq.gov/issue/advancing-science-patient-safety
      March 13, 2013 - August 4, 2021 Families as partners in hospital error and adverse event surveillance.

9891. System-related interventions to reduce diagnostic errors: a narrative review. | PSNet
      psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
      May 29, 2015 - December 11, 2024 Families as partners in hospital error and adverse event surveillance

9892. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. | PSNet
      psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
      August 21, 2024 - November 12, 2014 Families as partners in hospital error and adverse event surveillance

9893. 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.

9894. 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

9895. 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

9896. 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

9897. 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

9898. 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.

9899. 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.

9900. 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