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Showing results for "adverse event".
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9901. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet
      psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
      February 21, 2015 - Download Citation Related Resources From the Same Author(s) Outcome of adverse … October 12, 2011 Potential medical adverse events associated with death: a forensic pathology

9902. Incidence of prescription errors in patients discharged from the emergency department. | PSNet
      psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
      March 30, 2022 - September 30, 2020 Assessing resident and attending error and adverse events in the emergency … September 16, 2020 Adverse events among emergency department patients with cardiovascular

9903. Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet
      psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
      July 20, 2022 - Effect of an electronic medication reconciliation application and process redesign on potential adverse … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9904. The opioid crisis: origins, trends, policies, and the roles of pharmacists. | PSNet
      psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
      December 14, 2022 - June 13, 2011 The economic burden of nurse-sensitive adverse events in 22 medical-surgical … Topic Hospitals Pharmacists Pharmacy Opiates/Narcotics Epidemiology of Errors and Adverse

9905. On the ball: leadership for patient safety and learning in critical care. | PSNet
      psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
      October 16, 2013 - May 28, 2014 Assessing adverse events among home care clients in three Canadian provinces … September 18, 2019 Full disclosure of adverse events to patients and families in the

9906. Enhance patient safety by identifying and minimizing risk exposures affecting nurse practitioner practice. | PSNet
      psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
      December 04, 2015 - October 22, 2014 The Research on Adverse Drug Events and Reports (RADAR) project. … December 21, 2014 'Tempos' management in primary care: a key factor for classifying adverse

9907. ‘Ladder’-based safety culture assessments inversely predict safety outcomes. | PSNet
      psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
      January 22, 2025 - June 15, 2022 A systems approach to analyzing and preventing hospital adverse events. … More About The Topic Safety Scientists Medicine Nurse Care Epidemiology of Errors and Adverse

9908. Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet
      psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
      May 19, 2021 - April 12, 2023 Adverse events related to accidental unintentional ingestions from cough … Health Care Providers Pediatrics Pharmacy Administration Errors Epidemiology of Errors and Adverse

9909. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
      November 29, 2023 - Morbidity and mortality conferences offer important opportunities for healthcare teams to discuss adverse … November 17, 2021 A systems approach to analyzing and preventing hospital adverse events

9910. Assessing system failures in operating rooms and intensive care units. | PSNet
      psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
      June 15, 2011 - June 15, 2011 The effect of audible alarms on anaesthesiologists' response times to adverse … The effect of structured medication review followed by face-to-face feedback to prescribers on adverse

9911. Diagnostic errors in paediatric cardiac intensive care. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
      June 24, 2020 - February 17, 2011 The Critical Care Safety Study: the incidence and nature of adverse … April 17, 2013 Costs of adverse events in intensive care units.

9912. Health apps and health policy: what is needed? | PSNet
      psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
      December 02, 2020 - Failure to follow medication changes made at hospital discharge is associated with adverse … Physicians Information Professionals Policy Makers Medicine Epidemiology of Errors and Adverse

9913. 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.

9914. 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

9915. 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

9916. 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

9917. 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

9918. 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.

9919. 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.

9920. 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