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Showing results for "adverse event".
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9921. In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet
      psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care
      July 01, 2016 - January 19, 2014 Usability of a computerised drug monitoring programme to detect adverse … pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse

9922. An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet
      psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
      June 01, 2019 - July 13, 2010 Programmable infusion pumps in ICUs: an analysis of corresponding adverse … 2012 Policy and practice in the use of root cause analysis to investigate clinical adverse

9923. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet
      psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
      February 05, 2014 - November 3, 2015 Origin of Adverse Drug Events in US Hospitals, 2011. … Hospitals Health Care Providers Medicine Ordering/Prescribing Errors Epidemiology of Errors and Adverse

9924. 'Trust but verify'—five approaches to ensure safe medical apps. | PSNet
      psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
      September 27, 2023 - second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse … Executives and Administrators Information Professionals Medicine Epidemiology of Errors and Adverse

9925. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. | PSNet
      psnet.ahrq.gov/issue/standard-drug-concentrations-and-smart-pump-technology-reduce-continuous-medication-infusion
      October 06, 2011 - December 4, 2013 Prevalence of adverse events in pediatric intensive care units in the … March 30, 2011 Identifying causes of adverse events detected by an automated trigger

9926. Reducing accidental extubation in neonates. | PSNet
      psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
      September 09, 2011 - July 14, 2010 Ambulatory care adverse events and preventable adverse events leading to

9927. Impact of organizational leadership on physician burnout and satisfaction. | PSNet
      psnet.ahrq.gov/issue/impact-organizational-leadership-physician-burnout-and-satisfaction
      June 28, 2010 - September 4, 2019 Supporting clinicians after adverse events: development of a clinician … Administrators Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9928. Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. | PSNet
      psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident
      March 26, 2014 - View More Related Resources How different countries respond to adverse … Hospitals Physicians Organizational Behaviorists Medicine Epidemiology of Errors and Adverse

9929. Are amended surgical pathology reports getting to the correct responsible care provider? | PSNet
      psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
      September 04, 2024 - RIS Download Citation Related Resources From the Same Author(s) Adverse … August 4, 2021 Effect of social influences on pharmacists' intention to report adverse

9930. A quality improvement approach to standardization and sustainability of the hand-off process. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
      May 15, 2019 - Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse … Administrators Medicine Discontinuities, Gaps, and Hand-Off Problems Epidemiology of Errors and Adverse

9931. Safety is part of quality: a proposal for a continuum in performance measurement. | PSNet
      psnet.ahrq.gov/issue/safety-part-quality-proposal-continuum-performance-measurement
      February 25, 2009 - June 5, 2018 The Canadian Adverse Events Study: the incidence of adverse events among

9932. Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. | PSNet
      psnet.ahrq.gov/issue/evidence-based-medicine-cornerstone-clinical-care-not-quality-improvement
      September 01, 2021 - Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse … Topic Physicians Quality and Safety Professionals Medicine Epidemiology of Errors and Adverse

9933. 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.

9934. 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

9935. 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

9936. 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

9937. 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

9938. 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.

9939. 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.

9940. 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