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Showing results for "adverse event".
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9941. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
      December 02, 2015 - August 30, 2017 Miscarriage treatment-related morbidities and adverse events in hospitals … Care Executives and Administrators Geriatrics Medication Safety Epidemiology of Errors and Adverse

9942. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. | PSNet
      psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
      April 03, 2017 - January 3, 2017 'Global Trigger Tool' shows that adverse events in hospitals may be ten … June 27, 2011 As industry automates, adverse events continue to haunt caregivers.

9943. Consumer-directed technologies to improve medication management and safety. | PSNet
      psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
      December 29, 2014 - January 4, 2010 Prescription opioid dose reductions and potential adverse events: a multi-site … Providers Information Professionals Medicine Medication Safety Epidemiology of Errors and Adverse

9944. Guidelines on Human Factors in Critical Situations 2023. | PSNet
      psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
      November 29, 2023 - March 5, 2025 Overview of adverse events related to invasive procedures in the intensive … Surgery Operating Room Anesthesiology Anesthesia Nursing Medication Errors/Preventable Adverse

9945. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet
      psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
      February 14, 2024 - April 24, 2019 Adverse events in robotic surgery: a retrospective study of 14 years of … January 4, 2010 Learning from adverse events and near misses.

9946. The nature and occurrence of registration errors in the emergency department. | PSNet
      psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
      September 28, 2016 - September 28, 2016 Attitudes toward medical device use errors and the prevention of adverse … September 14, 2016 Analysis and prioritization of near-miss adverse events in a radiology

9947. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet
      psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
      January 02, 2017 - January 7, 2015 Identification and characterization of adverse drug events in primary … Effect of an electronic medication reconciliation application and process redesign on potential adverse

9948. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet
      psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
      August 14, 2024 - April 22, 2015 The Irish National Adverse Events Study (INAES): the frequency and nature … of adverse events in Irish hospitals—a retrospective record review study.

9949. How to monitor patient safety in primary care? Healthcare professionals' views. | PSNet
      psnet.ahrq.gov/issue/how-monitor-patient-safety-primary-care-healthcare-professionals-views
      December 14, 2016 - Clinicians expressed a desire for more resources devoted to ensuring patient safety and more feedback after adverse … Topic Ambulatory Care Health Care Providers Primary Care Epidemiology of Errors and Adverse

9950. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
      August 12, 2020 - May 4, 2012 Assessment of adverse drug events among patients in a tertiary care medical … November 18, 2009 Patient readmissions, emergency visits, and adverse events after software-assisted

9951. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet
      psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
      April 26, 2006 - June 28, 2017 The occurrence of adverse events potentially attributable to nursing care … Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse

9952. Why July matters. | PSNet
      psnet.ahrq.gov/issue/why-july-matters
      October 13, 2018 - January 12, 2011 Adverse events and emergency department opioid prescriptions in adolescents … 2022 Transforming the medication regimen review process using telemedicine to prevent adverse

9953. 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.

9954. 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

9955. 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

9956. 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

9957. 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

9958. 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.

9959. 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.

9960. 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