Results

Total Results: over 10,000 records

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

9961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49422/psn-pdf
      November 01, 2003 - in the day and interpreted by the evening shift nurse as the physician’s response to the medication event … The initiating event in this case was a breakdown in communication during the ordering of a medication … Behaviors that inhibit communication place patients at greater risk for an adverse drug event (ADE). … Systems analysis of adverse drug events.

9962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49740/psn-pdf
      August 21, 2015 - Despite the concerns, the patient had no adverse effects and experienced good results from the injections … Adverse events include dry mouth, injection site pain, focal muscle weakness, and fever. … Patients should receive counseling regarding these adverse events, and they should be instructed to … Children may be particularly vulnerable to adverse drug events due to the need for weight-based dosing … drug event.

9963. Emotion and coping in the aftermath of medical error: a cross-country exploration. | PSNet
      psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
      August 10, 2022 - August 10, 2022 The impact of adverse events on clinicians: what's in a name? … Administrators Hospital Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9964. Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet
      psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
      July 29, 2020 - Previous studies have shown that ethnic minority patients are at an increased risk of adverse events … The views and experiences of patients and health-care professionals on the disclosure of adverse

9965. Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet
      psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and
      January 29, 2015 - September 7, 2016 Risk reduction for adverse drug events through sequential implementation … Health Care Providers Facility and Group Administrators Pediatrics Epidemiology of Errors and Adverse

9966. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. | PSNet
      psnet.ahrq.gov/issue/impact-digital-hospitals-patient-and-clinician-experience-systematic-review-and-qualitative
      August 16, 2023 - April 29, 2015 Prevalence of adverse events in pediatric intensive care units in the … January 23, 2017 The Research on Adverse Drug Events and Reports (RADAR) project.

9967. Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. | PSNet
      psnet.ahrq.gov/issue/adjusting-duty-hour-reforms-residents-perception-safety-climate-interdisciplinary-night-float
      June 01, 2022 - January 23, 2019 The emotional impact of errors or adverse events on healthcare providers … About The Topic Hospitals Physicians Educators Medicine Epidemiology of Errors and Adverse

9968. Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. | PSNet
      psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using
      July 23, 2018 - From the Same Author(s) Operating at night does not increase the risk of intraoperative adverse … September 12, 2016 Inadequacies of physical examination as a cause of medical errors and adverse

9969. Explaining ethnic disparities in patient safety: a qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
      April 14, 2021 - February 6, 2019 Adverse events in women giving birth in a labor ward: a retrospective … October 8, 2013 Impact of organizational culture on preventability assessment of selected adverse

9970. Catastrophic medical malpractice payouts in the United States. | PSNet
      psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts-united-states
      April 17, 2013 - June 28, 2010 The Research on Adverse Drug Events and Reports (RADAR) project. … Health Care Executives and Administrators Policy Makers Medicine Epidemiology of Errors and Adverse

9971. Design and implementation of an ICU incident registry. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
      February 14, 2024 - August 4, 2021 Adverse drug events caused by three high-risk drug-drug interactions in … The effect of structured medication review followed by face-to-face feedback to prescribers on adverse

9972. Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet
      psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
      September 14, 2022 - mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse … May 12, 2021 Miscarriage treatment-related morbidities and adverse events in hospitals

9973. 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.

9974. 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

9975. 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

9976. 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

9977. 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

9978. 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.

9979. 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.

9980. 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