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Showing results for "adverse event".
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9981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72575/psn-pdf
      January 01, 2021 - are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

9982. The star of the diagnostic journey: assessing patient perspectives. | PSNet
      psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
      November 28, 2018 - May 22, 2019 Communication and Resolution After an Adverse Health Care Incident. … Clinic or Office Health Care Providers Medicine Diagnostic Errors Epidemiology of Errors and Adverse

9983. Preventing Medication Errors: A $21 Billion Opportunity. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
      December 03, 2008 - September 29, 2017 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … Providers Health Care Executives and Administrators Pharmacy Medication Errors/Preventable Adverse

9984. Stem the Tide: Addressing the Opioid Epidemic. | PSNet
      psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
      April 15, 2021 - October 25, 2017 Reducing Adverse Drug Events Related to Opioids Implementation Guide … The Topic Health Care Providers Medicine Opiates/Narcotics Epidemiology of Errors and Adverse

9985. Systems thinking and incivility in nursing practice: an integrative review. | PSNet
      psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
      December 18, 2017 - studies demonstrated that rude behavior is perceived to diminish care quality, increase risk of adverse … December 29, 2014 Using a patient internet portal to prevent adverse drug events: a randomized

9986. Impact of attending physician workload on patient care: a survey of hospitalists. | PSNet
      psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists
      November 26, 2014 - Excessive workloads for nurses and resident physicians have previously been associated with adverse … November 7, 2012 Anticoagulation-associated adverse drug events.

9987. To make hospitals less deadly, a dose of data. | PSNet
      psnet.ahrq.gov/issue/make-hospitals-less-deadly-dose-data
      August 13, 2014 - Preventable adverse events may result in more harm than previously thought. … Hospitals Patients General Internal Medicine Hospital Medicine Epidemiology of Errors and Adverse

9988. For some troops, powerful drug cocktails have deadly results. | PSNet
      psnet.ahrq.gov/issue/some-troops-powerful-drug-cocktails-have-deadly-results
      August 13, 2008 - December 1, 2019 The patients' perspective: hematological cancer patients' experiences of adverse … Mental Health Care (Psychiatry and Clinical Psychology) Neurology Medication Errors/Preventable Adverse

9989. Healthcare Practitioner’s Vaccine Error Reporting Form. | PSNet
      psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form
      January 26, 2023 - August 7, 2024 View More Related Resources Allergic adverse drug … 21, 2022 Inaccurate penicillin allergy labeling, the electronic health record, and adverse

9990. Two words can soothe patients who have been harmed: we're sorry. | PSNet
      psnet.ahrq.gov/issue/two-words-can-soothe-patients-who-have-been-harmed-were-sorry
      July 26, 2017 - September 29, 2017 The right and wrong way to talk to patients about adverse events. … Hospitals Physicians Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9991. Quality Improvement Series. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-series
      July 05, 2013 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9992. AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care. | PSNet
      psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
      December 24, 2008 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … February 18, 2011 Emergency department visits for antibiotic-associated adverse events

9993. 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.

9994. 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

9995. 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

9996. 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

9997. 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

9998. 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.

9999. 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.

10000. 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