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Showing results for "adverse event".
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121. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
     March 01, 2002 - After pharmacy staff receives adverse drug event data from RMEES, they further categorize the event … drug event rate is the total potential adverse drug event rate of 43.4 per 1,000 patient days, with … adverse drug event rates. … adverse drug event rates varied from 0.00 to 3.15 (median = 0.37). … Scatter plot of RMEES potential adverse drug event rates versus preventable adverse drug event rates

122. Eliminating adverse drug events at Ascension Health. | PSNet
     psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
     August 26, 2020 - Commentary Eliminating adverse drug events at Ascension Health. … Eliminating adverse drug events at Ascension Health. … Eliminating adverse drug events at Ascension Health. … February 13, 2018 A model for medication safety event detection. … drug event surveillance and voluntary reporting in the pediatric environment.

123. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - When an adverse event occurs, too often, the focus is on an individual’s performance and is corrected … The sole objective of the event investigation and analysis of an adverse event or near miss is the … Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient. … Event review: the overall process of assessing an adverse safety event to determine contributing factors

124. News Media and Health Care Providers at the Crossroads of Medical Adverse Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
     June 05, 2008 - event data. … Overview of Adverse Event Reporting The realization that medical adverse events are a leading negative … events in U.S. health care, adverse event reporting was largely ignored. … • The medical adverse event reporting system should be standardized across the State. … Patient safety and medical adverse event: A roadmap for state action. Portland, ME.

125. Detecting adverse events in dermatologic surgery. | PSNet
     psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
     June 10, 2013 - Review Detecting adverse events in dermatologic surgery. … Detecting adverse events in dermatologic surgery. … This review identifies existing dermatologic surgery adverse event (AE) reporting mechanisms, found … Detecting adverse events in dermatologic surgery. … February 3, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

126. Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet
     psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
     February 10, 2011 - adverse drug events: implications for prevention. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … February 10, 2011 Systems analysis of adverse drug events. … Drug Events Epidemiology of Errors and Adverse Events Near Miss

127. Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet
     psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
     June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on … Apologies following an adverse medical event: The importance of focusing on the consumer's needs. … event . … Apologies following an adverse medical event: The importance of focusing on the consumer's needs. … event.

128. Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet
     psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
     October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of … Adverse event and error of unexpected life-threatening events within 24hours of ED admission. … Trigger tools are frequently utilized to identify adverse events . … Adverse event and error of unexpected life-threatening events within 24hours of ED admission. … June 28, 2010 Development of a measure of patient safety event learning responses.

129. National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use. | PSNet
     psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
     August 05, 2015 - Commentary National Action Plan for Adverse Drug Event Prevention: recommendations … National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use … National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use … June 3, 2020 Measuring harm in health care: optimizing adverse event review. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

130. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
     psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
     December 15, 2011 - Study Using estimated true safety event rates versus flagged safety event rates: … Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling … This retrospective study of hospital data found that estimated adverse event rates varied between use … Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling … December 15, 2011 Detecting adverse events in surgery: comparing events detected by the

131. Medication regimen complexity and hospital readmission for an adverse drug event. | PSNet
     psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
     December 03, 2014 - Study Medication regimen complexity and hospital readmission for an adverse drug … event. … Medication regimen complexity and hospital readmission for an adverse drug event. … Medication regimen complexity and hospital readmission for an adverse drug event. … August 4, 2021 Families as partners in hospital error and adverse event surveillance.

132. Patient Safety and Adverse Events, 2011 and 2014 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
     January 01, 2014 - number of medical or surgical cases that may be at risk for a patient safety or adverse event across … safety or adverse event Number of events Number at riska Percent change in number of events … Notes: Hospitals were included in the analysis of the adverse patient safety event composite if there … (PSI 90) is based on two concepts in version 6.0.2 of the PSI software: the volume of the adverse event … and the harm associated with the adverse event...

133. The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. | PSNet
     psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
     July 22, 2020 - Event Reporting and Tracking System. … Citation Text: The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting … It observes trends of adverse event reporting, finds that New York City hospitals report dramatically … Event Reporting and Tracking System. … January 14, 2015 Few Adverse Events in Hospitals Were Reported to State Adverse Event

134. Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet
     psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
     February 14, 2024 - event reporting system. … Event Reporting System. … Using data from the Netherlands’ Food and Drug Administration’s Adverse Event Reporting System (FAERS … Event Reporting System. … August 10, 2022 Grading recommendations for enhanced patient safety in sentinel event

135. Adverse Events in Hospitals: Methods for Identifying Events. | PSNet
     psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events
     February 18, 2009 - Book/Report Adverse Events in Hospitals: Methods for Identifying Events. … Citation Text: Adverse Events in Hospitals: Methods for Identifying Events. Levinson DR. … The document provides numerous recommendations to improve screening for adverse events. … October 16, 2012 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues.

136. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
     January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … February 15, 2011 Families as partners in hospital error and adverse event surveillance … Drug Events Computerized Adverse Event Detection

137. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. | PSNet
     psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family-qualitative-study
     March 24, 2021 - Study Adverse event reviews in healthcare: what matters to patients and their family … Adverse event reviews in healthcare: what matters to patients and their family? … This qualitative study explored the experiences of patients and family members involved in adverse event … event reviews. … Adverse event reviews in healthcare: what matters to patients and their family?

138. What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. | PSNet
     psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
     December 23, 2020 - Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … Voluntary adverse event reporting among chiropractors is an ongoing challenge . … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … event model.

139. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
     August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation … Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient. … Contributing factor: additional elements that contributed to the adverse event, many of which are outside … Event review: the overall process of assessing an adverse safety event to determine contributing factors

140. Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
     psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
     January 09, 2019 - This report used similar methodology based on trigger tools to determine adverse event incidence among … The study found that 29% of patients experienced an adverse event during their stay, a proportion nearly … Nearly one-fourth of patients who had an adverse event required transfer to an acute care hospital for … A previous WebM&M commentary discussed an adverse event at a rehabilitation facility. … March 19, 2014 Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting