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Showing results for "adverse event".
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201. Communicating After Harm in Healthcare. | PSNet
     psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
     May 08, 2019 - It replaces the Institute's Guidelines for Informing the Media After an Adverse Event first published

202. Adverse events are common on the intensive care unit: results from a structured record review. | PSNet
     psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review
     January 28, 2010 - Adverse events are common on the intensive care unit: results from a structured record review. … at a Swedish hospital and found that nearly 1 in 5 patients suffered an adverse event, half of which … November 16, 2022 Families as partners in hospital error and adverse event surveillance … May 30, 2012 Patient safety event reporting in critical care: a study of three intensive … September 30, 2010 Adverse drug event reporting in intensive care units: a survey of

203. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
     psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
     June 22, 2022 - Study Rates of adverse events in hospitalized patients after summer-time resident … June 22, 2022 Trends in adverse event rates in hospitalized patients, 2010-2019. … August 12, 2020 Adverse event reporting priorities: an integrative review. … 29, 2022 A machine learning approach to reclassifying miscellaneous patient safety event … Development and validation of a deep learning model for detection of allergic reactions using safety event

204. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/index.html
     August 01, 2022 - In short, the CANDOR process is a more patient-centered approach that emphasized early disclosure of adverse … Reporting, Event Investigation and Analysis Event Reporting, Event Investigation, and Facilitator … Notes ( PowerPoint , 1 MB) Tool: CANDOR Event Checklist ( PDF , 200 KB) Tool: System-Focused Event … Event—Reasonable Care Video; Resolution Planning Video: Conversation with Family Adverse Event—Unreasonable … Care Video: Notification of Adverse Event Video: Planning for Meetings with Family Video: Disclosure

205. Appendix - Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb234-appendix.pdf
     January 01, 2014 - Drug Event Causes With Constituent ICD-9-CM Diagnosis Codes and Descriptions Page 1 of 22 … Drug Event Causes With Constituent ICD-9-CM Diagnosis Codes and Descriptions Page 2 of 22 … Drug Event Causes With Constituent ICD-9-CM Diagnosis Codes and Descriptions Page 3 of 22 … Drug Event Causes With Constituent ICD-9-CM Diagnosis Codes and Descriptions Page 4 of 22 … Drug Event Causes With Constituent ICD-9-CM Diagnosis Codes and Descriptions Page 5 of 22

206. Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. | PSNet
     psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse
     December 22, 2010 - event classification. … event classification. … event classification. … drug event detection. … care setting: a secondary data analysis of two Canadian adverse event studies.

207. Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. | PSNet
     psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event
     February 15, 2011 - drug event surveillance and voluntary reporting in the pediatric environment. … Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … June 29, 2011 A model for medication safety event detection.

208. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
     January 01, 2024 - Perceived Value of Adverse Event Reporting. … Results Phase 1: Determining the Landscape of Adverse Event Reporting The Adverse Event Reporting … Use of Adverse Event Data. … Hospital Adverse Event Reporting Systems. … Use of Adverse Event Data.

209. Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting. | PSNet
     psnet.ahrq.gov/issue/assessing-potential-adoption-and-usefulness-concurrent-action-oriented-electronic-adverse
     October 01, 2014 - event triggers designed for the outpatient setting. … This AHRQ-funded study assessed the usefulness of different adverse drug event triggers in the outpatient … event triggers designed for the outpatient setting. … November 10, 2010 Consensus building for development of outpatient adverse drug event … January 31, 2018 Families as partners in hospital error and adverse event surveillance

210. Sentinel Event Data Summary. | PSNet
     psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
     February 28, 2018 - Measurement Tool/Indicator Sentinel Event Data Summary. … Citation Text: Sentinel Event Data Summary. Joint Commission. … This website provides sentinel event data reported to The Joint Commission, which includes information … May 10, 2023 Common general surgical never events: analysis of NHS England never event … April 7, 2021 Cutaneous Procedures Adverse Events Reporting (CAPER).

211. Module 7: Resolution | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
     August 01, 2022 - However, litigation is not always a patient’s or family’s first instinct after an adverse event, so it … Resolution addresses the needs and concerns of patients after an adverse event. … not admitting guilt, but rather admitting that an adverse event occurred while the patient was under … Making restitution—In the initial disclosure of the adverse event, caregivers need to be careful not … Potential future injuries that may result from the adverse event.

212. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - The objective of this initial conversation is to advise the patient and/or family that an adverse event … Disclosure communication following an adverse event should include answers to the following questions … How will the organization prevent the adverse event from happening to another patient in the future? … It is important that the clinicians and the health care organization apologize for the adverse event, … Apology–say you are sorry for the adverse event in a sincere manner early in the conversation.

213. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. | PSNet
     psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
     November 11, 2015 - harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … drug event, an approach that has been used in other settings . … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … event quality measure.

214. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. | PSNet
     psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
     November 16, 2016 - event detection with record review. … Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection … This systematic review examined record review as a way to identify adverse events. … Consistency of event identification was adequate, but data are lacking regarding validity of medical … Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72698/psn-pdf
     February 03, 2021 - The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … - event-rates-irish This longitudinal study set in Ireland found that adverse event rates remained … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish

216. A systematic review of natural language processing for classification tasks in the field of incident reporting and adverse event analysis. | PSNet
     psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
     October 18, 2018 - event analysis. … event analysis. … event analysis. … May 7, 2014 The Canadian Adverse Events Study: the incidence of adverse events among … Events Error Analysis Computerized Adverse Event Detection

217. Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet
     psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
     May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients … Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. … event. … October 19, 2022 Families as partners in hospital error and adverse event surveillance … September 20, 2011 Electronic approaches to making sense of the text in the adverse event

218. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians 353 Physician Event Reporting … Each adverse event or near miss should be viewed and used as a learning experience to better understand … Discussion Traditional physician adverse event reporting behavior Physicians traditionally use a … administrators of possible litigation in the face of serious adverse events. … Reasons for not reporting adverse incidents: an empirical study.

219. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
     August 24, 2015 - Resolution addresses the needs and concerns of patients after an adverse event. … Determine fair and reasonable compensation for the patient/family after an adverse event. … Potential future injuries that may result from the adverse event. … of time to report the adverse event. … The severity level of adverse events reported. Length of time it takes to disclose the event.

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33592/psn-pdf
     December 15, 2024 - The event was considered adverse but not due to negligence." … The event was considered adverse and due to negligence." … A final subcategory of adverse event is the ameliorable adverse event, a term first coined in a study … (Some studies use the related terms "potential adverse event" and "close call.") … When an adverse event occurred, reviewers also may disagree about whether the event was preventable.