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Showing results for "adverse event".
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241. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
     August 01, 2022 - the best care possible to patients, health care providers are sometimes faced with the aftermath of adverse … It is estimated that one in seven patients is affected by adverse events, and that as many as half of … all clinicians will be involved in a serious adverse event at least once during their career. … errors are adverse events. … Therefore, it is important to recognize the distinction between medical errors and adverse events, as

242. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - event. 1.5% experienced harm that contributed to their death. 44% of adverse events were preventable … Slide 7 Say: Open and honest communication after an adverse event is not easy and does require … Slide 19 Say: The CANDOR process involves a thorough investigation of the adverse event … analysis of an adverse event.  … Resolution should lead to a settlement of issues related to the adverse event,but doesn’t always lead

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48156/psn-pdf
     January 01, 2020 - Study of a multisite prospective adverse event surveillance system. … Study of a multisite prospective adverse event surveillance system. … https://psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system This prospective … Researchers found widely varying adverse rates among the five hospitals and concluded that event detection … These results underscore the challenge of accurate adverse event surveillance.

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74694/psn-pdf
     January 26, 2022 - This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the … United States compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to an adverse event. … Procedure-related complications contributed to the majority of adverse event deaths. … The risk of death due to adverse event was higher for younger patients and Black patients.

245. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet
     psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
     April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health … Incident reporting is widely utilized to detect adverse events and near misses, but underreporting remains … December 8, 2021 Encouraging resident adverse event reporting: a qualitative study of … December 23, 2012 Characteristics of medication errors and adverse drug events in hospitals … About The Topic Children's Hospitals Physicians Pediatrics Epidemiology of Errors and Adverse

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45992/psn-pdf
     January 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. … Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their … This qualitative study explored perceptions of adolescent patients and their parents about adverse event … Positive perceptions of care led to participants being more willing to report an adverse event; whereas

247. Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/citation/reevaluating
     January 01, 2023 - 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 … profile of ped… Principal Investigator Ferranti, Jeffrey Project Name Automated Adverse … Drug Event Detection and Intervention Technology Clinical Decision Support System Computerized

248. Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet
     psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
     August 01, 2018 - Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse … August 26, 2020 Integrating adverse event reporting into a free-text mobile application … used in daily workflow increases adverse event reporting by physicians. … January 8, 2020 Field test results of a new ambulatory care Medication Error and Adverse … June 17, 2010 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837593/psn-pdf
     June 29, 2022 - Adverse event reporting priorities: an integrative review. … Adverse event reporting priorities: an integrative review. … https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review Adverse event reporting … This review identified four key priorities in increasing adverse event reporting: understanding and … https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review https://psnet.ahrq.gov

250. Identifying health information technology related safety event reports from patient safety event report databases. | PSNet
     psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
     July 07, 2021 - Study Identifying health information technology related safety event reports from … patient safety event report databases. … Identifying health information technology related safety event reports from patient safety event report … Identifying health information technology related safety event reports from patient safety event report … March 1, 2017 Electronic approaches to making sense of the text in the adverse event

251. The Relationship Between Hospital Workload and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
     January 01, 2024 - event identification and incorporated rule sets with criteria to define adverse event. … Table E2: Adverse events explicitly specified for identification during chart review Adverse event … drug event Other adverse event not specified above A significant difficulty with the assessment of … events and the time of adverse event occurrence. … Demonstration of the Computerized Adverse Event Detection Tool (CADET).

252. Disparities in patient safety voluntary event reporting: a scoping review. | PSNet
     psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
     November 16, 2022 - Review Disparities in patient safety voluntary event reporting: a scoping review. … Disparities in patient safety voluntary event reporting: a scoping review. … Disparities in patient safety voluntary event reporting: a scoping review. … harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event … drug event reporting by healthcare professionals.

253. Surveillance for Adverse Drug Events in Ambulatory Pediatrics (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
     January 01, 2011 - The NLP rule category called “NLP – General Adverse Event” could potentially overlap with all other … The criteria for this rule had terms including “adverse drug event”, “adverse drug reaction”, “adverse … ADEs by location of origin Origin of Adverse Event ADE Count % of Total Inpatient (no transition … Implementation of a System for Computerized Adverse Drug Event Surveillance and Intervention at an … Pediatric Adverse Drug Event Surveillance with Natural Language Processing.

254. Lazarus, Ross | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/lazarus-ross
     January 01, 2023 - Adverse Event Reporting System (ESP:VAERS) - Final Report Citation Lazarus R. … Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP:VAERS) - Final Report … Adverse Event Reporting System - 2010 Principal Investigator Lazarus, Ross Project … Name Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP:VAERS) … Electronic Support for Public Health - Vaccine Adverse Event Reporting System

255. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
     January 01, 2024 - event or a medical error. … Presenters explored the benefits and risks of apology and disclosure after an adverse event or medical … event, patient-physician communication. … event or medical error. … event or a medical error.

256. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - 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. … identify actions needed to prevent the adverse event from happening to another patient in the future

257. A quality improvement initiative to improve patient safety event reporting by residents. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents
     March 08, 2023 - A quality improvement initiative to improve patient safety event reporting by residents. … Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse … April 22, 2020 Encouraging resident adverse event reporting: a qualitative study of suggestions … October 30, 2019 Increasing trainee reporting of adverse events with monthly, trainee-directed … review of adverse events.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867384/psn-pdf
     December 18, 2024 - Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study … Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study … https://psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations … https://psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative … https://psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837307/psn-pdf
     June 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? … Adverse event reviews in healthcare: what matters to patients and their family? … https://psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family- … This qualitative study explored the experiences of patients and family members involved in adverse event … https://psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family-qualitative-study

260. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet
     psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
     September 01, 2018 - Study Studying critical values: adverse event identification following a critical … Studying critical values: adverse event identification following a critical laboratory values study at … This study determined that the incidence of adverse events was a predictor for months with an unusual … Studying critical values: adverse event identification following a critical laboratory values study at … June 3, 2020 Families as partners in hospital error and adverse event surveillance.