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Showing results for "adverse event".
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301. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - event. … event … gathered and analyzed, and a plan is developed to prevent the adverse event from reoccurring … event (see Adverse Event [Reasonable Care] and Adverse Event [Unreasonable Care]). … event • Number of adverse events reported >24 hours after occurrence – Severity level of adverse

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841770/psn-pdf
     December 21, 2022 - A recent two-fold increase in medical adverse event deaths among US inpatients. … A recent two-fold increase in medical adverse event deaths among US inpatients. … https://psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients … From 2014 to 2019, researchers identified a nearly 16% annual increase in deaths attributed to adverse … https://psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837728/psn-pdf
     July 27, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … Trends in adverse event rates in hospitalized patients, 2010-2019. … https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019 Improving patient … events (e.g., adverse drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired … https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019 https://psnet.ahrq.gov

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47856/psn-pdf
     June 02, 2019 - The impact of patient–physician alliance on trust following an adverse event. … The impact of patient-physician alliance on trust following an adverse event. … https://psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event Maternal … Patients' reports of adverse events were associated with lack of trust in physicians. … https://psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event https://

305. How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. | PSNet
     psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
     March 18, 2013 - This retrospective study in the Netherlands encompasses three national major adverse event studies. … These authors previously reported that the adverse event rate in the Netherlands had increased between … In this current study, there was no change in overall adverse event rates in 2011/2012 compared to 2008 … event rates in hospitals over time: a longitudinal retrospective patient record review study. … January 13, 2016 Post event debriefs: a commitment to learning how to better care for

306. Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
     January 03, 2017 - Study Adverse drug event rates in six community hospitals and the potential impact … Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician … Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician … November 12, 2014 Relationship between medication event rates and the Leapfrog computerized … April 14, 2011 As industry automates, adverse events continue to haunt caregivers.

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45180/psn-pdf
     May 05, 2017 - Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. … Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. … https://psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient- … This study proposes adverse event–free admissions as a potential measure of safety, defining the term … as any hospitalization in which the patient does not experience a preventable adverse event.

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46867/psn-pdf
     February 20, 2019 - Connecting perspectives on quality and safety: patient- level linkage of incident, adverse event and … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and … ://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident- adverse-event-and … https://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and … https://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and

309. Patient Family Engagement PowerPoint Content and Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/alt-text-tab.html
     September 01, 2013 - event to patients and family members Explore the role of patient and family as advisors … Event Occurs on the Unit?     … event   Slide 22 Introduction to Adverse Events Adverse event: An injury to a … event is essential   Slide 23 Immediate Response to an Adverse Event 3 Care for … in the medical record   Slide 24 Next Steps in Responding to an Adverse Event 5

310. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet
     psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
     April 24, 2018 - event, 22% reported absenteeism and 23% reported considering leaving the ICU. … After involvement in an adverse event, respondents said that they would prefer peer support and the … event surveillance. … February 10, 2021 The Swiss cheese model of adverse event occurrence—closing the holes … Addressing mistreatment of providers by patients and family members as a patient safety event

311. Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals. | PSNet
     psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
     April 11, 2011 - The use of trigger methodology to detect medical errors, including adverse drug events, has been widely … event, such as use of vitamin K to treat coagulopathy.  … event.  … drug event surveillance and voluntary reporting in the pediatric environment. … drug event quality measure.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41094/psn-pdf
     January 25, 2012 - Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse- … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47234/psn-pdf
     October 17, 2018 - Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event- reporting-system … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system … -2006 https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system

314. Novel telephone-based interactive voice response system for incident reporting. | PSNet
     psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
     September 08, 2021 - December 1, 2021 Integrating adverse event reporting into a free-text mobile application … used in daily workflow increases adverse event reporting by physicians. … January 8, 2020 Introduction of a mobile adverse event reporting system is associated … with participation in adverse event reporting. … February 22, 2019 Electronic approaches to making sense of the text in the adverse event

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43257/psn-pdf
     August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … on implementation of an adverse event surveillance system. … A trained clinical observer assessed triggers designed to indicate a possible adverse event in general … https://psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73632/psn-pdf
     January 01, 2022 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … Encouraging adverse event reporting among clinicians, including medical trainees, is essential to improving … The intervention led to increased event reporting in the short- and long-term. … improving-incident-reporting-among-physician-trainees https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events

317. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - 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.   … adverse events. … Ensure adverse event report completed. Manage unit/team’s overall response.

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44215/psn-pdf
     November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000 … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … https://psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers … - united-states-2000 Vaccination-related errors reported to the National Vaccine Adverse Event Reporting … One-fourth of reported errors caused an adverse health event, with 8% of these resulting in serious

319. Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet
     psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
     June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical … Building a framework for trust: critical event analysis of deaths in surgical care. … Findings include a decrease over time in the percentage of deaths for which adverse events in management … Building a framework for trust: critical event analysis of deaths in surgical care. … June 23, 2009 Families as partners in hospital error and adverse event surveillance.

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44345/psn-pdf
     October 05, 2015 - Apologies following an adverse medical event: the importance of focusing on the consumer's needs. … Apologies following an adverse medical event: The importance of focusing on the consumer's needs. … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers- … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs