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psnet.ahrq.gov/node/865970/psn-pdf
May 29, 2024 - A scoping review of the methodological approaches used
in retrospective chart reviews to validate adverse … event
rates in administrative data. … event rates in administrative data. … Administrative datasets offer an efficient method of identifying potential adverse events (AE) but … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
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psnet.ahrq.gov/node/44000/psn-pdf
July 18, 2016 - Elucidating reasons for resident underutilization of
electronic adverse event reporting. … Elucidating Reasons for Resident Underutilization of Electronic Adverse
Event Reporting. … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event- … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - Adverse Drug Event
Detection in Pediatric
Oncology and
Hematology Patients:
Using Medication … Recognizing
hypoglycemia in children
through automated
adverse-event detection. … Adverse drug
event trigger tool: a
practical methodology for
measuring medication
related harm … Automated
adverse event detection
collaborative: electronic
adverse event
identification,
classification … Adverse
Inspector adverse event (AE) detection methods in a Events in Hospitals:
General Report population
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. … Incident reporting generates data about adverse events. … patient safety event report databases. … May 4, 2016
Design of a retrospective patient record study on the occurrence of adverse … Topic
Hospitals
Quality and Safety Professionals
Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/node/45308/psn-pdf
September 28, 2016 - Measurement of patient safety: a systematic review of the
reliability and validity of adverse event … Measurement of patient safety: a systematic review of
the reliability and validity of adverse event … -
event-detection
Detection of safety hazards remains a challenge. … https://psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection … https://psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection
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psnet.ahrq.gov/node/44120/psn-pdf
November 06, 2015 - Designing highly reliable adverse-event detection
systems to predict subsequent claims. … Designing highly reliable adverse-event detection systems to predict
subsequent claims. … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-
subsequent-claims … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims … https://psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
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psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
April 24, 2018 - Commentary
Virginia Tech as a sentinel event: the role of psychiatry in managing … Related Resources From the Same Author(s)
Families as partners in hospital error and adverse … event surveillance. … February 17, 2017
Detecting adverse events in surgery: comparing events detected by the … April 19, 2023
Analysis of suicides reported as adverse events in psychiatry resulted
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psnet.ahrq.gov/node/40791/psn-pdf
February 09, 2012 - Adverse event rates as measures of hospital
performance. … Adverse event rates as measures of hospital performance. … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
This study concluded … that adverse event rates in themselves are a poor marker of hospital performance,
largely because of … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41394/psn-pdf
December 29, 2014 - An adverse event screening tool based on routinely
collected hospital-acquired diagnoses. … An adverse event screening tool based on routinely collected
hospital-acquired diagnoses. … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired … -
diagnoses
This study found high levels of physician agreement using an adverse event screening tool … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
-
psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - event, medical error, or patient-related injury. … reported personal problems in the past 12 months resulting from their involvement in a patient safety event … March 10, 2010
Families as partners in hospital error and adverse event surveillance. … event involvement may be mitigated by peer support. … health event: a literature review.
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Despite efforts
to provide safe, effective care, adverse events still occur. … What makes a case most vulnerable to adverse events? … modes, failure detection, and management of adverse event sequelae relevant to our
clinical focus were … [3] Pivotal event – A pivotal event is an intermediate event for which occurrence or non-
occurrence … of the event
-
psnet.ahrq.gov/node/42036/psn-pdf
March 18, 2013 - Changes in adverse event rates in hospitals over time: a
longitudinal retrospective patient record review … Changes in adverse event rates in hospitals over time: a
longitudinal retrospective patient record review … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective … -
patient-record
A random sampling of hospitals in the Netherlands found that adverse event rates increased … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record
-
psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - event. … Event. … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-
adverse-event … //psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event … //psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
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psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and … -
consequences
Insulin pump malfunctions are a known contributor to adverse events. … https://psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
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psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care … The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care … events-part-care
When an error or adverse event occurs, patients and families want to be informed. … In this study of oncology
patients, more than one quarter perceived an adverse event had occurred. … While most were informed soon
after the event occurred and given an explanation, fewer than half were
-
psnet.ahrq.gov/node/40408/psn-pdf
July 08, 2013 - Assessing residents' communication skills: disclosure of
an adverse event to a standardized patient. … Assessing residents' communication skills: disclosure of an adverse event to a
standardized patient. … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-
standardized-patient … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
-
pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable … or Likely Preventable by Clinical Category
Page 1 of 4
Adverse and Temporary Harm Events in Rehabilitation … Inspector General Report1
as Clearly Preventable or Likely Preventable,
by Clinical Category
Adverse … to congestive heart failure exacerbation resulting in transfer to an acute-
care hospital
• Cascade event … Adverse Events in Rehabilitation Hospitals:
National Incidence Among Medicare Beneficiaries, OEI-06-
-
psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals
November 13, 2009 - It is generally agreed that approximately 1 in 10 hospitalized patients experiences an adverse event … , and recent research has also quantified the daily risk of preventable adverse events for a typical … November 13, 2009
How event reporting by US hospitals has changed from 2005 to 2009. … July 10, 2017
Adverse-event-reporting practices by US hospitals: results of a national … September 20, 2011
Families as partners in hospital error and adverse event surveillance
-
psnet.ahrq.gov/node/45195/psn-pdf
September 14, 2016 - Adverse drug event reporting systems: a systematic
review. … Adverse drug event reporting systems: a systematic review. … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
Adverse drug events … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
-
psnet.ahrq.gov/node/43389/psn-pdf
July 30, 2014 - Simulation based adverse event reporting system:
development and feasibility. … Simulation Based Adverse Event Reporting System: Development and Feasibility. … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility … This study introduced an online adverse event reporting system into simulation training for nursing … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility