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361. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - Introduction to Adverse Events Slide 23. Immediate Response to an Adverse Event 4 Slide 24. … Next Steps in Responding to an Adverse Event 5 Slide 25. … How to Communicate About an Adverse Event 6 Slide 26. … What if an Adverse Event Occurs on the Unit? … of emotions when an adverse event occurs.

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46874/psn-pdf
     March 21, 2018 - Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis … Pediatric Adverse Event Rates Associated With Inexperience in Teaching Hospitals: A Multilevel Analysis … https://psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals … https://psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals-multilevel-analysis … https://psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals-multilevel-analysis

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48101/psn-pdf
     August 14, 2019 - Partnering with families and patient advocates: another line of defense in adverse event surveillance … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44035/psn-pdf
     May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting … Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting … https://psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards- adverse-event … This policy statement describes ways to use adverse event data, manufacturer information, and technical … https://psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35982/psn-pdf
     September 17, 2010 - Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). … Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting- … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72793/psn-pdf
     March 03, 2021 - Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse … event rates. … Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse … event rates. … event rates.

367. ESP-VAERS Case Identification and Reporting Protocol (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Lazarus_ESP_VAERS_algorithm_v1_2007_11_05_1.pdf
     January 01, 2007 - event Report automatically Two Rare, high acuity adverse event on VDW list 1. … Message to clinician to comment on adverse event 2. … Message clinician to confirm or decline adverse event Four Routine health visit highly unlikely to … report to the CDC / FDA’s Vaccine Adverse Event Reporting System on your behalf. … , electrocardiogram Event trigger Specific test name or diagnosis that established the adverse event

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42023/psn-pdf
     May 25, 2013 - Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event … Description and evaluation of adaptations to the global trigger tool to enhance value to adverse event … https://psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value- adverse-event … https://psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event … https://psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42486/psn-pdf
     August 14, 2013 - An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44150/psn-pdf
     August 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. … Reflection on adverse event disclosure in the postsurgical hospital context. … https://psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context Communication … between surgeons and patients following an adverse event has received little attention. … https://psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context https:

371. Harvard Pilgrim Health Care, Inc. | Digital Healthcare Research
     digital.ahrq.gov/organization/harvard-pilgrim-health-care-inc
     January 01, 2023 - Practices: A Randomized Trial Electronic Support for Public Health - Vaccine 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 (ESP:VAERS … events and found that it is possible to automatically detect adverse events in defined ways, and to

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     March 15, 2025 - to determine if an actual or potential adverse event has occurred. … When the trigger correctly identifies an adverse event, causative factors can be determined and interventions … Conceptually, though, the method resembles that of major adverse event studies such as the Harvard Medical … After a trigger is identified, the entire chart is reviewed to determine whether an adverse event took … event was only slightly better than chance.

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38511/psn-pdf
     March 25, 2009 - The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting … It observes trends of adverse event reporting, finds that New York City hospitals report dramatically … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39832/psn-pdf
     September 08, 2010 - event in a regional health care service in Italy. … event in a regional health care service in Italy. … //psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis- adverse-event … https://psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event … https://psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - reporting-patient-safety-events https://psnet.ahrq.gov/primer/detection-safety-hazards https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … Failure to receive feedback after reporting an event is a commonly cited barrier to event reporting … psnet.ahrq.gov/issue/medmarxr https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https … ://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey https:

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866192/psn-pdf
     June 26, 2024 - A systemwide strategy to embed equity into patient safety event analysis. … analysis (RCA) investigations are conducted to identify systemic issues that contributed to an adverse … event. … health literacy), and organizational (e.g., access) factors that could have impacted the outcome of the adverse … event.

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45945/psn-pdf
     April 24, 2018 - Families as partners in hospital error and adverse event surveillance. … Families as Partners in Hospital Error and Adverse Event Surveillance. … https://psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance Detecting … Investigators compared adverse events detected with these mechanisms to adverse events identified through … https://psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance https://

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43254/psn-pdf
     May 01, 2015 - Investigating the long-term consequences of adverse medical events among older adults. … event, 62% of which originated in the ambulatory setting. … Patients who experienced an adverse medical event had much higher mortality rates, though it should … Medicare expenditures increased sharply during an adverse medical event episode and remained high following … the event.

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37514/psn-pdf
     February 04, 2015 - An analysis of adverse event costs, the medical liability system, and incentives for patient safety … An Analysis of Adverse Event Costs, the Medical Liability System, and Incentives for Patient Safety … https://psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability- … https://psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives … https://psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61016/psn-pdf
     October 14, 2020 - This study used perioperative adverse event data reported to a patient safety organization to identify … pediatric anesthesia transport- associated adverse events. … A small proportion (5%) of pediatric anesthesia adverse events were associated with transport, but the … A previous WebM&M discussed a perioperative respiratory event in a pediatric patient during intrahospital … wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport