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Showing results for "adverse event".
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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46777/psn-pdf
     January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. … Safety analysis over time: seven major changes to adverse event investigation. … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation … In-depth review and analysis of adverse events can both inform and detract from progress in patient … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39647/psn-pdf
     November 02, 2010 - Validation of hospital administrative dataset for adverse event screening. … Validation of Hospital Administrative Dataset for adverse event screening. … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening Use … of administrative datasets to identify adverse events can be problematic, as these datasets are generally … https://psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening https

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42326/psn-pdf
     June 05, 2013 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https … ://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847728/psn-pdf
     April 19, 2023 - Development and interrater agreement of a novel classification system combining medical and surgical adverse … event reporting. … Development and interrater agreement of a novel classification system combining medical and surgical adverse … event reporting. … development and testing of a novel Quality Improvement Classification System (QICS) designed to incorporate adverse

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867134/psn-pdf
     November 13, 2024 - Improving adverse drug event reporting by healthcare professionals. … Improving adverse drug event reporting by healthcare professionals. … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals Adverse … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals https:// … https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43413/psn-pdf
     October 20, 2014 - The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive … The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37971/psn-pdf
     April 21, 2011 - Managing an acute adverse event in a radiology department. … Managing an acute adverse event in a radiology department. … https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department This article describes … a process for analyzing adverse events and explains concepts including error detection, reporting, … https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40979/psn-pdf
     June 01, 2012 - The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … https://psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error This study … suggests that diagnostic coding error may significantly underestimate the costs associated with adverse … https://psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error https:/

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846760/psn-pdf
     March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis … Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43820/psn-pdf
     February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. … Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. … https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse … https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event https://psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35368/psn-pdf
     July 20, 2009 - Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data. … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data The … investigators examined reported adverse incidents from office surgical procedures and found no correlation … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40999/psn-pdf
     January 01, 2012 - Improving patient safety via automated laboratory-based adverse event grading. … Improving patient safety via automated laboratory-based adverse event grading. … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading … This study reports on the development of an automated system for identifying adverse events in clinical … https://psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. … This report used similar methodology based on trigger tools to determine adverse event incidence among … The study found that 29% of patients experienced an adverse event during their stay, a proportion nearly … Nearly one-fourth of patients who had an adverse event required transfer to an acute care hospital for … A previous WebM&M commentary discussed an adverse event at a rehabilitation facility.

394. No pay for "never event" errors becoming standard. | PSNet
     psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
     March 07, 2012 - Newspaper/Magazine Article No pay for "never event" errors becoming standard. … Citation Text: No pay for "never event" errors becoming standard. O'Reilly KB. … Copy URL Cite Citation Citation Text: No pay for "never event … March 11, 2009 Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries … February 18, 2009 Adverse Events in Hospitals: Overview of Key Issues.

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60580/psn-pdf
     January 01, 2022 - gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse … event outcomes and patient safety culture. … event outcomes and patient safety culture. … Over a 7-year period, adverse event rates decreased significantly (as did the incidence of preventable … adverse events and the incidence of events resulting in permanent harm, the use of life-sustaining

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60033/psn-pdf
     March 11, 2020 - Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and … Interventions to Reduce Adverse Drug Event-Related Outcomes in Older Adults: A Systematic Review and … https://psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults- … https://psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and … https://psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40708/psn-pdf
     March 02, 2012 - Barriers to adverse event and error reporting in anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … https://psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia This survey found … anesthesiologists minimized the impact of attitudinal and emotional barriers on reporting unspecified adverse … https://psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia https://psnet.ahrq.gov

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867523/psn-pdf
     January 15, 2025 - Ensuring sufficient patient notification efforts after a large-scale adverse event. … Ensuring sufficient patient notification efforts after a large-scale adverse event. … how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient- notification-efforts While large-scale adverse … This article provides an analytic framework for healthcare organizations to consider in the event of … look-back-and-talk-openly-responding-and-communicating-about-risk-large-scale-error-pathology https://psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45938/psn-pdf
     September 29, 2017 - Is excessive resource utilization an adverse event? … Is Excessive Resource Utilization an Adverse Event? … https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event Overuse of therapies, medications … explores an incident involving medical overuse, discusses whether overuse should be assessed like adverse … https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event https://psnet.ahrq.gov/perspective

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866317/psn-pdf
     July 17, 2024 - bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses "Second victim syndrome" occurs when an adverse … event or error has a negative emotional impact on involved staff, including shame, depression, and … This article describes a debriefing tool for nurses who have just experienced an adverse event. … (Buoy/Break, Open-Up, Needs, Exit/Evaluate), is intended to be used as soon as possible after the event … bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events