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psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
June 14, 2011 - Commentary
Managing an acute adverse event in a radiology department. … Managing an acute adverse event in a radiology department. … This article describes a process for analyzing adverse events and explains concepts including error detection … Managing an acute adverse event in a radiology department. … February 9, 2022
Overcoming human barriers to safety event reporting in radiology.
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psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
April 19, 2017 - Study
Barriers to adverse event and error reporting in anesthesia. … Barriers to Adverse Event and Error Reporting in Anesthesia. … anesthesiologists minimized the impact of attitudinal and emotional barriers on reporting unspecified adverse … Barriers to Adverse Event and Error Reporting in Anesthesia. … January 5, 2012
Computerized surveillance for adverse drug events in a pediatric hospital
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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … medical event: the importance of focusing on the consumer's needs. … November 2, 2022
Medicines management, medication errors and adverse medication events
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening. … Validation of Hospital Administrative Dataset for adverse event screening. … Use of administrative datasets to identify adverse events can be problematic , as these datasets are … Validation of Hospital Administrative Dataset for adverse event screening. … event?
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - Book/Report
Legislative Report to the General Assembly: Adverse Event Reporting. … Citation Text:
Legislative Report to the General Assembly: Adverse Event Reporting. … Event Reporting. … February 4, 2015
Sentinel Event Program. … Event Reporting and Tracking System.
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading … Improving patient safety via automated laboratory-based adverse event grading. … This study reports on the development of an automated system for identifying adverse events in clinical … Improving patient safety via automated laboratory-based adverse event grading. … More
See More About The Topic
Pathology and Laboratory Medicine
Side Effects/Adverse
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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - Study
Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … event database to identify and categorize health information technology related events. … event involvement may be mitigated by peer support.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
135
Lessons Learned … from the Evolution of
Mandatory Adverse Event Reporting Systems
Ellen Flink, C. … Introduction
The evolution of an adverse event reporting system is complex, creates many
challenges … The report
also highlighted the importance of creating mandatory adverse event reporting
systems as … The first mandatory
adverse event reporting system, the Hospital Incident Reporting System (HIRS),
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Final progress report: Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Final progress report
Developing Evidence for Safety Surveillance from Device Adverse Event Reports … Due to the narrative nature of device adverse event
reports, research using them is limited. … Overall, we found that the number of adverse event reports increased significantly over time. … Vaccine adverse event
text mining system for extracting features from vaccine safety reports.
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psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their-families
February 15, 2023 - Study
Barriers and facilitators of adverse event reporting by adolescent patients … Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. … event reporting . … Positive perceptions of care led to participants being more willing to report an adverse event; whereas … Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families.
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psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
July 01, 2017 - review of adverse events. … Increasing Trainee Reporting of Adverse Events With Monthly Trainee-Directed Review of Adverse Events … The authors conclude that trainee-led adverse event review conferences can increase event reporting … Increasing Trainee Reporting of Adverse Events With Monthly Trainee-Directed Review of Adverse Events … event reporting.
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psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - Accurate measurement of adverse event rates is critical to patient safety improvement efforts. … 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.
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - of all clinicians will be involved in a serious adverse event at least once during their career. … when a clinician is involved in any error or adverse event, regardless of severity. … event. … Providing Support to Clinicians After an Error or Adverse Event A survey of 898 clinicians at the University … August 9, 2017
Care of the clinician after an adverse event.
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - Study
Measuring harm in health care: optimizing adverse event review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … Investigators asked physicians, nurses, and pharmacists to rate the severity of harm for specific adverse … Measuring Harm in Health Care: Optimizing Adverse Event Review. … December 3, 2014
Incidence of adverse events and negligence in hospitalized patients.
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Adverse Events in Dentistry. PSNet [internet]. … Adverse Events in Dentistry. PSNet [internet]. … Teaching dental students about patient communication following an adverse event: a pilot educational … An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … event occurred or not.
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psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
June 04, 2024 - Book/Report
Consumer Guide to Adverse Health Events. … Citation Text:
Consumer Guide to Adverse Health Events. … February 9, 2011
Integrating adverse event reporting into a free-text mobile application … used in daily workflow increases adverse event reporting by physicians. … April 30, 2024
Sentinel Event Program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Serious Reportable Adverse Events in Health Care
339
Serious Reportable Adverse
Events in Health … The occurrence of a serious
preventable adverse event in health care—e.g., operating on the wrong patient … event, an event whose occurrence is not trivial. … Associated with means that it is reasonable to initially assume that the
adverse event was due to the … (This is in addition to the States that
have longstanding adverse event-reporting requirements.)
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psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
September 23, 2009 - Study
Developing an adverse event reporting system using administrative data. … Citation Text:
Developing an adverse event reporting system using administrative data. … event reporting system using administrative data. … August 11, 2010
Respectful Management of Serious Clinical Adverse Events. … April 13, 2016
Detecting adverse events in surgery: comparing events detected by the
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psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
October 19, 2022 - Review
The role of pediatric nurses during preventable adverse event disclosure: … The role of pediatric nurses during preventable adverse event disclosure: a scoping review. … The role of pediatric nurses during preventable adverse event disclosure: a scoping review. … 17, 2022
Why an open disclosure procedure is and is not followed after an avoidable adverse … event.
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psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients
November 16, 2022 - Commentary
Adverse drug event prevention and detection in older emergency department … Adverse drug event prevention and detection in older emergency department patients. … This article discusses medication safety and adverse drug events specific to a geriatric population and … Adverse drug event prevention and detection in older emergency department patients. … November 16, 2022
Families as partners in hospital error and adverse event surveillance