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Showing results for "adverse event".
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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45868/psn-pdf
     January 31, 2018 - Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events … Increasing Trainee Reporting of Adverse Events With Monthly Trainee- Directed Review of Adverse Events … medical students reported more errors after implementation of a monthly educational conference in which event … The authors conclude that trainee-led adverse event review conferences can increase event reporting. … https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events

402. Health care workers in the midst of crisis. | PSNet
     psnet.ahrq.gov/issue/health-care-workers-midst-crisis
     February 15, 2023 - Sentinel Event Alert. Feb 2, 2021;(62):1-7. … Sentinel Event Alert. Feb 2, 2021;(62):1-7. … March 18, 2020 Effect of Patient and Family Centered I-PASS on adverse event rates in … March 8, 2023 A review of adverse event reports from emergency departments in the Veterans … March 18, 2020 Electronic health record-based prediction models for in-hospital adverse

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846563/psn-pdf
     March 21, 2023 - event, healthcare workers involved in unanticipated adverse events are often traumatized by the event … Healthcare workers involved in a medical error or adverse event may experience a range of emotional … Healthcare staff involved in an adverse event can develop post-traumatic stress disorder (PTSD) with … The traumatic effects and negative feelings after involvement in an adverse event can also lead to professional … event.

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41964/psn-pdf
     April 17, 2013 - Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. … Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators … Few nursing homes surveyed used computerized methods to report errors or to monitor adverse event data … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45289/psn-pdf
     May 03, 2017 - Measuring harm in health care: optimizing adverse event review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review Determining … Investigators asked physicians, nurses, and pharmacists to rate the severity of harm for specific adverse … https://psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review https://psnet.ahrq.gov

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44782/psn-pdf
     January 13, 2016 - The Swiss cheese model of adverse event occurrence—closing the holes. … The Swiss cheese model of adverse event occurrence--Closing the holes. … https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes Shifting the … focus from individual failures to system problems has produced new ways to reduce adverse events. … https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes https://psnet.ahrq.gov

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44772/psn-pdf
     January 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. … Health care professionals who experience emotional consequences after adverse events are considered … event. … Further work should examine whether this approach ameliorates negative consequences of adverse events … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47241/psn-pdf
     October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. … Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses … training on high reliability and just culture for registered nurses did not lead them to report more adverse … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74172/psn-pdf
     December 08, 2021 - Differences in safety report event types submitted by graduate medical education trainees compared with … Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With … https://psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education … - trainees-compared Adverse event reporting by health care providers, including medical trainees, is … //psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38074/psn-pdf
     June 04, 2018 - Questions and Answers on FDA's Adverse Event Reporting System (FAERS). … https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers This FAQ … to quarterly reports and an interactive dashboard of medication-related incidents culled from FDA's Adverse … Event Reporting System (FAERS) database and identifies potential safety issues. … https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37616/psn-pdf
     November 29, 2009 - 2007 Guide to State Adverse Event Reporting Systems. November 29, 2009 Rosenthal J, Takach M. … https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems Highlighting the large … increase in state adverse event reporting systems, this report finds that states are concentrating … https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems https://psnet.ahrq.gov/

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39357/psn-pdf
     June 27, 2011 - The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … https://psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event Drawing on literature … https://psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event https://psnet.ahrq.gov

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44378/psn-pdf
     August 05, 2015 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … - event-prevention Adverse drug events continue to contribute to preventable errors for both hospitalized … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention … /national-action-plan-adverse-drug-event-prevention

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35211/psn-pdf
     June 13, 2011 - JCAHO views medication reconciliation as adverse-event prevention. June 13, 2011 Thompson CA. … JCAHO views medication reconciliation as adverse-event prevention. … https://psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention This article … https://psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention https://psnet.ahrq.gov

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45969/psn-pdf
     January 07, 2019 - Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … This survey of surgeons found that the majority who could recall an intraoperative adverse event experienced … ://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45292/psn-pdf
     September 07, 2016 - Electronic approaches to making sense of the text in the adverse event reporting system. … Electronic approaches to making sense of the text in the adverse event reporting system. … https://psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system … Voluntary incident reports are critical to identifying adverse events, but reading through the text can … https://psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system https

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853067/psn-pdf
     August 30, 2023 - The Pursuing Excellence Collaborative: engaging first- year residents and fellows in patient safety event … The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event … pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows- patient-safety Previous research suggests that residents may underutilize adverse … event reporting tools. … pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46778/psn-pdf
     April 12, 2019 - Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation … Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals After Implementation … https://psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals- … after-implementation Adverse event reporting systems are central to many patient safety programs, but … a decrease in the adverse event rate at two academic medical centers.

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74051/psn-pdf
     January 01, 2022 - Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical … Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical … https://psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence … This retrospective study compared adverse event rates between pediatric patient transport both with, … Adverse event rates were not significantly impacted by parental presence.

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44342/psn-pdf
     November 03, 2015 - 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 … , while preventable adverse events were markedly reduced by 45%. … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record