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psnet.ahrq.gov/node/46146/psn-pdf
June 07, 2017 - Increasing patient safety event reporting in an emergency
medicine residency. … Increasing Patient Safety Event Reporting in an Emergency Medicine
Residency. … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency … Technical and psychological factors can affect adverse event reporting. … reporting-patient-safety-events
https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events
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psnet.ahrq.gov/node/41587/psn-pdf
September 19, 2016 - Supporting involved health care professionals (second
victims) following an adverse health event: a … Supporting involved health care professionals (second victims) following
an adverse health event: a … https://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 … https://psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
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psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - Sentinel Event Alert. 2008;41(41):1-4. … They have been associated with adverse events in a
variety of settings, including in hospitalized patients … Please see Sentinel event alert 61: Managing the risks of direct
oral anticoagulants. … https://psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults … https://psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
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psnet.ahrq.gov/node/42893/psn-pdf
March 13, 2014 - Effect of patient safety strategies on the incidence of
adverse events. … Effect of patient safety strategies on the incidence of
adverse events. … that adverse event rates in a Spanish hospital increased following the introduction of
various patient … This finding is likely due to enhanced awareness leading to more event
recording, rather than a result … /issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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psnet.ahrq.gov/node/46790/psn-pdf
March 14, 2018 - When clinicians drop out and start over after adverse
events. … When Clinicians Drop Out and Start Over after Adverse Events. … https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-after-adverse-events
Clinicians … event. … In keeping with prior research, respondents reported a lack of support
after the event.
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psnet.ahrq.gov/node/43813/psn-pdf
January 20, 2015 - Adverse events in patients with return emergency
department visits. … Adverse events in patients with return emergency department visits. … event. … An adverse event was present in 12% of
return visits that occurred within 72 hours of the initial visit … The authors suggest that this utilization pattern
may be a promising trigger tool to identify adverse
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psnet.ahrq.gov/node/41030/psn-pdf
March 04, 2015 - A systematic review to evaluate the accuracy of electronic
adverse drug event detection. … A systematic review to evaluate the accuracy of electronic adverse
drug event detection. … https://psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection … The difficulty of accurately identifying and classifying inpatient adverse drug events (ADEs) was first … https://psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection
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psnet.ahrq.gov/node/43096/psn-pdf
August 22, 2016 - Rapid learning of adverse medical event disclosure and
apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
Obstetricians … Similar cognitive aids may help clinicians faced with
disclosing adverse events to patients. … https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect … OF UNSAFE CONDITION (EVENT TYPE) excluded
the following: adverse drug events with no apparent incorrect
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psnet.ahrq.gov/node/41193/psn-pdf
August 02, 2012 - Medicaid, hospital financial stress, and the incidence of
adverse medical events for children. … Medicaid, hospital financial stress, and the incidence of adverse
medical events for children. … https://psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events- … event. … event.
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psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - Medication, allergy, and adverse drug event
discrepancies in ambulatory care. … Medication, allergy, and adverse drug event discrepancies in
ambulatory care. … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
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psnet.ahrq.gov/node/37181/psn-pdf
October 06, 2011 - Inter-rater reliability of a classification system for hospital
adverse drug event reports. … Inter-rater reliability of a classification system for hospital
adverse drug event reports. … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
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psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Assessing the potential adoption and usefulness of
concurrent, action-oriented, electronic adverse drug … event triggers designed for the outpatient setting. … event triggers designed for the outpatient setting. … Trigger tools have been shown to be an efficient way to screen for adverse events. … This AHRQ-funded
study assessed the usefulness of different adverse drug event triggers in the outpatient
-
psnet.ahrq.gov/node/36895/psn-pdf
March 10, 2011 - A systematic review of the performance characteristics of
clinical event monitor signals used to detect … adverse drug
events in the hospital setting. … A systematic review of the performance characteristics of clinical
event monitor signals used to detect … adverse drug events in the hospital setting. … The authors analyzed the literature and identified laboratory and pharmacy triggers used to detect adverse
-
psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events. … At least one medication error or adverse drug event
occurred in nearly half of the 277 operations observed … drug event; 80% of these errors were deemed
preventable. … There were no
differences in event rates among resident physicians, nurse anesthetists, and staff anesthesiologists … ://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize … interventions designed to prevent recurrence of
adverse events. … Improving safety recommendations before implementation: a
simulation-based event analysis to optimize … interventions designed to prevent recurrence of adverse
events. … https://psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-
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digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - ADE Incident Identification Form
Description
This form identifies an adverse … drug event using data reported by a clinician. … Chart Review Form
Description
This is a chart review form for an adverse … drug event (ADE) study. … drug event study.
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psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
This national action … aims to align the efforts of multiple federal programs committed to reducing patient
harms related to adverse … common
usage and their very high potential to cause clinically significant, preventable, and measurable adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical
care. … commentary discusses the role of the Scottish Audit of Surgical Mortality (SASM) on trends in adverse … Findings include a decrease over time in the percentage
of deaths for which adverse events in management … conclude that voluntary mortality audits may lead to important changes in practice and focusing on
adverse
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psnet.ahrq.gov/node/45468/psn-pdf
October 11, 2017 - Identification and characterization of adverse drug events
in primary care. … Identification and Characterization of Adverse Drug Events in
Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
Adverse … drug event during a change in medications. … Less than 10% of patients
experienced an adverse drug event, which the authors conclude represents an