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digital.ahrq.gov/ahrq-funded-projects/electronic-support-public-health-vaccine-adverse-event-reporting-system
January 01, 2023 - Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP:VAERS) … Proactive, spontaneous, automated adverse event reporting embedded within electronic medical records … The Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP: VAERS) project … Prepare and securely submit clinician approved, electronic reports to the national Vaccine Adverse Event … Electronic Support for Public Health - Vaccine Adverse Event Reporting System - 2010
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … February 22, 2023
Adverse drug event surveillance and drug withdrawals in the United … Drug Events
Computerized Adverse Event Detection
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - System that
Includes Adverse Event Hospitalizations
Robert R. … The medical care costs for these injury and adverse event hospital discharges were
obtained from the … Results: Over the study
time frame, 153,153 injury and adverse event discharges occurred, with more … , time trends, and costs associated
with injury and adverse event hospitalizations. … Trends in VHA injury and adverse event hospitalizations: by discharge frequency
Table 2.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Surgical ‘never events’: How common are adverse occurrences? … Surgical ‘never events’: How common are adverse occurrences? … July 12, 2010
Families as partners in hospital error and adverse event surveillance. … March 13, 2013
Venous thromboembolism after trauma: a never event? … August 8, 2010
No pay for "never event" errors becoming standard.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017045-lazarus-final-report-2011.pdf
January 01, 2011 - Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS)
Grant Final … Report
Grant ID: R18 HS 017045
Electronic Support for Public Health–Vaccine Adverse
Event … vaccine event detection and reporting to the national
Vaccine Adverse Event Reporting System (VAERS … vaccine event detection and reporting to the national Vaccine
Adverse Event Reporting System (VAERS … Although 25% of
ambulatory patients experience an adverse drug event, less than 0.3% of all adverse
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Medication Anticoagulant event – Intravenous unfractionated
heparin event
20
Module Adverse … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. … QSRS adverse events by module
Module Adverse Event (AE) Outcome
1. … Medication Anticoagulant event – Intravenous unfractionated
heparin event
20
Module Adverse … Events by Sex
Female Male
Adverse Event
Hospitalizations
With AE
Pop. … Determining Adverse Event Rates
D. Weighting Methodology
IV.
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - Study
Surgeons' disclosures of clinical adverse events. … Surgeons' Disclosures of Clinical Adverse Events. … Surgeons' Disclosures of Clinical Adverse Events. … event disclosure support program generated through embedded research in the Veterans Health Administration … July 13, 2009
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
May 27, 2011 - Study
Understanding pharmacist decision making for adverse drug event (ADE) detection … Understanding pharmacist decision making for adverse drug event (ADE) detection. … Understanding pharmacist decision making for adverse drug event (ADE) detection. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … June 29, 2011
Consensus building for development of outpatient adverse drug event triggers
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psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
November 04, 2014 - Study
Rapid learning of adverse medical event disclosure and apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … Similar cognitive aids may help clinicians faced with disclosing adverse events to patients. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … January 9, 2014
Assessing residents' communication skills: disclosure of an adverse event
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting. … Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4). … Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. … Copy URL
Cite
Citation
Citation Text:
Diagnostic safety event … December 1, 2011
To what extent are adverse events found in patient records reported
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psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006
December 15, 2010 - Study
Serious adverse drug events reported to the FDA: analysis of the FDA Adverse … Event Reporting System 2006–2014 database. … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006 … This retrospective study reviewed serious and fatal adverse drug events (ADEs) reported to the Food … Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006
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psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
December 01, 2019 - Study
The patients' perspective: hematological cancer patients' experiences of adverse … When an error or adverse event occurs, patients and families want to be informed. … In this study of oncology patients, more than one quarter perceived an adverse event had occurred. … While most were informed soon after the event occurred and given an explanation, fewer than half were … October 6, 2021
Central venous catheter guidewire retention: lessons from England's never event
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psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
July 30, 2014 - Study
Participation in a system-thinking simulation experience changes adverse event … Participation in a system-thinking simulation experience changes adverse event reporting. … This study found that improvements in systems thinking increase adverse event (AE) reporting patterns … Participation in a system-thinking simulation experience changes adverse event reporting. … event reporting system: development and feasibility.
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psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
October 21, 2010 - Organizational Policy/Guidelines
WHO Draft Guidelines for Adverse Event Reporting … Citation Text:
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems. … Event Reporting and Learning Systems. … March 20, 2024
View More
Related Resources
Adverse Health Events … June 23, 2015
Consumer Guide to Adverse Health Events.
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psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
April 20, 2016 - Commentary
Adverse event reporting tool to standardize the reporting and tracking … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … October 26, 2022
Adverse event and complication tracking in anaesthesiology: dependence … February 5, 2014
Barriers to adverse event and error reporting in anesthesia.
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psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
March 03, 2011 - Study
The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … Download Citation
Related Resources From the Same Author(s)
Impact of adverse … Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse
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psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
November 27, 2013 - : a secondary data analysis of two Canadian adverse event studies. … of two canadian adverse event studies. … A previous study estimated that about 10% of patients receiving home care experienced an adverse event … of two canadian adverse event studies. … November 27, 2013
The Canadian Adverse Events Study: the incidence of adverse events
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psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
February 24, 2011 - Study
Does error and adverse event reporting by physicians and nurses differ? … Does error and adverse event reporting by physicians and nurses differ? … Does error and adverse event reporting by physicians and nurses differ? … Resources From the Same Author(s)
Voluntary electronic reporting of medical errors and adverse … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event
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psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
April 11, 2011 - Study
Ambulatory care adverse events and preventable adverse events leading to a … Ambulatory care adverse events and preventable adverse events leading to a hospital admission. … Ambulatory care adverse events and preventable adverse events leading to a hospital admission. … events and preventable adverse events in children. … An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement