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Showing results for "adverse event".
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8621. Psn-Pdf (pdf file)
      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

8622. Psn-Pdf (pdf file)
      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.

8623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33605/psn-pdf
      March 12, 2021 - for improving safety since Bates and colleagues' reports in the 1990s characterized the frequency of adverse … As described in related primers on medication errors and adverse drug events and on the pharmacist's … https://psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events https:// … psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … medical administration technology found a 41% reduction in errors and a 51% decrease in potential adverse

8624. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
      June 01, 2012 - the transfer of patients between hospitals Describe how communication lapses can lead to errors and adverse … events Adverse events may occur in 1%–34% of critical care transfers While the mortality rate remains … low, up to 17% of these adverse events result in potential harm to patients See Notes for references … Epidemiology of adverse events in air medical transport. … Epidemiology of adverse events in air medical transport.

8625. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
      May 01, 2013 - The patient received this regimen for 3 days with minimal adverse effects. … among the more hazardous and challenging activities in all of medicine Chemotherapy can have toxic adverse … The nature of adverse events in hospitalized patients—results of the Harvard Medical Practice Study II … Incidence and types of adverse events and negligent care in Utah and Colorado. … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

8626. Psn-Pdf (pdf file)
      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

8627. Psn-Pdf (pdf file)
      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

8628. Psn-Pdf (pdf file)
      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

8629. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
      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

8630. Psn-Pdf (pdf file)
      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.

8631. Psn-Pdf (pdf file)
      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

8632. Psn-Pdf (pdf file)
      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

8633. Psn-Pdf (pdf file)
      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

8634. Psn-Pdf (pdf file)
      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

8635. Psn-Pdf (pdf file)
      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

8636. Psn-Pdf (pdf file)
      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-

8637. Data Collection Form | Digital Healthcare Research
      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.

8638. Psn-Pdf (pdf file)
      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

8639. Psn-Pdf (pdf file)
      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

8640. Psn-Pdf (pdf file)
      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