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Showing results for "adverse event".
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8641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849602/psn-pdf
      May 31, 2023 - psychosocial-processes-healthcare-workers-how-individuals-perceptions- interpersonal Miscommunication between healthcare providers can contribute to adverse … two-cases-retained-vaginal-packing-when-writing-order-not-enough https://psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication

8642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866952/psn-pdf
      October 16, 2024 - introduction-novel-patient-safety-advisory-evaluation-perceived-information- modified-qpp Patient engagement in health care can support detection of adverse … information) about patient safety risks for inpatients improved engagement in their care and reduced risk of adverse

8643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867381/psn-pdf
      December 18, 2024 - promoting-medication-safety-older-adults-upon-hospital-discharge-guiding- principles Effective communication is essential to reduce the risk of adverse … promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

8644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38662/psn-pdf
      April 12, 2011 - research should investigate how interactions among patients, clinicians, and systems lead to harmful adverse … medication-errors-outpatient-setting-classification-and-root-cause-analysis https://psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults

8645. Good Catch in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/good-catch-operating-room
      August 27, 2017 - TeamSTEPPS) program for health care teams ( 12 ) has several effective communication tools to help prevent adverse … Finally, a systems-based approach to prevent the adverse event in this case would focus on the technology … something had happened to the blade, allowing them to realize it might be responsible for the hypotensive event … June 14, 2017 Vaccination errors reported to the Vaccine Adverse Event Reporting System … Anterior Cervical Spine Surgery February 28, 2024 Understanding ultrarare adverse

8646. 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

8647. 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

8648. 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

8649. 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

8650. 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.

8651. 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

8652. 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

8653. 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

8654. 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

8655. 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

8656. 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-

8657. 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.

8658. 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

8659. 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

8660. 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