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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - September 23, 2020
Communication matters when it comes to adverse events: associations … of adverse events during implant treatment with patients' communication quality and trust assessments … January 2, 2017
Statewide identification of adverse events using retrospective nurse
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psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
March 05, 2025 - Citation
Related Resources From the Same Author(s)
Trends of diagnostic adverse … June 19, 2019
Prospective validation of classification of intraoperative adverse events … October 7, 2020
Understanding ultrarare adverse events - lessons learned from a twelve-year
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psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
January 31, 2024 - This commentary discusses the adverse effects of strategies to address the opioid epidemic, such as tightened … October 31, 2017
Patient safety incidents and adverse events in ambulatory dental care … September 7, 2022
Root cause analysis of adverse events involving opioid overdoses in
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psnet.ahrq.gov/issue/standardization-compounded-oral-liquids-pediatric-patients-michigan
December 16, 2020 - Author(s)
Transforming the medication regimen review process using telemedicine to prevent adverse … 2021
Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse … March 9, 2016
Using patient safety indicators to estimate the impact of potential adverse
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psnet.ahrq.gov/issue/chemotherapy-medication-errors
May 19, 2014 - March 3, 2011
Confidential clinician-reported surveillance of adverse events among medical … June 13, 2018
Risk factors for adverse events in patients with breast, colorectal, and … January 29, 2018
Preventable and mitigable adverse events in cancer care: measuring risk
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psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center
June 28, 2010 - June 28, 2010
Medication dispensing errors and potential adverse drug events before and … March 4, 2011
Adverse drug events in hospitalized cardiac patients. … Pharmacists
Facility and Group Administrators
Hospital Pharmacy
Medication Errors/Preventable Adverse
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psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
March 14, 2022 - March 14, 2022
Prevalence of adverse events in pediatric intensive care units in the … August 12, 2014
Medication errors and adverse drug events in pediatric inpatients. … May 27, 2011
Impact of computerized prescriber order entry on the incidence of adverse
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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
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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