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8841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48012/psn-pdf
      June 12, 2019 - american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate https://psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events

8842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41691/psn-pdf
      September 19, 2012 - This article discusses data on loading dose errors and provides strategies to reduce risks of such adverse

8843. In Conversation With... Remle P. Crowe, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
      May 16, 2022 - But these trigger tools help us pinpoint records where we think that a safety event was more likely to … Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. … Adverse events in prehospital emergency care: a trigger tool study. … A trigger is commonly an event or procedure that serves as a red flag for review. … Development of a trigger tool to identify adverse events and harm in Emergency Medical Services.

8844. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0407_01-20-2011.pdf
      January 01, 2011 - Does aspirin reduce the risk of adverse cardiovascular events (MI, stroke, cardiovascular death) in … Is clopidogrel more effective than aspirin in reducing adverse cardiovascular events in PAD? 3.

8845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836997/psn-pdf
      April 27, 2022 - reconciliation by both the community and hospital pharmacist) did not decrease the proportion of patients with adverse … /primer/discharge-planning-and-transitions-care https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

8846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37292/psn-pdf
      May 24, 2015 - many-faces-error-disclosure-common-set-elements-and-definition https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events … web-mm/wrong-shot-error-disclosure https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events

8847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40524/psn-pdf
      March 04, 2019 - //psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting https://psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study

8848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38625/psn-pdf
      November 19, 2009 - on the development and testing of an evidence based inpatient safety program for the prevention of adverse … on the development and testing of an evidence based inpatient safety program for the prevention of adverse

8849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36634/psn-pdf
      March 03, 2011 - transfer and communication (ITC) between physicians and determine how suboptimal ITC may lead to adverse … Four domains of ITC that contribute to adverse events were identified, including blurring of provider

8850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46610/psn-pdf
      December 06, 2017 - systematic-review-patient-safety-measures-adult-primary-care https://psnet.ahrq.gov/issue/ambulatory-computerized-prescribing-and-preventable-adverse-drug-events … https://psnet.ahrq.gov/issue/ambulatory-computerized-prescribing-and-preventable-adverse-drug-events

8851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47427/psn-pdf
      June 19, 2019 - failures-respectful-care-critically-ill-patients Emotional and psychological harm are understudied but common preventable adverse … multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

8852. 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

8853. 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

8854. 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

8855. 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

8856. 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-

8857. 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.

8858. 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

8859. 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

8860. 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