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Showing results for "adverse event".
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8881. The systems approach at the sharp end. | PSNet
      psnet.ahrq.gov/issue/systems-approach-sharp-end
      April 21, 2021 - September 11, 2009 Preventable adverse drug events causing hospitalisation: identifying … June 23, 2009 Assessing adverse events after chiropractic care at a chiropractic teaching … Health Care Providers Health Care Executives and Administrators Epidemiology of Errors and Adverse

8882. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
      March 01, 2011 - The influence that electronic prescribing has on medication errors and preventable adverse … March 4, 2011 Reliability of the assessment of preventable adverse drug events in daily … May 26, 2021 Preventable and non-preventable adverse drug events in hospitalized patients

8883. A paradigm shift to balance safety and quality in pediatric pain management. | PSNet
      psnet.ahrq.gov/issue/paradigm-shift-balance-safety-and-quality-pediatric-pain-management
      July 01, 2020 - quality improvement effort to optimize pain management in children undergoing hernia surgery and minimize adverse … Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse … February 1, 2012 An intervention to decrease narcotic-related adverse drug events in

8884. Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet
      psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children
      January 12, 2022 - January 12, 2022 Predictive power of the "trigger tool" for the detection of adverse … Inappropriate hospital admission as a risk factor for the subsequent development of adverse … September 29, 2017 Surgical specimen management: a descriptive study of 648 adverse events

8885. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. | PSNet
      psnet.ahrq.gov/issue/strengthening-leadership-catalyst-enhanced-patient-safety-culture-repeated-cross-sectional
      June 28, 2011 - March 25, 2021 Analysis of suicides reported as adverse events in psychiatry resulted … Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse … July 1, 2013 Impact of organizational culture on preventability assessment of selected adverse

8886. Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet
      psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
      May 11, 2016 - The experiences of risk managers in providing emotional support for health care workers after adverse … May 11, 2016 Risk managers' descriptions of programs to support second victims after adverse … Hospitals Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

8887. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet
      psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
      October 01, 2008 - October 12, 2009 Programmable infusion pumps in ICUs: an analysis of corresponding adverse … February 22, 2011 Costs of intravenous adverse drug events in academic and nonacademic … Health Care Executives and Administrators Information Professionals Medication Errors/Preventable Adverse

8888. Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. | PSNet
      psnet.ahrq.gov/issue/investigating-teamwork-operating-room-engaging-stakeholders-and-setting-agenda
      January 31, 2018 - Teamwork training can improve communication and prevention of adverse events in the operating room. … February 10, 2015 Association of hospital markup with preventable adverse events following … Facility and Group Administrators Surgery Surgical Complications Epidemiology of Errors and Adverse

8889. Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/anticoagulant-medication-errors-hospitals-and-primary-care-cross-sectional-study
      August 18, 2010 - The influence that electronic prescribing has on medication errors and preventable adverse … March 4, 2011 Reliability of the assessment of preventable adverse drug events in daily … July 31, 2008 Preventable and non-preventable adverse drug events in hospitalized patients

8890. Hospital discharge documentation and risk of rehospitalisation. | PSNet
      psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
      March 25, 2015 - hospital-based and outpatient physicians is often suboptimal , and is thought to play a role in precipitating adverse … Related Resources From the Same Author(s) The effect of hospitalist discontinuity on adverse … December 16, 2014 Medication reconciliation for reducing drug-discrepancy adverse events

8891. Composite measures for profiling hospitals on bariatric surgery performance. | PSNet
      psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance
      January 31, 2013 - View More Related Resources Association of hospital markup with preventable adverse … April 14, 2021 The impact of major intraoperative adverse events on hospital readmissions … reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse

8892. Human-simulation-based learning to prevent medication error: a systematic review. | PSNet
      psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review
      February 01, 2012 - April 22, 2015 Adverse events in intensive care and continuing care units during bed-bath … See More About The Topic Hospitals Educators Medicine Medication Errors/Preventable Adverse … Drug Events Epidemiology of Errors and Adverse Events View More

8893. 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

8894. 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

8895. 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

8896. 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-

8897. 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.

8898. 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

8899. 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

8900. 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