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Showing results for "adverse event".
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8901. Medical errors and patient safety in palliative care: a review of current literature. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
      December 04, 2016 - August 15, 2016 Adverse events in hospitalized paediatric patients: a systematic review … June 27, 2011 Impact of sample size on variation of adverse events and preventable adverse

8902. Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet
      psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
      January 09, 2014 - May 19, 2015 Prescription opioid dose reductions and potential adverse events: a multi-site … December 26, 2014 The Research on Adverse Drug Events and Reports (RADAR) project. … Operating Room Health Care Providers Surgery Surgical Complications Epidemiology of Errors and Adverse

8903. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet
      psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
      September 07, 2022 - March 23, 2022 Impact of patient safety culture on missed nursing care and adverse patient … February 18, 2011 Incidence of adverse events and negligence in hospitalized patients … March 4, 2015 Potential medical adverse events associated with death: a forensic pathology

8904. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet
      psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
      May 13, 2009 - August 11, 2021 Measuring faculty reflection on adverse patient events: development and … November 26, 2014 Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug … December 10, 2014 Cost implications of actual and potential adverse events prevented

8905. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
      April 01, 2020 - September 9, 2011 Predictive power of the "trigger tool" for the detection of adverse … August 2, 2023 Development of a trigger tool to identify adverse drug events in elderly … July 1, 2017 Patient safety incidents and adverse events in ambulatory dental care: a

8906. Impact of a computerized physician order-entry system. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system
      October 19, 2022 - January 16, 2019 The national cost of adverse drug events resulting from inappropriate … July 16, 2018 Adverse drug events in surgical patients: an observational multicentre … Executives and Administrators Information Professionals Surgery Medication Errors/Preventable Adverse

8907. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. | PSNet
      psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
      June 10, 2020 - February 14, 2017 Statewide identification of adverse events using retrospective nurse … December 14, 2022 Root cause analysis of adverse events involving opioid overdoses in … Hospitals Health Care Providers Medicine Opiates/Narcotics Epidemiology of Errors and Adverse

8908. Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet
      psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
      January 17, 2012 - December 2, 2020 Predictive power of the "trigger tool" for the detection of adverse … May 31, 2023 Communication matters when it comes to adverse events: associations of adverse

8909. Nursing surveillance: a concept analysis | PSNet
      psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
      May 26, 2021 - August 15, 2012 Epidemiology of adverse events in air medical transport. … April 15, 2019 Preventable adverse drug events: descriptive epidemiology. … Safety Professionals Nurse Care Monitoring Errors and Failures Epidemiology of Errors and Adverse

8910. How many hospital pharmacy medication dispensing errors go undetected? | PSNet
      psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
      October 25, 2010 - Of the undetected errors observed, nearly a quarter represented potential adverse drug events (ADEs … Related Resources From the Same Author(s) Medication dispensing errors and potential adverse … Effect of an electronic medication reconciliation application and process redesign on potential adverse

8911. Physicians' needs in coping with emotional stressors: the case for peer support. | PSNet
      psnet.ahrq.gov/issue/physicians-needs-coping-emotional-stressors-case-peer-support
      September 09, 2008 - Medical errors and adverse events were significant contributing factors , leading the authors to advocate … April 14, 2021 Analysis of hospital-level readmission rates and variation in adverse … August 31, 2022 Outpatient insulin-related adverse events due to mix-up errors: findings

8912. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet
      psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
      November 16, 2022 - July 6, 2012 Classification of adverse events occurring in a surgical intensive care … October 6, 2011 Time of day effects on the incidence of anesthetic adverse events. … , 2009 Representative case series from public hospital admissions 1998 II: surgical adverse

8913. 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

8914. 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

8915. 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

8916. 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-

8917. 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.

8918. 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

8919. 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

8920. 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