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Showing results for "adverse event".
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8921. Medication errors in neonatal and paediatric intensive-care units. | PSNet
      psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
      February 03, 2011 - Download Citation Related Resources From the Same Author(s) The Research on Adverse … May 11, 2014 Adverse drug events in a paediatric intensive care unit: a prospective cohort … Care Units Children's Hospitals Neonatology and Intensive Care Medication Errors/Preventable Adverse

8922. Impact of a restraint management bundle on restraint use in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
      October 18, 2023 - intensive care units from falls and other accidents, inappropriate restraint use can contribute to adverse … May 5, 2021 Sustaining and spreading the reduction of adverse drug events in a multicenter … Intensive Care Units Health Care Providers Critical Care Restraints Epidemiology of Errors and Adverse

8923. Computer physician order entry: benefits, costs, and issues. | PSNet
      psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
      May 27, 2011 - May 27, 2011 Preventability of adverse drug events involving multiple drugs using publicly … July 19, 2010 View More Related Resources The national cost of adverse … July 26, 2011 High rates of adverse drug events in a highly computerized hospital.

8924. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet
      psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
      January 12, 2022 - January 12, 2022 Reducing preventable adverse events in obstetrics by improving interprofessional … July 6, 2022 Preventable adverse events in obstetrics: systemic assessment of their incidence … May 18, 2022 Occurrence of no-harm incidents and adverse events in hospitalized patients

8925. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet
      psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
      June 28, 2011 - Citation Related Resources From the Same Author(s) A comparison of hospital adverse … June 28, 2011 Effect of illness severity and comorbidity on patient safety and adverse … American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse

8926. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. | PSNet
      psnet.ahrq.gov/issue/anesthesia-machine-cause-intraoperative-code-red-labor-and-delivery-suite
      August 16, 2023 - Related Resources From the Same Author(s) Unpacking the complexity of COVID-19 fatalities: adverse … The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … January 23, 2019 The Research on Adverse Drug Events and Reports (RADAR) project.

8927. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. | PSNet
      psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
      January 23, 2017 - and hospitals to share protected details of care incidents to facilitate collective learning from adverse … Resources From the Same Author(s) Surgical specimen management: a descriptive study of 648 adverse … January 23, 2017 Inpatient housestaff discontinuity of care and patient adverse events

8928. Nursing home safety: does financial performance matter? | PSNet
      psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
      November 05, 2008 - February 21, 2024 Comparing the outcomes of reporting and trigger tool methods to capture adverse … utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse … July 17, 2019 The relationship between culture of safety and rate of adverse events in

8929. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. | PSNet
      psnet.ahrq.gov/issue/novel-use-electronic-whiteboard-operating-room-increases-surgical-team-compliance-pre
      March 20, 2013 - October 19, 2022 The Research on Adverse Drug Events and Reports (RADAR) project. … November 20, 2019 Trends in the prevalence of intraoperative adverse events at two academic … April 12, 2019 Assessment of adverse drug events among patients in a tertiary care medical

8930. Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet
      psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
      August 04, 2021 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse … May 20, 2015 Doctors' experiences of adverse events in secondary care: the professional … Hospitals Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

8931. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. | PSNet
      psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
      July 23, 2008 - Related Resources From the Same Author(s) Mix of methods is needed to identify adverse … July 23, 2008 Harm caused by adverse events in primary care: a clinical observational … on the development and testing of an evidence based inpatient safety program for the prevention of adverse

8932. "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet
      psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
      July 10, 2017 - September 23, 2020 Hospitalization due to adverse drug events in older adults with cancer … August 28, 2024 Frequency and preventability of adverse drug events in the outpatient … Administrators Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

8933. 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

8934. 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

8935. 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

8936. 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-

8937. 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.

8938. 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

8939. 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

8940. 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