Results

Total Results: over 10,000 records

Showing results for "adverse event".
Users also searched for: patient safety indicators

8961. Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. | PSNet
      psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
      November 17, 2010 - May 21, 2014 Solicitation for written comments on draft National Action Plan for Adverse … Drug Event Prevention.

8962. The rate and costs attributable to intravenous patient-controlled analgesia errors. | PSNet
      psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
      April 29, 2010 - An AHRQ WebM&M  commentary discusses a serious adverse drug event in a postoperative patient receiving

8963. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet
      psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
      February 22, 2010 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

8964. Safe Surgery. | PSNet
      psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
      July 14, 2021 - June 24, 2015 WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.

8965. ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. | PSNet
      psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
      December 02, 2020 - Related Resources Latent and active failures perfectly align to allow a preventable adverse … event to reach a patient.

8966. Is an indication-based prescribing system in our future? | PSNet
      psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
      February 24, 2016 - February 15, 2017 Electronic approaches to making sense of the text in the adverse event

8967. The role of physician specialty board certification status in the quality movement. | PSNet
      psnet.ahrq.gov/issue/role-physician-specialty-board-certification-status-quality-movement
      October 01, 2007 - October 1, 2007 Families as partners in hospital error and adverse event surveillance

8968. Engaging Patients for Patient Safety: Advocacy Brief. | PSNet
      psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
      January 29, 2019 - June 27, 2018 WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.

8969. When the bone flap hits the floor. | PSNet
      psnet.ahrq.gov/issue/when-bone-flap-hits-floor
      March 12, 2025 - March 12, 2025 Families as partners in hospital error and adverse event surveillance.

8970. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-23
      October 31, 2018 - September 11, 2009 From implementation to sustainment: a large-scale adverse event disclosure

8971. Minimize medication errors in urgent care clinics. | PSNet
      psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
      March 29, 2023 - 14, 2022 Why an open disclosure procedure is and is not followed after an avoidable adverse … event.

8972. Establishing a simulation center for surgical skills: what to do and how to do it. | PSNet
      psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
      January 18, 2012 - December 21, 2014 Families as partners in hospital error and adverse event surveillance

8973. 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

8974. 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

8975. 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

8976. 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-

8977. 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.

8978. 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

8979. 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

8980. 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