Results

Total Results: over 10,000 records

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

8981. Final five: ASCs told to target patient safety. | PSNet
      psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
      April 24, 2018 - August 11, 2010 Adverse event reporting: lessons learned from 4 years of Florida office

8982. Regulating compensation for injuries associated with medical error. | PSNet
      psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error
      February 15, 2023 - December 9, 2009 The confused and bewildered hospital: adverse event discovery, pay-for-performance

8983. Assessing teamwork and communication in the authentic patient care learning environment. | PSNet
      psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
      July 02, 2014 - January 18, 2012 Field test results of a new ambulatory care Medication Error and Adverse … Drug Event Reporting System—MEADERS.

8984. New patient safety organizations lower roadblocks to medical error reporting. | PSNet
      psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting
      May 20, 2009 - December 15, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

8985. Cardiac arrest during anesthesia. | PSNet
      psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
      January 19, 2011 - Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse … event in a regional health care service in Italy.

8986. Wired hospitals: can high tech save your life? | PSNet
      psnet.ahrq.gov/issue/can-high-tech-save-your-life
      August 07, 2024 - May 18, 2022 Emergency medical services provider pediatric adverse event rate varies

8987. Health Worker Safety: A Priority for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
      October 07, 2020 - January 29, 2019 WHO Draft Guidelines for Adverse Event Reporting and Learning Systems

8988. Declaration to Advance Patient Safety. | PSNet
      psnet.ahrq.gov/issue/declaration-advance-patient-safety
      July 12, 2017 - Third, devise plans to measure , design, implement, and support adverse event reduction initiatives.

8989. The evolving story of overlapping surgery. | PSNet
      psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
      April 19, 2016 - April 19, 2016 Reflection on adverse event disclosure in the postsurgical hospital context

8990. Beware of basal opioid infusions with PCA therapy. | PSNet
      psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
      June 05, 2018 - 14, 2021 Partnering with families and patient advocates: another line of defense in adverse … event surveillance.

8991. Between a rock and a hard place: disclosing medical errors. | PSNet
      psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
      October 19, 2022 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

8992. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet
      psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
      June 24, 2020 - February 8, 2023 Latent and active failures perfectly align to allow a preventable adverse … event to reach a patient.

8993. 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

8994. 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

8995. 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

8996. 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-

8997. 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.

8998. 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

8999. 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

9000. 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