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psnet.ahrq.gov/issue/time-motion-study-pediatric-emergency-department-and-after-computer-physician-order-entry
October 19, 2022 - October 19, 2022
The Research on Adverse Drug Events and Reports (RADAR) project. … May 18, 2022
View More
Related Resources
Emergency department adverse … December 17, 2010
Ambulance personnel perceptions of near misses and adverse events in
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psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
December 21, 2018 - September 16, 2020
Introduction of discharge plan to reduce adverse events within 72 … Patient Engagement and Patient Safety
February 1, 2013
Adverse … Administrators
Family Members and Caregivers
Hospital Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - January 8, 2016
Association of hospital markup with preventable adverse events following … February 7, 2024
Prospective validation of classification of intraoperative adverse events … April 17, 2013
Adverse drug events in a paediatric intensive care unit: a prospective
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psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
October 06, 2021 - 2020
Transforming the medication regimen review process using telemedicine to prevent adverse … April 26, 2023
Structural racism and adverse maternal health outcomes: a systematic review … About The Topic
Researchers
Cardiology
Clinical Misdiagnosis
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/assessing-use-google-translate-spanish-and-chinese-translations-emergency-department
March 16, 2016 - the Same Author(s)
An observational study of adult admissions to a medical ICU due to adverse … March 16, 2016
A systematic review of adult admissions to ICUs related to adverse drug … Health Care Providers
Information Professionals
Emergency Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate
May 25, 2016 - August 30, 2017
Prevalence of adverse events in the hospitals of five Latin American … countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS). … Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - April 3, 2005
The Canadian Adverse Events Study: the incidence of adverse events among … Home Care
Pharmacists
Pediatrics
Administration Errors
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
November 18, 2009 - August 26, 2011
Prescription opioid dose reductions and potential adverse events: a multi-site … June 20, 2018
The accuracy of trigger tools to detect preventable adverse events in primary … About The Topic
Ambulatory Care
Physicians
Primary Care
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - November 21, 2012
Anesthesia adverse events voluntarily reported in the Veterans Health … August 18, 2010
Root cause analyses of reported adverse events occurring during gastrointestinal … Related Resources
Effect of a cluster randomised team training intervention on adverse
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psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
October 14, 2009 - While both CEOs and the expert panel agreed that preventing adverse drug events (ADEs), preventing … Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse … About The Topic
Hospitals
Facility and Group Administrators
Medication Errors/Preventable Adverse
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - They found that patients were able to accurately identify adverse events and near misses, only a small … Older patients' understanding of emergency department discharge information and its relationship with adverse … Departments
Facility and Group Administrators
Emergency Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals
December 12, 2014 - January 7, 2019
When clinicians drop out and start over after adverse events. … September 21, 2016
The missing evidence: a systematic review of patients' experiences of adverse … About The Topic
Hospitals
Health Care Providers
Medicine
Epidemiology of Errors and Adverse
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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
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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
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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
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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-
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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.
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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
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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
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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