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psnet.ahrq.gov/node/36191/psn-pdf
September 30, 2010 - patient-safety-intensive-care-results-multinational-sentinel-events-evaluation-
see-study
The authors conducted an analysis of adverse
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/epilepsy-medicine_research-protocol.pdf
February 01, 2008 - including the
event rate. … effects
• Cosmetic adverse events
• Incidence of adverse events
• Incidence of individual adverse … events
• Incidence of adverse events resulting in therapy withdrawal
• Incidence of adverse events … In the event that there is more than one newer antiepileptic drug being compared with an
older antiepileptic … Summary of Protocol Amendments
In the event of protocol amendments, the date of each amendment will
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psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
May 25, 2022 - View More
Related Resources
A multi-site assessment of inpatient safety event … About The Topic
Quality and Safety Professionals
Nurse Care
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
August 24, 2015 - September 6, 2016
Effect of a ward-based pharmacy team on preventable adverse drug events … August 19, 2015
Improvement of medication event interventions through use of an electronic
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psnet.ahrq.gov/issue/incident-reporting-surgical-trainees-revisited
February 17, 2017 - March 23, 2012
Families as partners in hospital error and adverse event surveillance.
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www.ahrq.gov/priority-populations/observances/bhm/index.html
February 01, 2025 - African-Americans (PDF, 364 KB) Patient Safety Network (PSNet) African American COVID-19 mortality: a sentinel event … Post-discharge adverse events among African American and Caucasian patients of an urban community hospital
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psnet.ahrq.gov/node/46584/psn-pdf
December 06, 2017 - alterations-spanish-language-interpretation-during-pediatric-critical-care-family-
meetings
Patients with limited English proficiency may be at higher risk for adverse … alterations-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
https://psnet.ahrq.gov/issue/language-proficiency-and-adverse-events-us-hospitals-pilot-study
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psnet.ahrq.gov/node/41597/psn-pdf
December 02, 2014 - healthcare-cost-and-utilization-project-hcup
https://psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events … https://psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
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psnet.ahrq.gov/node/47113/psn-pdf
July 11, 2018 - that pharmacist-led interventions
reduced medication discrepancies but did not significantly affect adverse … psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - study-following
This pre-post study evaluated the impact of smart pump infusion devices on reported adverse … impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/861290/psn-pdf
January 24, 2024 - Potentially inappropriate prescribing (PIP) is common and can contribute to patient harm, including adverse … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/848314/psn-pdf
May 03, 2023 - identified several types of safety
issues (e.g., potentially inappropriate prescribing, polypharmacy, adverse … polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
-
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
-
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
-
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
-
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
-
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
-
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