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Showing results for "adverse event".
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9061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45950/psn-pdf
      July 18, 2017 - issue/developing-and-evaluating-automated-all-cause-harm-trigger-system Trigger tools seek to identify adverse … The authors note that their tool detected more adverse events than the AHRQ Patient Safety Indicators

9062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36460/psn-pdf
      May 27, 2011 - None of the CPOE-related adverse drug events (ADEs) resulted in patient injury.  … psnet.ahrq.gov/primer/computerized-provider-order-entry https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients

9063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46283/psn-pdf
      April 24, 2018 - decreasing-prescribing-errors-during-pediatric-emergencies-randomized- simulation-trial Calculation errors in weight-based dosing can lead to serious adverse … drug-administration-errors-and-their-determinants-pediatric-patients https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42721/psn-pdf
      December 12, 2014 - infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer

9065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48193/psn-pdf
      August 28, 2019 - sound-alike (LASA) drugs are a well-established source of medication errors that place patients at risk for adverse … look-alikesound-alike-drugs-literature-review-causes-and-solutions https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41404/psn-pdf
      December 31, 2014 - Patients who participated had a lower incidence of medication discrepancies and fewer potential adverse … effects-online-personal-health-record-medication-accuracy-and-safety-cluster-randomized-trial https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care

9067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40925/psn-pdf
      December 07, 2011 - after hospital discharge remains a national policy priority, as many readmissions can be linked to adverse … improving-discharge-process-embedding-discharge-facilitator-resident-team https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42568/psn-pdf
      December 29, 2014 - The National Quality Forum has endorsed a set of strategies to prevent adverse events after discharge … https://psnet.ahrq.gov/issue/national-quality-forum https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41860/psn-pdf
      November 28, 2012 - seminal studies have documented persistent problems in care transitions, including readmissions and adverse … stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37776/psn-pdf
      January 31, 2011 - barcoded-medication-administration-last-line-defense Barcoding technology is recognized as a mechanism to prevent adverse … barcoded-medication-administration-last-line-defense https://psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar

9071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39252/psn-pdf
      August 08, 2010 - medication-administration-discrepancies-persist-despite-electronic-ordering https://psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events … https://psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar

9072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47322/psn-pdf
      September 12, 2018 - report documents health systems rife with quality and safety problems, estimating that 134 million adverse … psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

9073. 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

9074. 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

9075. 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

9076. 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-

9077. 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.

9078. 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

9079. 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

9080. 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