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Showing results for "adverse event".
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9121. Psychological and Pharmacological Treatments for Adults with Posttraumatic (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adult-treatment-update_research-protocol.pdf
      December 31, 2017 - that may include re-experiencing the event; avoiding situations that trigger memories of the event; … are more effective for victims of particular types of trauma or to determine comparative risks of adverse … KQ 4: What adverse events (AEs) are associated with treatments for adults diagnosed with PTSD? … Interventions (KQs 1, 2, and 3) Patient Characteristics or Type of Trauma (KQs 1a, 2a, 3a) Adverse … AE = adverse events; CBT = cognitive behavioral therapy; DSM = Diagnostic and Statistical Manual; EFT

9122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36829/psn-pdf
      March 28, 2011 - advocate for greater research on the relationship between clinical and administrative decision-making and adverse

9123. WISH Patient Safety Forum | PSNet
      psnet.ahrq.gov/issue/wish-patient-safety-forum
      June 24, 2015 - The session summarized findings of a report developed for the event, Transforming Patient Safety: a … Care Providers Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

9124. Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. | PSNet
      psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
      May 16, 2019 - Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event … September 23, 2020 Disclosure after adverse medical outcomes: a multidimensional challenge

9125. Patient safety in nursing practice. | PSNet
      psnet.ahrq.gov/issue/patient-safety-nursing-practice
      November 24, 2021 - October 21, 2015 Effect of social influences on pharmacists' intention to report adverse … solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event

9126. Implementing a systematic response to medication errors. | PSNet
      psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
      August 27, 2009 - May 18, 2022 Families as partners in hospital error and adverse event surveillance.

9127. "It's not our ass": medical resident sense-making regarding lawsuits. | PSNet
      psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
      December 02, 2015 - February 14, 2024 Adverse drug events caused by three high-risk drug-drug interactions … October 18, 2023 A new safety event reporting system improves physician reporting in

9128. Quest for the ideal: a redesign of the medication use system. | PSNet
      psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
      September 16, 2020 - January 7, 2011 Using event reports in real-time to identify and mitigate patient safety … 2020 Transforming the medication regimen review process using telemedicine to prevent adverse

9129. Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. | PSNet
      psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
      May 27, 2020 - Maternal harm is a sentinel event precipitated by a confluence of factors . … February 26, 2020 Defense Health Agency Should Improve Tracking of Serious Adverse Medical

9130. When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet
      psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
      March 13, 2019 - May 22, 2019 Communication and Resolution After an Adverse Health Care Incident. … Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event

9131. Cultivate discussions in a psychologically safe workplace: part 1 and part II. | PSNet
      psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
      August 11, 2021 - establish an environment where trust is evident and the importance of creating safe spaces for after-event … Topic Hospitals Hospital Medicine Nurse Care Pharmacy Medication Errors/Preventable Adverse

9132. Medical errors arising from outsourcing laboratory and radiology services. | PSNet
      psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
      October 19, 2022 - April 5, 2023 Families as partners in hospital error and adverse event surveillance.

9133. Back to basics: counting soft surgical goods. | PSNet
      psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
      March 17, 2021 - Despite heightened awareness of hazards associated with retained surgical items , this never event … January 16, 2013 Surgical complications: disclosing adverse events and medical errors

9134. 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

9135. 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

9136. 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-

9137. 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.

9138. 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

9139. 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

9140. 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