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Showing results for "adverse event".
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9221. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet
      psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact
      August 28, 2024 - October 14, 2016 Integrated approach to reduce perinatal adverse events: standardized … Inappropriate hospital admission as a risk factor for the subsequent development of adverse … May 28, 2015 Medication reconciliation for reducing drug-discrepancy adverse events.

9222. Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet
      psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
      August 25, 2021 - August 5, 2015 Adverse events from cough and cold medications after a market withdrawal … May 4, 2011 Pediatric adverse drug events in the outpatient setting: an 11-year national … Care Providers Emergency Medicine Pediatric Emergency Medicine Medication Errors/Preventable Adverse

9223. A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage. | PSNet
      psnet.ahrq.gov/issue/systematic-review-primary-care-safety-climate-survey-instruments-their-origins-psychometric
      June 14, 2017 - June 8, 2016 Patients' views of adverse events in primary and ambulatory care: a systematic … review to assess methods and the content of what patients consider to be adverse events. … Providers Health Care Executives and Administrators Primary Care Epidemiology of Errors and Adverse

9224. "We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. | PSNet
      psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
      March 07, 2018 - Related Resources From the Same Author(s) Factors influencing the reporting of adverse … July 24, 2018 When clinicians drop out and start over after adverse events. … About The Topic Hospitals Health Care Providers Medicine Epidemiology of Errors and Adverse

9225. In search of common ground in handoff documentation in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
      March 23, 2011 - Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse … August 3, 2022 The impact of nursing skill-mix on adverse events in intensive care: a … December 5, 2018 Rates of medical errors and preventable adverse events among hospitalized

9226. Prescription opioid analgesics commonly unused after surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
      March 30, 2022 - The authors conclude that unused prescription opioids may contribute to an increase in misuse and adverse … November 16, 2022 Adverse events in hospitalized pediatric patients. … Hospitals Health Care Providers Surgery Opiates/Narcotics Epidemiology of Errors and Adverse

9227. The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
      April 06, 2022 - August 17, 2022 Adverse events in women giving birth in a labor ward: a retrospective … April 1, 2010 Emergency medical services provider perceptions of the nature of adverse … Patient Transport Organizational Behaviorists Allied Health Services Epidemiology of Errors and Adverse

9228. Risks of complications by attending physicians after performing nighttime procedures. | PSNet
      psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
      February 14, 2018 - February 18, 2011 Incidence and preventability of adverse drug events among older persons … February 9, 2011 The Critical Care Safety Study: the incidence and nature of adverse … January 6, 2017 Programmable infusion pumps in ICUs: an analysis of corresponding adverse

9229. Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes. | PSNet
      psnet.ahrq.gov/issue/interhospital-transfer-patients-discharged-academic-hospitalists-and-general-internists
      August 01, 2018 - 21, 2016 Putting the "action" in RCA(2): an analysis of intervention strength after adverse … January 22, 2016 The effect of hospitalist discontinuity on adverse events. … Administrators Medicine Discontinuities, Gaps, and Hand-Off Problems Epidemiology of Errors and Adverse

9230. Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. | PSNet
      psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk
      March 21, 2017 - dashboard flagged approximately one-fourth of patients as being at increased risk for medication–related adverse … 2021 Transforming the medication regimen review process using telemedicine to prevent adverse … pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse

9231. Factors influencing the reporting of medication errors and near misses among nurses: a systematic mixed methods review. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-reporting-medication-errors-and-near-misses-among-nurses-systematic-mixed
      April 23, 2014 - Underreporting of adverse events and near misses results in incomplete data for patient safety improvement … September 11, 2024 Crossover of the patient satisfaction surveys, adverse events and … October 25, 2023 Comparing rates of adverse events detected in incident reporting and

9232. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. | PSNet
      psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
      May 18, 2022 - a Tool for Improving Patient Safety March 29, 2023 Emergency department adverse … August 15, 2017 Can medical record reviewers reliably identify errors and adverse events … July 1, 2016 Use of an electronic information system to identify adverse events resulting

9233. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
      October 19, 2022 - alternative care areas were younger, had fewer comorbid health conditions, and no increase in risk for adverse … May 15, 2024 Healthcare-associated adverse events in alternate level of care patients … September 14, 2022 Nursing care quality and adverse events in US hospitals.

9234. 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

9235. 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

9236. 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-

9237. 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.

9238. 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

9239. 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

9240. 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