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Showing results for "adverse event".
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9241. Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
      September 24, 2016 - This pre-post study evaluated the impact of smart pump infusion devices on reported adverse drug events … November 7, 2018 Adverse events in intensive care and continuing care units during bed-bath … Health Care Executives and Administrators Medicine Infusion Pumps Medication Errors/Preventable Adverse

9242. Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? | PSNet
      psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
      September 09, 2015 - September 27, 2016 Risk factors for hospital admissions associated with adverse drug … March 13, 2019 Adverse drug events among hospitalized Medicare patients: epidemiology … June 8, 2011 Effect of admission medication reconciliation on adverse drug events from

9243. Exploring organizational context and structure as predictors of medication errors and patient falls. | PSNet
      psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
      January 22, 2020 - This study examined the relationships between these two safety-related adverse events and organizational … June 1, 2012 The association of shift-level nurse staffing with adverse patient events … Quality and Safety Professionals Organizational Behaviorists Medication Errors/Preventable Adverse

9244. Extent of diagnostic agreement among medical referrals. | PSNet
      psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
      October 31, 2011 - American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse … Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse … September 20, 2011 Measuring faculty reflection on adverse patient events: development

9245. Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. | PSNet
      psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
      August 14, 2017 - December 21, 2014 'Tempos' management in primary care: a key factor for classifying adverse … September 3, 2014 Paid malpractice claims for adverse events in inpatient and outpatient … Facility and Group Administrators Primary Care Diagnostic Errors Epidemiology of Errors and Adverse

9246. Unplanned return to theater: a quality of care and risk management index? | PSNet
      psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
      August 20, 2018 - Trigger tools are a useful method to screen for adverse events. … March 23, 2011 The nature of adverse events in hospitalized patients. … Executives and Administrators Orthopedic Surgery Surgical Complications Epidemiology of Errors and Adverse

9247. What does safety commitment mean to leaders? A multi-method investigation. | PSNet
      psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
      September 11, 2024 - others (affective commitment), a moral obligation (normative commitment), and awareness of the cost of adverse … September 20, 2011 Prospective validation of classification of intraoperative adverse … Hospitals Health Care Executives and Administrators Medicine Epidemiology of Errors and Adverse

9248. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. | PSNet
      psnet.ahrq.gov/issue/drug-related-morbidity-and-mortality-and-economic-impact-pharmaceutical-care
      December 23, 2008 - Failure to follow medication changes made at hospital discharge is associated with adverse … June 17, 2020 Adverse events after transition from ICU to hospital ward: a multicenter … November 7, 2018 Association of off-label drug use and adverse drug events in an adult

9249. Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet
      psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
      April 21, 2021 - Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse … October 26, 2022 Emergency department adverse events detected using the emergency department … June 30, 2021 Racial bias among emergency providers: strategies to mitigate its adverse

9250. Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. | PSNet
      psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
      May 23, 2018 - October 6, 2021 Prospective validation of classification of intraoperative adverse events … October 7, 2020 Risk factors for adverse events in emergency department procedural sedation … Care Executives and Administrators Anesthesiology Drug shortages Epidemiology of Errors and Adverse

9251. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. | PSNet
      psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
      July 21, 2017 - June 28, 2017 National surveillance of emergency department visits for outpatient adverse … February 14, 2017 Adverse events experienced while transferring the critically ill patient … Departments Facility and Group Administrators Emergency Medicine Epidemiology of Errors and Adverse

9252. The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.   | PSNet
      psnet.ahrq.gov/issue/impact-sleep-deprivation-product-quality-and-procedure-effectiveness-laparoscopic-physical
      June 03, 2020 - April 5, 2017 Association of opioid-related adverse drug events with clinical and cost … August 28, 2024 Are adverse events related to the completeness of clinical records? … Promoting the psychological well-being of healthcare providers facing the burden of adverse

9253. Medical errors and quality of care: from control to commitment. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
      July 15, 2020 - September 1, 2021 Preventable adverse drug events: descriptive epidemiology. … June 23, 2021 An initiative to reduce insulin-related adverse drug events in a children's … Care Executives and Administrators Allied Health Services Medicine Epidemiology of Errors and Adverse

9254. 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

9255. 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

9256. 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-

9257. 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.

9258. 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

9259. 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

9260. 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