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psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
January 22, 2016 - March 12, 2014
Disclosing clinical adverse events to patients: can practice inform policy … September 29, 2017
Patients' and family members' experiences of open disclosure following adverse … December 30, 2014
Characteristics of medication errors and adverse drug events in hospitals
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psnet.ahrq.gov/issue/workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-current
February 07, 2024 - June 8, 2016
The missing evidence: a systematic review of patients' experiences of adverse … October 21, 2015
Patients' reports of adverse events: a data linkage study of Australian … See More About The Topic
Hospitals
Educators
Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
September 07, 2022 - October 12, 2022
Adverse events among emergency department patients with cardiovascular … April 7, 2021
Influence of opioid prescription policy on overdoses and related adverse … September 23, 2020
Health care provider factors associated with patient-reported adverse
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psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
July 10, 2024 - January 10, 2024
Adverse events in intensive care and continuing care units during bed-bath … December 23, 2020
Outpatient insulin-related adverse events due to mix-up errors: findings … collaboratives
February 26, 2020
View More
Related Resources
Adverse
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psnet.ahrq.gov/issue/patient-perspectives-usefulness-artificial-intelligence-assisted-symptom-checker-cross
November 25, 2020 - November 25, 2020
Root causes of adverse drug events in hospitals and artificial intelligence … November 11, 2020
Adverse events in women giving birth in a labor ward: a retrospective … More About The Topic
Researchers
Medicine
Diagnostic Errors
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/physician-ehr-adoption-and-potentially-preventable-hospital-admissions-among-medicare
February 14, 2024 - February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions … Effect of an electronic medication reconciliation application and process redesign on potential adverse … Hospitals
Health Care Providers
Information Professionals
Medicine
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
November 16, 2022 - factors engineering approaches resulted in high provider satisfaction, cost savings, and a reduction in adverse … May 13, 2015
Adverse events after screening and follow-up colonoscopy. … September 19, 2012
Adverse Events: Expecting too Much of Nurses and too Little of Nursing
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psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
October 05, 2022 - October 5, 2022
Predictive power of the "trigger tool" for the detection of adverse events … March 6, 2013
Incidence of drug-related adverse events related to the use of high-alert … January 12, 2022
Adverse events related to accidental unintentional ingestions from cough
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psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Oral chemotherapy regimens are complex and may lead to severe adverse drug events. … February 6, 2019
Quantifying and characterizing adverse events in dermatologic surgery … May 19, 2014
Prescribing errors resulting in adverse drug events: how can they be prevented
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - November 3, 2021
Postdischarge adverse events among neonates admitted to the neonatal … second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse … June 3, 2020
The emotional impact of errors or adverse events on healthcare providers
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psnet.ahrq.gov/issue/do-words-matter-stigmatizing-language-and-transmission-bias-medical-record
June 06, 2021 - June 6, 2021
Comparing patient-reported hospital adverse events with medical record review … March 24, 2021
Do medical inpatients who report poor service quality experience more adverse … December 14, 2022
A systematic review of methods for medical record analysis to detect adverse
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psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
January 23, 2019 - The influence that electronic prescribing has on medication errors and preventable adverse … March 4, 2011
Reliability of the assessment of preventable adverse drug events in daily … 2009
Effect of computerized provider order entry with clinical decision support on adverse
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psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-tertiary-hospital
January 04, 2012 - November 21, 2011
Relationship between in-hospital adverse events and hospital performance … August 2, 2023
Analysis of hospital-level readmission rates and variation in adverse … February 3, 2010
Using Medical Emergency Teams to detect preventable adverse events.
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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
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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
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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
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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
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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