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Showing results for "adverse event".
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9281. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. | PSNet
      psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review
      January 15, 2025 - January 15, 2025 Insulin pump-associated adverse events: a qualitative descriptive study … August 2, 2023 Effect of digital tools to promote hospital quality and safety on adverse … September 21, 2022 Postdischarge adverse events among neonates admitted to the neonatal

9282. A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
      August 23, 2023 - Formal debriefing after adverse events is an important method for analyzing and improving safety. … March 25, 2020 National trends in hospital-acquired preventable adverse events after … May 21, 2019 Effect of a cluster randomised team training intervention on adverse perinatal

9283. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
      January 17, 2012 - Download Citation Related Resources From the Same Author(s) Comparison of adverse … May 4, 2014 Serious adverse events in pediatric procedural sedation before and after … March 1, 2011 The incidence and nature of adverse events during pediatric sedation/anesthesia

9284. Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. | PSNet
      psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
      August 28, 2013 - Resources From the Same Author(s) Risk factors for hospital admissions associated with adverse … See More About The Topic Hospitals Physicians Medicine Medication Errors/Preventable Adverse … Drug Events Epidemiology of Errors and Adverse Events View More

9285. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
      September 09, 2020 - August 21, 2024 Correlation between the number of patient-reported adverse events, adverse … February 12, 2020 Medication reconciliation for reducing drug-discrepancy adverse events

9286. Complexity and challenges of the clinical diagnosis and management of Long COVID. | PSNet
      psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
      January 12, 2022 - 2022 Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse … June 1, 2022 Analysis of hospital-level readmission rates and variation in adverse events … Office Health Care Providers Public Health Clinical Misdiagnosis Epidemiology of Errors and Adverse

9287. Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. | PSNet
      psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
      October 19, 2022 - This study discovered that override rates of potentially critical adverse drug events remain problematic … May 27, 2011 As industry automates, adverse events continue to haunt caregivers. … March 10, 2011 Impact of health information technology on detection of potential adverse

9288. Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet
      psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
      February 04, 2009 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … August 10, 2022 Effect of systematic physician cross-checking on reducing adverse events … Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse

9289. Agent of change. | PSNet
      psnet.ahrq.gov/issue/agent-change
      September 01, 2021 - August 3, 2005 Patient safety and adverse maternal health outcomes: the missing social … July 20, 2009 Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9290. Should doctors apologize for mistakes? | PSNet
      psnet.ahrq.gov/issue/should-doctors-apologize-mistakes
      December 18, 2019 - Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse … February 6, 2019 Reporting adverse events to patients: a step-by-step approach. … December 4, 2016 The right and wrong way to talk to patients about adverse events.

9291. Handoff Communication. | PSNet
      psnet.ahrq.gov/issue/handoff-communication
      October 16, 2019 - February 22, 2023 Enhancing a culture of safety through disclosure of adverse events. … March 11, 2020 Association between handover of anesthesia care and adverse postoperative … Providers Anesthesiology Discontinuities, Gaps, and Hand-Off Problems Epidemiology of Errors and Adverse

9292. When Things Go Wrong: Voices of Patients and Families. | PSNet
      psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
      November 19, 2015 - June 24, 2020 Communication and Resolution After an Adverse Health Care Incident. … Open disclosure of adverse events to patients and their families. … November 21, 2016 Patients' and family members' experiences of open disclosure following adverse

9293. Future Research Needs for First- and Second-Generation Antipsychotics for Children and Young Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-children-future_research.pdf
      February 01, 2012 - Regarding KQ 2, the CER evaluated the following adverse event outcomes: EPS, insulin resistance, prolactin-related … For SGAs, adverse event profiles of various SGAs showed that risperidone was favored over olanzapine … event outcome. … event outcome. … event outcome.

9294. 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

9295. 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

9296. 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-

9297. 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.

9298. 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

9299. 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

9300. 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