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Showing results for "adverse event".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46948/psn-pdf
    April 16, 2018 - overdose-risk-young-children-women-prescribed-opioids https://psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events … -2013-2014 https://psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42350/psn-pdf
    June 12, 2013 - This study provides a retrospective review of PCA adverse drug events at Duke University Hospital before … The rate of adverse drug events per 1000 patient PCA days decreased from 5.3 (pre-intervention) to 4.2

  3. Child Health Patient Safety Organization. | PSNet

    psnet.ahrq.gov/issue/child-health-patient-safety-organization
    May 27, 2020 - August 12, 2020 An initiative to reduce insulin-related adverse drug events in a children's … Health Care Providers Facility and Group Administrators Pediatrics Epidemiology of Errors and Adverse

  4. Safeguarding the storage of drug products. | PSNet

    psnet.ahrq.gov/issue/safeguarding-storage-drug-products
    December 15, 2010 - This piece characterizes medication storage methods that contribute to adverse drug events and provides … Providers Quality and Safety Professionals Hospital Pharmacy Medication Errors/Preventable Adverse

  5. Burnout in Healthcare. | PSNet

    psnet.ahrq.gov/issue/burnout-healthcare
    July 31, 2019 - Burnout has been linked to depression, work dissatisfaction , and increased rates of adverse events … January 28, 2015 Effect of burnout among physicians on observed adverse patient outcomes … July 26, 2023 Health care professionals as second victims after adverse events: a systematic

  6. Risk of medication errors at hospital discharge and barriers to problem resolution. | PSNet

    psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
    November 03, 2015 - September 7, 2022 Inaccurate penicillin allergy labeling, the electronic health record, and adverse … August 24, 2022 The burden of opioid-related adverse drug events on hospitalized previously … December 30, 2014 Medication reconciliation for reducing drug-discrepancy adverse events

  7. What can physicians do to help curb the opioid crisis? | PSNet

    psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
    December 18, 2019 - January 13, 2024 View More Related Resources Root cause analysis of adverse … July 18, 2018 Patterns of potential opioid misuse and subsequent adverse outcomes in … More About The Topic Physicians Medicine Opiates/Narcotics Epidemiology of Errors and Adverse

  8. ACOG Committee Opinion #320: partnering with patients to improve safety. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
    July 15, 2010 - February 14, 2018 Disclosure of adverse events in pediatrics. … December 14, 2016 ACOG Committee Opinion #681: disclosure and discussion of adverse events … August 27, 2010 Patient safety and adverse maternal health outcomes: the missing social

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47467/psn-pdf
    January 21, 2019 - Trigger tools are frequently used in health care to detect adverse events. … https://psnet.ahrq.gov/primer/triggers-and-trigger-tools https://psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38886/psn-pdf
    August 26, 2009 - medication-overdoses-leading-emergency-department-visits-among-children This study sought to characterize the frequency and causes of adverse … The study likely underestimates the true incidence of adverse drug events in children, as most cases

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38743/psn-pdf
    January 03, 2017 - https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among … https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43613/psn-pdf
    December 19, 2014 - found evidence that smart pumps can effectively prevent medication administration errors and clinical adverse … benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47063/psn-pdf
    November 19, 2018 - I-PASS is a structured handoff tool that reduces errors and preventable adverse events. … large-scale-implementation-i-pass-handover-system-academic-medical-centre https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

  14. 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

  15. 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

  16. 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-

  17. 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.

  18. 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

  19. 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

  20. 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
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