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Showing results for "adverse event".
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9321. An examination of opportunities for the active patient in improving patient safety. | PSNet
      psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety
      October 04, 2011 - June 5, 2019 Promoting engagement by patients and families to reduce adverse events in … Effects of an educational patient safety campaign on patients' safety behaviours and adverse … May 29, 2012 Surgical adverse outcomes and patients’ evaluation of quality of care: inherent

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47876/psn-pdf
      March 27, 2019 - Inadequate communication during handoffs that occur as part of care transitions can contribute to adverse … evaluation-medication-errors-transition-care-icu-non-icu-location https://psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions-care-between-hospital

9323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45083/psn-pdf
      July 18, 2016 - focus on measures of the most common causes of iatrogenic harm to hospitalized patients, including adverse … https://psnet.ahrq.gov/issue/conversation-transparency-and-patient-safety https://psnet.ahrq.gov/issue/adverse-drug-events

9324. Making Healthcare Safer IV_Rapid Response: Reducing Adverse Drug Events Related to Anticoagulant Use in Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-high-risk-drugs-rapid-response.pdf
      January 01, 2024 - Only one of the six studies (a nonrandomized study) found evidence of a benefit on any adverse event … effects (e.g., bleeding).6,7 The 2014 National Action Plan for Adverse Drug Event Prevention (ADE … event rates related to anticoagulation. … Advancing medication safety: establishing a national action plan for adverse drug event prevention. … Adverse event rates associated with oral anticoagulant treatment early versus later after hospital

9325. Preventing Falls With Injury. | PSNet
      psnet.ahrq.gov/issue/preventing-falls-injury
      May 06, 2015 - November 14, 2011 Introduction to Trigger Tools for Identifying Adverse Events. … Health Care Executives and Administrators Medicine Patient Falls Epidemiology of Errors and Adverse

9326. Twenty Tips to Help Prevent Medical Errors in Children. | PSNet
      psnet.ahrq.gov/issue/twenty-tips-help-prevent-medical-errors-children
      December 24, 2008 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … See More About The Topic Patients Pediatrics Medication Errors/Preventable Adverse

9327. HospitalInspections.org | PSNet
      psnet.ahrq.gov/issue/hospitalinspectionsorg
      February 24, 2025 - 2022 Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse … 2022 Association of opioid consumption profiles after hospitalization with risk of adverse

9328. Patient. | PSNet
      psnet.ahrq.gov/issue/patient
      May 22, 2019 - November 28, 2016 A patient-initiated voluntary online survey of adverse medical events … Providers Patients Family Members and Caregivers Diagnostic Errors Epidemiology of Errors and Adverse

9329. Master of Healthcare Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
      February 05, 2014 - January 15, 2014 Preventing adverse drug events. … Physicians Facility and Group Administrators Educators Medicine Epidemiology of Errors and Adverse

9330. CMPA Good Practices Guide. | PSNet
      psnet.ahrq.gov/issue/cmpa-good-practices-guide
      November 21, 2018 - Key patient safety topics include human factors , teamwork , adverse events, communication, professionalism … Hospitals Physicians Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9331. Risk, Safety and Reliability Special Issue. | PSNet
      psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue
      January 15, 2014 - February 17, 2016 Adverse Events: Expecting too Much of Nurses and too Little of Nursing … September 26, 2016 Adverse Events: Expecting too Much of Nurses and too Little of Nursing

9332. Why worry about near misses? | PSNet
      psnet.ahrq.gov/issue/why-worry-about-near-misses
      February 11, 2014 - October 23, 2013 Disclosure of adverse events in pediatrics. … August 5, 2008 Residents report on adverse events and their causes.

9333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49744/psn-pdf
      October 01, 2015 - The patient offered a vague description of a serious transfusion-related event. … , but clearly the care providers had inadequate knowledge of the specifics to prevent this serious adverse … event. … prior hospitals, since it was listed in the record that eventually arrived—too late to prevent the event—at … drug event.

9334. 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

9335. 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

9336. 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-

9337. 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.

9338. 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

9339. 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

9340. 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