Results

Total Results: over 10,000 records

Showing results for "adverse event".
Users also searched for: patient safety indicators

9361. Detecting clinical medication errors with AI enabled wearable cameras. | PSNet
      psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
      August 03, 2022 - August 3, 2022 Grading recommendations for enhanced patient safety in sentinel event … June 12, 2024 Prioritising recommendations following analyses of adverse events in healthcare

9362. Study Finds More Health Risks for Children With Intellectual and Developmental Disabilities | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/950.html
      March 01, 2025 - Adverse events involving telehealth in the Veterans Health Administration . … The event will be sponsored by AHRQ’s National Center for Excellence in Primary Care Research . … Access more information , including how to register for the event and access recordings of previous

9363. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44830/psn-pdf
      January 01, 2019 - Though nurses felt surgeon-led time outs are valuable and lead to fewer adverse events, 94% of them

9364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34808/psn-pdf
      February 18, 2011 - high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps This prospective, 1-year survey identified adverse

9365. Making Health Care Safer II, Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
      March 01, 2013 - event rates from 2003 to 2008. … general, we addressed two issues: the frequency of the safety problem, and the severity of each average event … The scope must also consider the severity of each event; for instance, most falls do not result in injury … , and most potential adverse drug events do not result in clinical harm. … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. OEI-06-09-00090.

9366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863650/psn-pdf
      February 28, 2024 - Context of the Innovation Medical errors and adverse events lead to poor patient safety outcomes, but … An adverse event is any injury caused by medical management rather than the underlying disease.3 Research … shows that medical errors and adverse events occur more frequently in the intensive care unit (ICU) … Disclosing errors and adverse events in the intensive care unit.  … Impact of adverse events on outcomes in intensive care unit patients. 

9367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866622/psn-pdf
      August 28, 2024 - From a methodological perspective, Safety-I really focuses on adverse events that have already occurred … For example, when a safety event occurs, it’s important to do a post-event review. … This assessment and learning led to a refresh of our event management toolkit. … For example, instead of incident, we’ll say event. … Sometimes it is a serious safety event, a recurrent event that we've heard about, or sometimes it's

9368. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33631/psn-pdf
      April 01, 2006 - involvement of a pharmacist on rounds in intensive care units and general medicine units reduces preventable adverse … Typically, pharmacists spend little or no time assessing the patient for therapeutic or adverse drug … Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. … Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units … Role of pharmacist counseling in preventing adverse drug events after hospitalization.

9369. Harm From Alarm Fatigue | PSNet
      psnet.ahrq.gov/web-mm/harm-alarm-fatigue
      February 14, 2018 - that the telemetry monitor device was misreading the patient's heart rhythm because a true asystolic event … This adverse event reveals a clear hazard associated with hospital alarms. … For instance, an algorithm-defined asystole event that was not associated with a simultaneous drop in … Sentinel Event Alert. April 8, 2013;(50):1-3. [Available at] 8. Fidler R, Bond R, Finlay D, et al. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

9370. Disposition of Comments for Treatment To Prevent Fractures in Men and Women With Low Bone Density or Osteoporosis -- Update of a 2007 Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoporosis-bone-fracture_disposition-comments.pdf
      March 01, 2012 - event." … event." … For adverse event, test, and exploration (when there are enough number of studies) of heterogeneity … Amgen Results: Chapter 3 In pooling and interpreting the observed adverse event data from disparate … In an adverse event analysis of a clinical trial, the p-value is considered more as a “descriptive statistic

9371. Frequency and type of errors and near errors reported by critical care nurses. | PSNet
      psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
      June 21, 2006 - May 31, 2011 Association between language use and ICU transfer and serious adverse events … August 17, 2022 Medication adverse events in the ambulatory setting: a mixed-methods

9372. Fallacious reasoning and complexity as root causes of clinical inertia. | PSNet
      psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
      June 17, 2020 - personal experience to illustrate how complexity, cognitive missteps, and planning errors may result in adverse … 2017 The natural history of recovery for the healthcare provider "second victim" after adverse

9373. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet
      psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
      June 26, 2024 - June 26, 2024 Standardizing patient safety event reporting between care delivered or … September 20, 2023 Opioid stewardship program and postoperative adverse events: a difference-in-differences

9374. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44959/psn-pdf
      March 09, 2016 - patient-physician-medical-assistant-and-office-visit-factors-associated- medication-list Medication reconciliation is critical to avoiding adverse … psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9375. 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

9376. 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-

9377. 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.

9378. 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

9379. 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

9380. 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