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Showing results for "adverse event".
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9381. A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. | PSNet
      psnet.ahrq.gov/issue/pilot-study-examining-undesirable-events-among-emergency-department-boarded-patients-awaiting
      August 04, 2021 - Adverse events were relatively common among patients boarding in the emergency department due to lack … Providers Health Care Executives and Administrators Emergency Medicine Epidemiology of Errors and Adverse

9382. Patient-reported safety and quality of care in outpatient oncology. | PSNet
      psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
      January 23, 2012 - Patients' responses to open-ended questions were reviewed by physicians, who classified reported adverse … events as adverse events , near misses , or problems with service quality (eg, delays or poor communication

9383. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. | PSNet
      psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
      February 21, 2024 - January 12, 2022 Analysis of adverse events in pediatric surgery using criteria validated … Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse

9384. Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet
      psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
      November 18, 2020 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event … March 24, 2021 Nursing implications of an early warning system implemented to reduce adverse

9385. Every patient should be enabled to stop the line. | PSNet
      psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
      September 30, 2020 - December 19, 2018 Structuring patient and family involvement in medical error event disclosure … More About The Topic Health Care Executives and Administrators Epidemiology of Errors and Adverse

9386. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet
      psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or
      October 26, 2022 - Staff who experience negative emotions or feelings after being involved in an adverse event are considered

9387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49387/psn-pdf
      February 01, 2003 - any medication, and thus might receive one to which they are either allergic or likely to develop an adverse … In one large study of medication errors and adverse drug events, the stages of serious medication errors … Incidence of adverse drug events and potential adverse drug events. Implications for prevention. … Relationship between medication errors and adverse drug events. … Figure Distribution of Adverse Drug Events According to the Stage of the Error in the Medication Process

9388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46542/psn-pdf
      June 19, 2018 - improving-admission-medication-reconciliation-pharmacists-or-pharmacy- technicians-emergency Among hospitalized patients, adverse … improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38674/psn-pdf
      February 17, 2011 - duty-hour reduction, the authors were unable to accurately estimate the cost savings to society if adverse … resident-duty-hours-enhancing-sleep-supervision-and-safety https://psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures

9390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39143/psn-pdf
      February 14, 2011 - impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental- study Medication errors are a leading contributor to adverse … impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43263/psn-pdf
      July 16, 2014 - report-mid-staffordshire-nhs-foundation-trust-public-inquiry https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported … https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported

9392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45719/psn-pdf
      June 29, 2017 - systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer

9393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47401/psn-pdf
      January 01, 2019 - engaging-patients-vigilant-partners-safety-systematic-review https://psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children … https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know

9394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41568/psn-pdf
      April 05, 2013 - famous estimate that 44,000 to 98,000 patients die every year in the United States due to preventable adverse … estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer https://psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-negligent-care-utah-and-colorado

9395. 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

9396. 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-

9397. 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.

9398. 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

9399. 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

9400. 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