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

9421. Implementing No Interruption Zones in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
      June 09, 2021 - Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse … event in a regional health care service in Italy.

9422. Avoiding wrong site surgery: a systematic review. | PSNet
      psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
      October 19, 2022 - November 30, 2022 Families as partners in hospital error and adverse event surveillance

9423. Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet
      psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
      June 14, 2017 - February 2, 2011 A simulation-based evaluation of methods to estimate the impact of an adverse … event on hospital length of stay.

9424. Legality of technicians' involvement in medication reconciliation not clear. | PSNet
      psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
      June 13, 2011 - Related Resources From the Same Author(s) JCAHO views medication reconciliation as adverse-event

9425. Recognizing and managing errors of cognitive underspecification. | PSNet
      psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
      November 14, 2018 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9426. Checklists and guidelines: imaging techniques for visualizing what to do. | PSNet
      psnet.ahrq.gov/issue/checklists-and-guidelines-imaging-techniques-visualizing-what-do
      December 02, 2015 - Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse … event in a regional health care service in Italy.

9427. Using an advanced practice nursing model for a rapid response team. | PSNet
      psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
      August 18, 2021 - November 16, 2022 Encouraging resident adverse event reporting: a qualitative study of

9428. The SBAR communication technique: teaching nursing students professional communication skills. | PSNet
      psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
      June 22, 2022 - March 19, 2019 From implementation to sustainment: a large-scale adverse event disclosure

9429. Quality and safety in medical care: what does the future hold? | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future-hold
      September 18, 2019 - March 16, 2022 The confused and bewildered hospital: adverse event discovery, pay-for-performance

9430. Safety considerations for IMRT. | PSNet
      psnet.ahrq.gov/issue/safety-considerations-imrt
      March 17, 2021 - July 29, 2020 From implementation to sustainment: a large-scale adverse event disclosure

9431. Nurse aides' ratings of the resident safety culture in nursing homes. | PSNet
      psnet.ahrq.gov/issue/nurse-aides-ratings-resident-safety-culture-nursing-homes
      November 27, 2012 - June 2, 2010 Use of HIT for adverse event reporting in nursing homes: barriers and facilitators

9432. Errors during the preparation of drug infusions: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/errors-during-preparation-drug-infusions-randomized-controlled-trial
      March 02, 2011 - December 21, 2014 Families as partners in hospital error and adverse event surveillance

9433. Critical diagnoses (critical values) in anatomic pathology. | PSNet
      psnet.ahrq.gov/issue/critical-diagnoses-critical-values-anatomic-pathology
      September 29, 2010 - July 13, 2010 Families as partners in hospital error and adverse event surveillance.

9434. No simple fix for fixation errors: cognitive processes and their clinical applications. | PSNet
      psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
      February 10, 2012 - January 22, 2014 Barriers to adverse event and error reporting in anesthesia.

9435. Patient Safety: Emerging Applications of Safety Science. | PSNet
      psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
      February 09, 2022 - September 28, 2011 Families as partners in hospital error and adverse event surveillance

9436. 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-

9437. 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.

9438. 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

9439. 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

9440. 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