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

  1. Medication bar coding: to scan or not to scan? | PSNet

    psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
    October 19, 2022 - August 4, 2021 Barriers and facilitators of adverse event reporting by adolescent patients

  2. Case report of a medication error: in the eye of the beholder. | PSNet

    psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
    April 17, 2019 - An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse … medical event study.

  3. Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet

    psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
    August 08, 2018 - August 9, 2023 Latent and active failures perfectly align to allow a preventable adverse … event to reach a patient.

  4. Impact of a standard medication chart on prescribing errors: a before-and-after audit. | PSNet

    psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
    May 02, 2012 - August 4, 2021 Families as partners in hospital error and adverse event surveillance.

  5. Retained surgical items and minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
    April 28, 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.

  6. The spectrum of medical errors: when patients sue. | PSNet

    psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
    October 28, 2020 - October 28, 2020 The confused and bewildered hospital: adverse event discovery, pay-for-performance

  7. No-fault compensation for medical injuries: the prospect for error prevention. | PSNet

    psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
    May 20, 2015 - An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement

  8. Reducing the incidence of retained surgical instrument fragments. | PSNet

    psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
    June 01, 2021 - September 23, 2020 Families as partners in hospital error and adverse event surveillance

  9. Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet

    psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Related Resources From the Same Author(s) Families as partners in hospital error and adverse … event surveillance.

  10. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. | PSNet

    psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - January 14, 2014 Aftermath of an adverse event: supporting health care professionals

  11. Report on the Burden of Endemic Health Care–Associated Infection Worldwide. | PSNet

    psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
    November 02, 2022 - reviewed the literature on health care–associated infections and found it to be the most prevalent adverse … event affecting patients worldwide.

  12. Assessment of patient safety research from an organizational ergonomics and structural perspective. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural-perspective
    September 09, 2011 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

  13. Communication in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/communication-operating-theatre
    September 29, 2017 - June 3, 2020 Families as partners in hospital error and adverse event surveillance.

  14. Point-of-care testing, medical error, and patient safety: a 2007 assessment. | PSNet

    psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
    February 01, 2017 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

  15. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
    April 19, 2011 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

  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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