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Showing results for "adverse event".
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9481. Safety paradoxes and safety culture. | PSNet
      psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture
      February 06, 2008 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse … event.

9482. Guidelines for the prevention of intravascular catheter-related infections. | PSNet
      psnet.ahrq.gov/issue/guidelines-prevention-intravascular-catheter-related-infections
      January 22, 2014 - July 30, 2014 Families as partners in hospital error and adverse event surveillance.

9483. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. | PSNet
      psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
      June 03, 2020 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9484. Improving medication administration safety in a community hospital setting using Lean methodology. | PSNet
      psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
      September 23, 2020 - January 23, 2017 Elucidating reasons for resident underutilization of electronic adverse … event reporting.

9485. Cognitive bias in clinical medicine. | PSNet
      psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
      February 20, 2019 - August 4, 2021 Families as partners in hospital error and adverse event surveillance.

9486. Environmental Safety in the OR | PSNet
      psnet.ahrq.gov/web-mm/environmental-safety-or
      May 19, 2015 - Root cause analysis, on the other hand, investigates sentinel events—serious adverse events that may … March 26, 2008 Inter-rater reliability of a classification system for hospital adverse … drug event reports. … March 2, 2022 Risk factors for hospital admissions associated with adverse drug events … July 19, 2023 Understanding the root cause analysis process to increase safety event

9487. C:\Users\yemsrach dessalegn\Desktop\delete\transcript4.html (pdf file)
      digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
      June 16, 2021 - The title of our event today is Managing How Health IT Can Reduce Unnecessary Rehospitalization. … So it is no surprise that 19 percent of patients have a post-discharge adverse event. And as Dr. … With each adverse drug event that we found, we tracked that to try to figure out if that adverse drug … at least a partial cause of the adverse drug event. … You will also be able to download a recording of this event and the transcript.

9488. In Conversation With…Kaveh G. Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
      September 01, 2011 - it was painless and costless—you wouldn't want detailed and nuanced individual information about the event … It's ironic that the single most commonly reported incident at most hospitals is not the type of event … relatively frequent problem, and there's already a fair amount known about the risk factors for the event … Adverse-event-reporting practices by US hospitals: results of a national survey. … Developing an adverse event reporting system using administrative data.

9489. Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet
      psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
      July 22, 2010 - February 15, 2023 Influence of opioid prescription policy on overdoses and related adverse … 2011 Transforming the medication regimen review process using telemedicine to prevent adverse … Executives and Administrators Nurse Care Fatigue and Sleep Deprivation Epidemiology of Errors and Adverse

9490. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
      February 01, 2017 - Slide 11: Safety 3 No serious adverse events. … Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … No documented adverse events. 6. Clark DE, Lowman JD, Griffin RL, et al. … Slide 26: Conclusions—Safety Adverse events ranged from agitation to transient physiological events … Adverse events ranged from 2.3 to 8.7 per 100 patients. 3-5 3.

9491. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
      October 27, 2021 - Study Nursing implications of an early warning system implemented to reduce adverse … Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study … Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study

9492. Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. | PSNet
      psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
      January 08, 2020 - September 15, 2021 Do medical inpatients who report poor service quality experience more adverse … Nursing complexity as an independent predictor of adverse events risk after ICU discharge. … October 6, 2016 Nursing care quality and adverse events in US hospitals.

9493. Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. | PSNet
      psnet.ahrq.gov/issue/workplace-verbal-abuse-nurse-reported-quality-care-and-patient-safety-outcomes-among-early
      July 10, 2019 - 10, 2019 Burnout and its relationship to self-reported quality of patient care and adverse … September 15, 2021 Nurse-reported bullying and documented adverse patient events: an … September 16, 2020 Adverse events and burnout: the moderating effects of workgroup identification

9494. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet
      psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
      May 26, 2021 - April 27, 2022 The burden of opioid-related adverse drug events on hospitalized previously … March 10, 2021 Miscarriage treatment-related morbidities and adverse events in hospitals … August 20, 2021 Adverse events in robotic surgery: a retrospective study of 14 years

9495. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet
      psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
      November 10, 2021 - transfer of patient information, whether caused by human or organizational factors, can result in adverse … deficiencies in content), and (2) causes related to the health professional or organization; consequences were adverse … events or additional actions to prevent, avoid, and correct adverse events.

9496. 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-

9497. 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.

9498. 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

9499. 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

9500. 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