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Showing results for "adverse event".
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9561. Impact of oncology drug shortages on chemotherapy treatment. | PSNet
      psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
      November 01, 2012 - A WebM&M commentary discussed strategies for preventing or minimizing adverse events associated with … Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse … May 14, 2009 Chemotherapy safety and severe adverse events in cancer patients: strategies

9562. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet
      psnet.ahrq.gov/issue/clinically-significant-medication-errors-surgical-units-detected-clinical-pharmacist-real
      October 20, 2021 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … June 29, 2022 Effect of medication reconciliation on patient reported potential adverse … and Safety Professionals Orthopedic Surgery Hospital Pharmacy Medication Errors/Preventable Adverse

9563. Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. | PSNet
      psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
      January 24, 2018 - Adverse drug events continue to contribute to preventable errors for both hospitalized and ambulatory … Health Care Executives and Administrators Emergency Medicine Medication Errors/Preventable Adverse … Drug Events Epidemiology of Errors and Adverse Events View More

9564. Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet
      psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
      December 30, 2014 - There are also inherent limitations in the original data, which used trigger tools to identify adverse … The studies from which the error rates were calculated could not clearly determine whether the adverse … Patients who are critically ill tend to have more adverse events because they experience more medical

9565. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. | PSNet
      psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
      August 31, 2022 - Resilience is the process of identifying and overcoming unexpected adverse events. … February 10, 2021 Prospective validation of classification of intraoperative adverse … Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse

9566. Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet
      psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
      April 29, 2020 - Patients in long-term care are at risk for many types of adverse events . … February 15, 2017 Lessons learned for reducing the negative impact of adverse events … Home Care Health Care Executives and Administrators Geriatrics Epidemiology of Errors and Adverse

9567. Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. | PSNet
      psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
      September 23, 2020 - June 16, 2011 Prescription opioid dose reductions and potential adverse events: a multi-site … November 29, 2023 Adverse events in infants less than 6 months of age after ambulatory … Health Care Providers Quality and Safety Professionals Surgery Epidemiology of Errors and Adverse

9568. The perception of the patient safety climate by health professionals during the COVID-19 pandemic-international research. | PSNet
      psnet.ahrq.gov/issue/perception-patient-safety-climate-health-professionals-during-covid-19-pandemic-international
      February 15, 2023 - November 16, 2022 Occurrence of no-harm incidents and adverse events in hospitalized … Non-conveyance of older adult patients and association with subsequent clinical and adverse … July 1, 2020 Emergency medical services provider perceptions of the nature of adverse

9569. Errors, omissions, and outliers in hourly vital signs measurements in intensive care. | PSNet
      psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care
      June 20, 2011 - February 18, 2011 The Critical Care Safety Study: the incidence and nature of adverse … June 21, 2023 Increased mortality and costs associated with adverse events in intensive … Facility and Group Administrators Critical Care Bedside Procedures Epidemiology of Errors and Adverse

9570. Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet
      psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
      January 26, 2022 - Trigger tools are frequently used in health care to detect adverse events . … a Tool for Improving Patient Safety March 29, 2023 Variation in detected adverse … August 28, 2019 Using electronic health records to identify adverse drug events in ambulatory

9571. Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence. | PSNet
      psnet.ahrq.gov/issue/speaking-during-covid-19-pandemic-nurses-experiences-organizational-disregard-and-silence
      September 07, 2022 - March 1, 2023 Estimating the economic cost of nurse sensitive adverse events amongst … 11, 2018 Burnout and its relationship to self-reported quality of patient care and adverse … 28, 2021 Burnout and its relationship to self-reported quality of patient care and adverse

9572. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet
      psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
      October 21, 2020 - newly implemented commercial computerized provider order-entry system: override appropriateness and adverse … February 23, 2022 Analysis of hospital-level readmission rates and variation in adverse … March 10, 2011 Impact of health information technology on detection of potential adverse

9573. Effect of bar-code technology on the safety of medication administration. | PSNet
      psnet.ahrq.gov/issue/effect-bar-code-technology-safety-medication-administration
      October 25, 2010 - medical center and found that the system significantly reduced administration errors as well as potential adverse … Related Resources From the Same Author(s) Medication dispensing errors and potential adverse … Effect of an electronic medication reconciliation application and process redesign on potential adverse

9574. The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet
      psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy
      November 17, 2021 - Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse … October 29, 2017 Chemotherapy safety and severe adverse events in cancer patients: strategies … Hospitals Ambulatory Clinic or Office Medical Oncology Pharmacy Medication Errors/Preventable Adverse

9575. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. | PSNet
      psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
      September 08, 2021 - reconciliation by both the community and hospital pharmacist) did not decrease the proportion of patients with adverse … the Same Author(s) Effect of medication reconciliation on patient reported potential adverse … January 26, 2022 Effect of medication reconciliation on patient reported potential adverse

9576. 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-

9577. 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.

9578. 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

9579. 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

9580. 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