Results

Total Results: over 10,000 records

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

9581. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. | PSNet
      psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
      September 29, 2017 - have begun to implement communication-and-response strategies that emphasize early disclosure of adverse … January 12, 2022 Communication regarding adverse neonatal birth events: experiences of … June 29, 2011 Adverse events in hospitals: the patient's point of view.

9582. Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. | PSNet
      psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
      December 18, 2013 - July 29, 2020 Surgeon and surgical trainee experiences after adverse patient events. … of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse … Administrators Hospital Medicine Psychological and Social Complications Epidemiology of Errors and Adverse

9583. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet
      psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
      September 09, 2015 - Author(s) Temporal trends in patient safety in the Netherlands: reductions in preventable adverse … events or the end of adverse events as a useful metric? … April 19, 2023 Emergency department adverse events detected using the emergency department

9584. Differences in medication reconciliation interventions between six hospitals: a mixed method study. | PSNet
      psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
      September 08, 2021 - the Same Author(s) Effect of medication reconciliation on patient reported potential adverse … The effect of structured medication review followed by face-to-face feedback to prescribers on adverse … Pharmacists Facility and Group Administrators Hospital Pharmacy Medication Errors/Preventable Adverse

9585. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/patient-safety-culture.html
      June 01, 2024 - rates. 2 Hospitals with more positive SOPS scores had: Lower rates of in-hospital complications or adverse … Exploring relationships between hospital patient safety culture and adverse events. … The relationship between culture of safety and rate of adverse events in long-term care facilities.

9586. Preliminary study of patient safety and quality use cases for ICD-11 MMS. | PSNet
      psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
      July 22, 2020 - newly implemented commercial computerized provider order-entry system: override appropriateness and adverse … March 29, 2023 Emergency department adverse events detected using the emergency department … Quality and Safety Professionals Information Professionals Medicine Epidemiology of Errors and Adverse

9587. National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies. | PSNet
      psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year
      July 15, 2020 - decreased risk of resident-reported significant medical errors (32% risk reduction), reported preventable adverse … June 26, 2019 The Critical Care Safety Study: the incidence and nature of adverse events … June 29, 2022 Parent-reported errors and adverse events in hospitalized children.

9588. Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. | PSNet
      psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
      December 31, 2014 - Clinical decision support system medication alerts have the potential to decrease adverse drug events … May 27, 2011 Impact of health information technology on detection of potential adverse … Quality and Safety Professionals Information Professionals Medicine Epidemiology of Errors and Adverse

9589. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. | PSNet
      psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error-taxonomy
      June 29, 2011 - was found to be more reliable for classifying medication errors than the more generic Patient Safety Event … June 19, 2013 Reason's accident causation model: application to adverse events in acute

9590. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. | PSNet
      psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
      March 24, 2012 - April 30, 2014 Medication event huddles: a tool for reducing adverse drug events.

9591. Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives. | PSNet
      psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health-qualitative-analysis
      June 17, 2009 - Related Resources From the Same Author(s) Experience with a trigger tool for identifying adverse … May 24, 2023 Developing and aligning a safety event taxonomy for inpatient psychiatry

9592. Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions
      March 02, 2016 - May 28, 2014 Assessing adverse events among home care clients in three Canadian provinces … December 14, 2016 Uptake of quality-related event standards of practice by community

9593. Application of AHRQ patient safety indicators to English hospital data. | PSNet
      psnet.ahrq.gov/issue/application-ahrq-patient-safety-indicators-english-hospital-data
      September 20, 2011 - January 7, 2015 Investigating adverse event free admissions in Medicare inpatients as

9594. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. | PSNet
      psnet.ahrq.gov/issue/safety-attitudes-questionnaire-tool-benchmarking-safety-culture-nicu
      March 02, 2012 - December 12, 2014 Improving communication and resolution following adverse events using … September 1, 2018 Structuring patient and family involvement in medical error event disclosure

9595. Name and shame. | PSNet
      psnet.ahrq.gov/issue/name-and-shame
      March 06, 2013 - Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists

9596. 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-

9597. 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.

9598. 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

9599. 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

9600. 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