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Showing results for "adverse event".
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9601. High-alert medications: shared accountability for risk identification and error prevention. | PSNet
      psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
      September 24, 2010 - describes how lack of communication around a near miss  involving a high-alert medication led to a never event … author suggests that heightened clinician awareness of risks and potential errors could protect against adverse

9602. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. | PSNet
      psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
      February 06, 2019 - December 17, 2008 Risk factors for hospital admissions associated with adverse drug events … December 18, 2013 Quality-related event learning in community pharmacies: manual versus

9603. The role of the patient in patient safety: what can we learn from healthcare's history? | PSNet
      psnet.ahrq.gov/issue/role-patient-patient-safety-what-can-we-learn-healthcares-history
      June 12, 2024 - From the Same Author(s) Grading recommendations for enhanced patient safety in sentinel event … Hospitals Facility and Group Administrators Patients Medicine Epidemiology of Errors and Adverse

9604. Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. | PSNet
      psnet.ahrq.gov/issue/interdisciplinary-teamwork-hospitals-review-and-practical-recommendations-improvement
      October 10, 2012 - November 20, 2019 Families as partners in hospital error and adverse event surveillance

9605. Tools and methods for quality improvement and patient safety in perinatal care. | PSNet
      psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
      November 16, 2022 - October 19, 2022 The attributes of medical event reporting systems. … About The Topic Hospitals Health Care Providers Pediatrics Epidemiology of Errors and Adverse

9606. Fixing healthcare from the inside, today. | PSNet
      psnet.ahrq.gov/issue/fixing-healthcare-inside-today
      February 28, 2011 - April 20, 2014 The Research on Adverse Drug Events and Reports (RADAR) project. … February 10, 2021 Special Section: Event Analysis and Risk Management.

9607. Computerization can create safety hazards: a bar-coding near miss. | PSNet
      psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
      March 11, 2011 - January 6, 2018 Families as partners in hospital error and adverse event surveillance

9608. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. | PSNet
      psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
      October 19, 2022 - illustrates how a medication error reporting project in nursing school improved student comfort with event … December 12, 2018 Are clinical instructors preventing or provoking adverse events involving

9609. Creating the web-based intensive care unit safety reporting system.  | PSNet
      psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
      October 13, 2018 - January 2, 2017 Patient safety event reporting in a large radiology department. … Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse

9610. Improving diagnosis in health care—the next imperative for patient safety. | PSNet
      psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
      July 15, 2015 - September 23, 2015 Advancing medication safety: establishing a National Action Plan for Adverse … Drug Event Prevention.

9611. The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet
      psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
      March 22, 2011 - October 31, 2011 Patient safety event reporting in a large radiology department. … May 17, 2017 Factors influencing the reporting of adverse medical device events: qualitative

9612. Archived: Final Evidence Summary: Diabetes Mellitus (Type 2) in Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary23/diabetes-mellitus-type-2-in-adults-screening-2008
      June 15, 2008 - A substantial proportion of persons presenting with a new cardiovascular event have undiagnosed diabetes … This fair-quality study was stopped early, with a resultant low event rate in both groups. … KQ5: adverse effects of treatment 24 studies. … Number Needed to Screen for Type 2 Diabetes to Prevent 1 Adverse Event after 5 Years of Additional Treatment … Cumulative incidence of CVD and CVD event rate: NSD among groups, but underpowered for this outcome.

9613. Opportunities to mine EHRs for malpractice risk management and patient safety. | PSNet
      psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety
      October 28, 2020 - Download Citation Related Resources From the Same Author(s) Using event … May 25, 2022 Adverse events present on arrival to the emergency department: the ED as

9614. Cognitive biases in surgery: systematic review. | PSNet
      psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
      April 27, 2022 - February 16, 2022 Electronic health record-based prediction models for in-hospital adverse … drug event diagnosis or prognosis: a systematic review.

9615. Implicit racial bias in pediatric orthopaedic surgery. | PSNet
      psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
      September 21, 2022 - 2022 Transforming the medication regimen review process using telemedicine to prevent adverse … Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event

9616. 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-

9617. 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.

9618. 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

9619. 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

9620. 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