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

9621. An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet
      psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
      August 11, 2010 - May 24, 2012 Validation of hospital administrative dataset for adverse event screening

9622. Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. | PSNet
      psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety
      June 09, 2021 - August 16, 2017 View More Related Resources Adverse event reviews

9623. Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. | PSNet
      psnet.ahrq.gov/issue/why-patient-safety-challenge-insights-professionalism-opinions-medical-students-research
      January 26, 2022 - 6, 2021 Why an open disclosure procedure is and is not followed after an avoidable adverse … event.

9624. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet
      psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
      March 04, 2015 - November 4, 2015 Families as partners in hospital error and adverse event surveillance

9625. The evolution of patient safety procedures in an oral surgery department | PSNet
      psnet.ahrq.gov/issue/evolution-patient-safety-procedures-oral-surgery-department
      November 16, 2022 - June 13, 2011 Families as partners in hospital error and adverse event surveillance.

9626. Mitigating racial bias in machine learning. | PSNet
      psnet.ahrq.gov/issue/mitigating-racial-bias-machine-learning
      July 22, 2020 - Development and validation of a deep learning model for detection of allergic reactions using safety event … December 9, 2020 Adverse events in women giving birth in a labor ward: a retrospective

9627. Fumbled handoffs: one dropped ball after another. | PSNet
      psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
      April 10, 2024 - Effect of an electronic medication reconciliation application and process redesign on potential adverse … July 17, 2024 Bringing the equity lens to patient safety event reporting.

9628. Rapid response systems: a prospective study of response times. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
      November 16, 2022 - April 22, 2013 From implementation to sustainment: a large-scale adverse event disclosure

9629. Rapid response teams and failure to rescue: one community's experience. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience
      March 14, 2022 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9630. Cost-effective enhancement of claims data to improve comparisons of patient safety. | PSNet
      psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
      December 21, 2014 - cost-effectiveness of enhancing hospital administrative claims data with clinical information to better predict adverse-event

9631. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet
      psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
      January 22, 2017 - Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event … September 27, 2016 Analysis and prioritization of near-miss adverse events in a radiology

9632. A patient safety objective structured clinical examination. | PSNet
      psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
      October 06, 2011 - March 5, 2014 Experience with a trigger tool for identifying adverse drug events among … 6, 2011 Effectiveness of a graduate medical education program for improving medical event

9633. High performance teamwork training and systems redesign in outpatient oncology. | PSNet
      psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
      November 16, 2022 - September 24, 2017 Families as partners in hospital error and adverse event surveillance

9634. Can communication-and-resolution programs achieve their potential? Five key questions. | PSNet
      psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions
      September 01, 2018 - September 1, 2018 Structuring patient and family involvement in medical error event disclosure … May 29, 2019 Communication and Resolution After an Adverse Health Care Incident.

9635. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
      August 28, 2024 - factors for patient misidentification errors in clinical laboratories, pathology, and the blood bank. 253 adverse … : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 Transfusion

9636. 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-

9637. 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.

9638. 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

9639. 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

9640. 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