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Showing results for "adverse event".
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9681. National Training Survey 2013: Concerns about Patient Safety. | PSNet
      psnet.ahrq.gov/issue/national-training-survey-2013-concerns-about-patient-safety
      July 15, 2015 - May 24, 2015 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … Physicians Quality and Safety Professionals Educators Medicine Epidemiology of Errors and Adverse

9682. Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. | PSNet
      psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
      May 20, 2015 - Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse … Topic Hospitals Facility and Group Administrators Medicine Epidemiology of Errors and Adverse

9683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846148/psn-pdf
      March 15, 2023 - issue/near-miss-events-detected-using-emergency-department-trigger-tool https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

9684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74138/psn-pdf
      January 01, 2022 - combined-effect-psychological-and-social-capital-registered-nurses- experiencing-second Clinicians can experience adverse … alone and in combination with psychological capital) has a significant impact on the severity of these adverse … combined-effect-psychological-and-social-capital-registered-nurses-experiencing-second https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

9685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46402/psn-pdf
      March 20, 2018 - https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest Adverse events in prehospital

9686. Bar Coding for Patient Safety in Northern Michigan | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
      January 01, 2023 - Population Nurse Type of Care Acute Care Health Care Theme Adverse … Goals and initiatives at all hospitals were focused on reducing Adverse Drug Events and medication errors

9687. Radiotherapy Treatments for Head and Neck Cancer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/head-neck-cancer-update_clinician.pdf
      August 01, 2015 - The present review assessed the comparative effectiveness and adverse effects of 3DCRT, IMRT, SBRT, … This is a summary of a systematic review update evaluating recent evidence on the effectiveness and adverse … Summary of Key Findings and Strength of Evidence for the Benefits and Adverse Effects of Radiotherapy … 3DCRT, SBRT, and PBT: �– In achieving tumor control and improving patient survival �– In reducing adverse … risk of xerostomia might be reduced with the use of IMRT versus 3DCRT �� The potential long-term adverse

9688. Pharmacist's Role in Medication Safety | PSNet
      psnet.ahrq.gov/primer/pharmacists-role-medication-safety
      March 14, 2018 - Background As discussed in the related primer on medication error , adverse drug events occur when exposure … medication use Reviewing proper dosing with patients or providers can prevent medication errors and adverse … regimen; identify gaps in reaching treatment goals; or prevent prescription of medications that have adverse … Topic Pharmacists Hospital Pharmacy Community Pharmacy Medication Errors/Preventable Adverse … Drug Events Epidemiology of Errors and Adverse Events View More

9689. Critical Access Hospital | Digital Healthcare Research
      digital.ahrq.gov/care-setting/critical-access-hospital
      January 01, 2023 - WV Description Expanded the reporting of medical errors and near misses, monitored safety event … Frontier Critical Access Hospitals through HIT Description Assessed opportunities to decrease adverse

9690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43170/psn-pdf
      December 12, 2014 - effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals https://psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates

9691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46864/psn-pdf
      August 17, 2018 - intensive-care Clinical decision support systems in electronic health records (EHRs) aim to avert adverse … computerized-provider-order-entry-and-patient-safety https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9692. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
      January 01, 2013 - event. … When an event is reported, it feels like the person is being written up, not the problem. … When an event is reported, it feels like the person is being written up, not the problem. … We are given feedback about changes put into place based on event reports. (C1) 2. … We are given feedback about changes put into place based on event reports. (C1) 62% 2.

9693. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
      June 02, 2025 - Infrastructure advisory Engaging in everyday care How-to strategies Engaging with after an adverse … event * Hopkins Model for Leading Change * The 4 Es Senior Leaders Team Leaders Frontline Staff … on the CUSP team Provide input to improve policies and procedures Advise on how to communicate an adverse … event to a patient and family members Present at staff meetings “stories of care” * Teams Make

9694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60202/psn-pdf
      April 08, 2020 - use-electronic-clinical-decision-support-system-primary-care-assess- inappropriate Older patients are vulnerable to adverse … polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38642/psn-pdf
      April 30, 2012 - medication-errors-involving-wrong-administration-technique https://psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar … https://psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar

9696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38902/psn-pdf
      November 13, 2009 - Such studies may be limited in their ability to provide a true picture of adverse drug events in the … year-analysis-national-poison-data-system https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events

9697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44845/psn-pdf
      July 01, 2016 - change in the case mix on this ward following the move, which may have explained these changes in adverse … making-health-care-safer-stopping-c-difficile-infections https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9698. 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

9699. 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

9700. 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