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Showing results for "adverse event".
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9701. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45407/psn-pdf
      September 27, 2016 - Inappropriate triage can lead to delays in care and adverse events. … effective-triage-can-ameliorate-deleterious-effects-delayed-transfer-trauma-patients https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

9702. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38817/psn-pdf
      April 04, 2011 - issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results- and-outpatient-follow Adverse … adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41446/psn-pdf
      June 13, 2012 - psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values- coupled Adverse … concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38116/psn-pdf
      February 18, 2011 - factors-associated-intern-fatigue https://psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures … https://psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures

9705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48000/psn-pdf
      May 15, 2019 - safety-culture-and-complications-after-bariatric-surgery https://psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross … https://psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross

9706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45911/psn-pdf
      June 27, 2018 - Surgical Quality Improvement Program to examine the association between patient complaints and surgical adverse … by demonstrating an association between patient concerns about individual clinicians and clinical adverse

9707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41526/psn-pdf
      April 05, 2013 - effect-pharmacist-intervention-clinically-important-medication-errors-after- hospital Hospital discharge remains a particularly vulnerable time for adverse … effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge

9708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45167/psn-pdf
      May 25, 2016 - ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse … alternative approach known as "communication and resolution," which emphasizes early disclosure of adverse

9709. How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. | PSNet
      psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare
      September 14, 2022 - August 4, 2021 Adverse drug event detection in pediatric oncology and hematology patients

9710. Business Intelligence dashboards for patient safety and quality: a narrative literature review. | PSNet
      psnet.ahrq.gov/issue/business-intelligence-dashboards-patient-safety-and-quality-narrative-literature-review
      February 09, 2022 - June 23, 2021 Challenges and opportunities of patient safety event reporting. … Quality and Safety Professionals Information Professionals Epidemiology of Errors and Adverse

9711. COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. | PSNet
      psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
      February 23, 2022 - November 25, 2020 Higher incidence of adverse events in isolated patients compared with … November 18, 2020 Using event reports in real-time to identify and mitigate patient safety

9712. CPOE: it don't come easy. | PSNet
      psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
      May 27, 2009 - September 1, 2016 Relationship between medication event rates and the Leapfrog computerized … April 27, 2011 As industry automates, adverse events continue to haunt caregivers.

9713. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. | PSNet
      psnet.ahrq.gov/issue/beyond-crisis-resource-management-new-frontiers-human-factors-training-acute-care-medicine
      September 01, 2021 - August 29, 2011 Families as partners in hospital error and adverse event surveillance

9714. Cognitive and system factors contributing to diagnostic errors in radiology. | PSNet
      psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
      October 29, 2012 - June 21, 2017 Families as partners in hospital error and adverse event surveillance.

9715. A relational leadership perspective on unit-level safety climate. | PSNet
      psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate
      April 24, 2018 - Related Resources From the Same Author(s) Families as partners in hospital error and adverse … event surveillance.

9716. Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. | PSNet
      psnet.ahrq.gov/issue/nurses-safety-motivation-examining-predictors-nurses-willingness-report-medication-errors
      October 10, 2015 - Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event … The Topic Hospitals Nurses Nurse Managers Nurse Care Medication Errors/Preventable Adverse

9717. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. | PSNet
      psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
      August 30, 2023 - The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event … May 8, 2017 Using a patient internet portal to prevent adverse drug events: a randomized

9718. 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

9719. 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

9720. 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