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Showing results for "adverse event".
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  1. When COVID-19 hit, many elderly were left to die. | PSNet

    psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
    June 24, 2020 - June 3, 2020 Toward safer health care: a review strategy of FDA medical device adverse … event database to identify and categorize health information technology related events.

  2. An examination of medical malpractice claims involving physician trainees. | PSNet

    psnet.ahrq.gov/issue/examination-medical-malpractice-claims-involving-physician-trainees
    July 15, 2020 - July 8, 2020 Participation in a system-thinking simulation experience changes adverse … event reporting.

  3. Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
    April 21, 2021 - January 9, 2014 Improvement of medication event interventions through use of an electronic … June 1, 2012 Medication reconciliation for reducing drug-discrepancy adverse events.

  4. Bedside shift report improves patient safety and nurse accountability. | PSNet

    psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
    April 16, 2010 - June 11, 2010 Adverse drug event detection in pediatric oncology and hematology patients

  5. Intersystem medical error discovery: a document analysis of ethical guidelines. | PSNet

    psnet.ahrq.gov/issue/intersystem-medical-error-discovery-document-analysis-ethical-guidelines
    December 14, 2022 - Identifying electronic medication administration record (eMAR) usability issues from patient safety event … December 15, 2021 A systematic review of methods for medical record analysis to detect adverse

  6. Practice advisory for the prevention and management of operating room fires.  | PSNet

    psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
    December 14, 2010 - September 29, 2009 Using event reports in real-time to identify and mitigate patient … March 6, 2019 Adverse drug events caused by three high-risk drug-drug interactions in

  7. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. | PSNet

    psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
    November 21, 2018 - August 8, 2012 The sensitivity of adverse event cost estimates to diagnostic coding error

  8. Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. | PSNet

    psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
    December 16, 2011 - April 2, 2014 Improvement of medication event interventions through use of an electronic … November 17, 2010 Epidemiology, comparative methods of detection, and preventability of adverse

  9. Patient safety attitudes and behaviors of graduating medical students. | PSNet

    psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students
    June 01, 2016 - Same Author(s) The effects of power, leadership and psychological safety on resident event … The effect of structured medication review followed by face-to-face feedback to prescribers on adverse

  10. A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-curriculum-graduate-medical-education-results-needs-assessment-educators-and
    May 01, 2014 - February 18, 2011 Acquisition of critical intraoperative event management skills in novice … November 25, 2009 Management of adverse surgical events: a structured education module

  11. The role of checklists and human factors for improved patient safety in plastic surgery. | PSNet

    psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
    November 02, 2016 - November 6, 2019 View More Related Resources Sentinel Event Alert … Health Care Providers Plastic Surgery Surgical Complications Epidemiology of Errors and Adverse

  12. Workforce planning and safe workload in sterile compounding hospital pharmacy services. | PSNet

    psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
    October 19, 2022 - September 27, 2016 Improvement of medication event interventions through use of an electronic … Health Care Executives and Administrators Hospital Pharmacy Medication Errors/Preventable Adverse

  13. A national physician survey of diagnostic error in paediatrics. | PSNet

    psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
    August 04, 2021 - February 2, 2022 Bringing the equity lens to patient safety event reporting. … Hospitals Health Care Providers Pediatrics Diagnostic Errors Epidemiology of Errors and Adverse

  14. Impact of time pressure on dentists' diagnostic performance. | PSNet

    psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
    November 16, 2022 - April 22, 2011 African American COVID-19 mortality: a sentinel event. … July 10, 2017 Patient safety incidents and adverse events in ambulatory dental care:

  15. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet

    psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
    September 23, 2020 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse … November 17, 2021 Impact of critical event checklists on anaesthetist performance in

  16. Evolution of a rapid response system from voluntary to mandatory activation. | PSNet

    psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
    June 07, 2023 - solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event … August 1, 2012 Evaluation of adverse drug events and medication discrepancies in transitions

  17. Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. | PSNet

    psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
    August 02, 2015 - July 6, 2022 Families as partners in hospital error and adverse event surveillance.

  18. 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

  19. 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

  20. 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
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