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Showing results for "adverse event".
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9841. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. | PSNet
      psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
      September 02, 2020 - This single-center prospective study found that providing interdisciplinary post-event debriefs with … April 10, 2019 Adverse events after transition from ICU to hospital ward: a multicenter

9842. 'Even now it makes me angry': health care students' professionalism dilemma narratives. | PSNet
      psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
      June 12, 2019 - Related Resources Multispecialty physician online survey reveals that burnout related to adverse … event involvement may be mitigated by peer support.

9843. Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. | PSNet
      psnet.ahrq.gov/issue/pediatric-crisis-resource-management-training-improves-emergency-medicine-trainees-perceived
      March 25, 2020 - Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse … May 6, 2020 Impact of critical event checklists on anaesthetist performance in simulated

9844. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. | PSNet
      psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
      July 29, 2020 - Ineffective teamwork, poor communication, and knowledge deficits in the neonatal team can result in adverse … Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse … utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse … October 23, 2019 Effect of a cluster randomised team training intervention on adverse

9845. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. | PSNet
      psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
      March 23, 2012 - This strategy can address high rates of adverse drug events in older populations, especially if integrated … Author(s) Potentially inappropriate medications defined by STOPP criteria and the risk of adverse … July 18, 2012 Predicting and preventing adverse drug reactions in the very old. … June 22, 2009 Use of the Beers criteria to predict adverse drug reactions among first-visit

9846. Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet
      psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
      May 04, 2022 - Same Author(s) Central venous catheter guidewire retention: lessons from England's never event … April 21, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal

9847. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
      February 15, 2011 - April 12, 2011 Families as partners in hospital error and adverse event surveillance.

9848. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. | PSNet
      psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
      November 16, 2022 - March 29, 2023 Families as partners in hospital error and adverse event surveillance.

9849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73920/psn-pdf
      October 06, 2021 - severe injuries and who may arrive to the Emergency Department (ED) unconscious, are vulnerable to adverse

9850. 170-Cusp-Science-Safety-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
      October 01, 2024 - event and sometimes they don’t. … Active Failures are identified when an “operator” performs an unsafe event. … It is their action that enables the event to occur. … In other words, active failures are the adverse events we are used to thinking about and attempt to avoid … These adverse outcomes are our “defects”—the events that occur and we don’t want them to happen again

9851. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - admissions, using active surveillance strategies to measure rates of medical errors and preventable adverse … from the preintervention to postintervention period, accompanied by a 30% reduction in preventable adverse … The adverse and potential adverse drug events were most commonly due to nonadherence or underuse, untreated … with the Medication Regimen Complexity Index) were associated with much higher rates of postdischarge adverse … Moreover, the studies help pinpoint patients at highest risk for adverse drug events and readmission,

9852. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. | PSNet
      psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious
      February 03, 2011 - April 12, 2014 Usability of a computerised drug monitoring programme to detect adverse … October 16, 2012 Diagramming patients' views of root causes of adverse drug events in

9853. Archived: Final Research Plan: Colorectal Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan54/colorectal-cancer-screening-june-2016
      April 17, 2014 - Fecal DNA test Blood screening test: mSEPT9 a) What are the adverse … b) Do adverse effects vary by important subpopulations (e.g., by age)? … mm, 6–9 mm, ≥10 mm) By location in colon (e.g., proximal versus distal) KQ 3: Serious adverse … abdominal symptoms, and cardiovascular events; extra-colonic findings and subsequent diagnostic workup and adverse … advanced neoplasia (composite outcome of advanced adenomas and colorectal cancer) KQ 3: Minor adverse

9854. Analyzing communication errors in an air medical transport service. | PSNet
      psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
      August 04, 2021 - March 22, 2023 High rates of adverse drug events in a highly computerized hospital. … July 31, 2013 Adverse events experienced while transferring the critically ill patient

9855. Communication errors in dispatch of air medical transport. | PSNet
      psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
      July 03, 2014 - July 3, 2014 Epidemiology of adverse events in air medical transport. … June 29, 2011 What can hospitalized patients tell us about adverse events?

9856. Standardized admission order set improves perceived quality of pediatric inpatient care. | PSNet
      psnet.ahrq.gov/issue/standardized-admission-order-set-improves-perceived-quality-pediatric-inpatient-care
      December 04, 2024 - June 21, 2017 Rates of medical errors and preventable adverse events among hospitalized … March 25, 2017 Sustaining and spreading the reduction of adverse drug events in a multicenter

9857. Facing our mistakes. | PSNet
      psnet.ahrq.gov/issue/facing-our-mistakes
      September 23, 2020 - August 4, 2021 Incidence of adverse drug events and potential adverse drug events: implications

9858. 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

9859. 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

9860. 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