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Showing results for "adverse event".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49650/psn-pdf
    March 01, 2012 - the office setting.(7) Our best estimates of wrong-site surgeries come from prospectively collected adverse … event reporting data in Florida and Alabama. … Take-Home Points Wrong-site surgery in office-based settings is a rare event but it poses a significant … Sentinel Event Alert. December 5, 2001. [Available at] 5. The Joint Commission. … Sentinel Event Alert. [Available at] 6. Elston DM, Taylor JS, Coldiron B, et al.

  2. My Medicines. | PSNet

    psnet.ahrq.gov/issue/my-medicines
    January 13, 2016 - This toolkit offers tips for patients to prevent adverse drug events and provides a way to record important … See More About The Topic Patients Internal Medicine Medication Errors/Preventable Adverse

  3. A clinical reminder about the safe use of insulin vials. | PSNet

    psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
    June 10, 2018 - June 10, 2018 Fatal PCA adverse events continue to happen...better patient monitoring … September 14, 2022 Adverse glycemic events and critical emergencies.

  4. Mistake-Proofing the Design of Health Care Processes. | PSNet

    psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
    December 18, 2008 - Citation Related Resources From the Same Author(s) Reducing and Preventing Adverse … February 5, 2019 Preventing adverse events caused by emergency electrical power system

  5. Learning From Mistakes. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes
    March 28, 2018 - January 9, 2024 Adverse Events in Long-Term-Care Hospitals: National Incidence Among … March 28, 2018 Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare

  6. Nebraska Coalition for Patient Safety Annual Report. | PSNet

    psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
    July 13, 2022 - Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse … More About The Topic Health Care Executives and Administrators Epidemiology of Errors and Adverse

  7. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet

    psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
    December 15, 2021 - case studies to illustrate how effective communication can help prevent and address close calls and adverse … Providers Medicine Discontinuities, Gaps, and Hand-Off Problems Epidemiology of Errors and Adverse

  8. Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - March 22, 2024 Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there … September 10, 2014 Adverse Events in Hospitals: Public Disclosure of Information About

  9. Department of Defense Health Care Quality. | PSNet

    psnet.ahrq.gov/issue/department-defense-health-care-quality
    February 11, 2025 - June 10, 2020 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … February 9, 2011 Incidence of Adverse Events in Indian Health Service Hospitals.

  10. Patient Safety in the Office-Based Practice Setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
    May 10, 2016 - October 25, 2017 Reducing Adverse Drug Events Related to Opioids Implementation Guide … The Topic Ambulatory Care Health Care Providers Medicine Epidemiology of Errors and Adverse

  11. How PSOs Help Health Care Organizations Improve Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
    May 25, 2016 - November 23, 2016 Origin of Adverse Drug Events in US Hospitals, 2011. … Topic Hospitals Quality and Safety Professionals Medicine Epidemiology of Errors and Adverse

  12. Introduction to HL7 Standards: v 2.x

    hcup-us.ahrq.gov/datainnovations/clinicaldata/HL7_v2_Standards_v2.jsp
    September 01, 2012 - Registration, Orders, Results, patient financial, query language, immunization reporting, clinical trials, adverse … Protocol BNF Definitions Glossary The HL7 basic "Transaction Model" Diagram: Trigger event … : (external) admit event Adt system sends HL7 A01 message sent to network Lab system receives A01

  13. Rapid Response: Efficacy of Dental Services for Reducing Adverse Events in Those Receiving Chemotherapy for Cancer (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/rapid-response-chemotherapy-dental.pdf
    July 01, 2023 - Rapid Response: Efficacy of Dental Services for Reducing Adverse Events in Those Receiving Chemotherapy … In addition to being a serious adverse event, mucositis also facilitates entry of oral bacteria into … However, it is a serious adverse event occurring in some cancer patients, and early dental evaluation … event rates in patients with cancer. … event rates and other relevant outcomes?

  14. Is myocardial infarction overdiagnosed? | PSNet

    psnet.ahrq.gov/issue/myocardial-infarction-overdiagnosed
    June 28, 2017 - October 7, 2013 Families as partners in hospital error and adverse event surveillance

  15. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
    January 01, 2003 - Methods: The study required (1) development and validation of a simulated rare event, (2) use of the … apneic event behavior. … Event Detection Errors A. Verbal stimulation for Level of Sedation not used B. … Adverse sedation events in pediatrics: a critical incident analysis of contributing factors [comment … Patient safety: understanding and responding to adverse events.

  16. Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet

    psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
    September 23, 2020 - Vital signs are still vital: instability on discharge and the risk of post-discharge adverse … Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes … Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes … March 28, 2011 Improving self-reporting of adverse drug events in a West Virginia hospital

  17. Out-of-hospital medication errors among young children in the United States, 2002–2012. | PSNet

    psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012
    June 14, 2017 - Adverse drug events are most likely with liquid medications and often occur because of confusion with … November 17, 2011 Medication errors and adverse drug events in pediatric inpatients. … July 14, 2010 Detecting adverse drug reactions on paediatric wards: intensified surveillance … June 22, 2009 Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.

  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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