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psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility-transport
April 15, 2019 - Patients are particularly vulnerable to adverse events during transfer due to limited resources and … March 10, 2021
Adverse events among emergency department patients with cardiovascular … July 15, 2020
Adverse events during intrahospital transport of critically ill patients … March 10, 2021
Pediatric transport safety collaborative: adverse events with parental … May 29, 2013
Adverse events experienced while transferring the critically ill patient
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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - The incident reporting system does not detect adverse drug events: a problem for quality improvement. … This study determined the rate with which adverse drug events (ADE) resulted in an incident report … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … February 10, 2011
Incidence of adverse drug events and potential adverse drug events: … February 10, 2011
Systems analysis of adverse drug events.
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psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
December 14, 2022 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events … Effectiveness of a barcode medication administration system in reducing preventable adverse drug events … August 10, 2022
Preventable adverse drug events causing hospitalisation: identifying … December 21, 2022
Correlation between the number of patient-reported adverse events, … adverse drug events, and quality of life in older patients: an observational study.
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - Commentary
Sentinel events, serious reportable events, and root cause analysis. … Sentinel events, serious reportable events, and root cause analysis. … Sentinel events, serious reportable events, and root cause analysis. … October 24, 2018
The impact of major intraoperative adverse events on hospital readmissions … October 22, 2014
Using simulation to improve root cause analysis of adverse surgical
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - May 26, 2011
Medicare payment for selected adverse events: building the business case … drug events. … January 8, 2020
E-prescribing and adverse drug events: an observational study of the … July 5, 2017
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in … June 20, 2011
Prevalence and predictors of adverse events in older surgical patients:
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psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children
August 14, 2018 - Racial and ethnic minorities experience more adverse events , including adverse drug events and hospital-acquired … Latino children experienced nearly twice the rate of adverse events when compared with white children … July 6, 2022
View More
Related Resources
Adverse events and patient … January 17, 2019
Adverse events in hospitalized pediatric patients. … March 3, 2011
Identifying causes of adverse events detected by an automated trigger tool
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psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
January 05, 2017 - July 21, 2009
Performance characteristics of a methodology to quantify adverse events … November 16, 2022
'Global Trigger Tool' shows that adverse events in hospitals may be … June 3, 2013
Automated surveillance for adverse drug events at a community hospital and … December 7, 2009
Characteristics of medication errors and adverse drug events in hospitals … Drug Events
Computerized Adverse Event Detection
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psnet.ahrq.gov/issue/developing-indicators-inpatient-adverse-drug-events-through-nonlinear-analysis-using
December 23, 2011 - Study
Developing indicators of inpatient adverse drug events through nonlinear analysis … Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative … Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative … December 23, 2011
The Research on Adverse Drug Events and Reports (RADAR) project. … November 10, 2010
Clarifying adverse drug events: a clinician's guide to terminology,
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and … Inappropriate prescribing led to increased risk of adverse drug events (e.g., allergic reaction) and … Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and … December 16, 2020
Costs of intravenous adverse drug events in academic and nonacademic … January 16, 2008
Correlation between the number of patient-reported adverse events, adverse
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - Study
Preventable adverse drug events causing hospitalisation: identifying root causes … Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance … Adverse drug events – many of which are preventable – are a major source of patient harm. … May 5, 2021
Preventable adverse drug events: descriptive epidemiology. … August 24, 2022
Correlation between the number of patient-reported adverse events, adverse
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … January 14, 2009
Adverse Events in Hospitals: Methods for Identifying Events. … October 31, 2012
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009
Adverse Events in Hospitals: Overview of Key Issues.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Adverse Events, Near Misses, and Errors
December 15, 2024
Adverse Events, Near Misses, and Errors. … Adverse events may be preventable or nonpreventable. … Examples of nonpreventable adverse events and preventable adverse events from the
Harvard Medical Practice … of
postdischarge of adverse events. … Important
subcategories of adverse events include:
Preventable adverse events: those that occurred
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psnet.ahrq.gov/node/839314/psn-pdf
November 02, 2022 - Correlation between the number of patient-reported
adverse events, adverse drug events, and quality … Correlation between the number of patient-
reported adverse events, adverse drug events, and quality … not patient-reported adverse drug
events. … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
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psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011
August 03, 2016 - heart failure, translating to an estimated 81,000 in-hospital adverse events averted in 2010–2011. … July 27, 2022
Relationship between in-hospital adverse events and hospital performance … November 10, 2010
View More
Related Resources
Adverse Events in … November 27, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 9, 2011
Adverse Events in Hospitals: Care Study of Incidence Among Medicare
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psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized … A systematic review of methods for medical record
analysis to detect adverse events in hospitalized … https://psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events- … MRR reveals more adverse events than
other methods; however, research is still lacking or is of moderate … /issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
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psnet.ahrq.gov/node/866526/psn-pdf
August 14, 2024 - Instruments and warning signs for identifying and
evaluating the frequency of adverse events in
intermediate … Instruments and warning signs for identifying and evaluating
the frequency of adverse events in intermediate … This systematic
review including 66 studies evaluated tools used to identify adverse events in intermediate … The authors found that most tools are designed to identify specific adverse events or
safety risks ( … Common adverse events impacting this
population include adverse drug events, delirium, malnutrition,
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on … Monitoring preventable adverse events and near misses: number
and type identified differ depending on … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type- … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
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psnet.ahrq.gov/node/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant … Communication matters when it comes to adverse events: associations
of adverse events during implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse- … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors
and Adverse Events
March 15, 2025
Second … Victims: Support for Clinicians Involved in Errors and Adverse Events. … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
PSNet … Background
Multiple studies have shown that involvement in medical errors and adverse events can take … It is estimated that one in seven patients is affected by adverse events, and that as many
as half of
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical … https://psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients … -
medical-and-surgical
Some adverse events are sensitive to aspects of nursing care, including pressure … Extrapolated nationally, the authors estimate the economic
burden of nurse-sensitive adverse events