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Showing results for "adverse events".
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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73399/psn-pdf
     June 16, 2021 - Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective … Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective … This study used trained reviewers to examine root causes of adverse events in 571 deceased hospital … Preventable adverse events were commonly caused by technical, organizational, and human causes; technical … causes also commonly contributed to preventable deaths from adverse events.

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/859348/psn-pdf
     December 20, 2023 - Are adverse events related to the completeness of clinical records? … Are adverse events related to the completeness of clinical records? … Identifying, measuring and tracking adverse events is an important component of continuous safety … This retrospective study used the Global Trigger Tool to evaluate the prevalence of adverse events documented … The researchers observed that completeness of the clinical records correlated with fewer adverse events

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74754/psn-pdf
     February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis … The authors conducted a systematic review and meta-analysis of all types of adverse events, critical … or life-threatening adverse events, and death occurring during intra-hospital transport. … adverse events and death are low.

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866646/psn-pdf
     September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. … Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts- medical-mishaps … Adverse events and patient safety events can lead to long-term psychological harm for patients and … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866825/psn-pdf
     September 25, 2024 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. … Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. … AHRQ Publication no. 24-0084 https://psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients … -2021-and-2022 In-hospital adverse events provide a window into the state of patient safety. … events since the peak of the COVID-19 pandemic, with a 13% to 15% reduction in adverse events in 2022

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47815/psn-pdf
     January 01, 2021 - The relationship between culture of safety and rate of adverse events in long-term care facilities. … The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. … https://psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care … - facilities Prior research on the relationship between culture of safety and adverse events has produced … https://psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48130/psn-pdf
     August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. … Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. … Investigators found that adverse events occurred after approximately half of discharges. … Common adverse events included falls, pressure ulcers, health care–associated infections, and adverse … Most adverse events were deemed preventable or ameliorable.

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852444/psn-pdf
     August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … This systematic review examined the difference in adverse events detected using the Global Trigger Tool … In 12 of the 14 included studies, less than 10% of adverse events detected using the Global Trigger

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867690/psn-pdf
     March 05, 2025 - Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective … https://psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four … - retrospective Longitudinal trends in adverse events (AEs) can provide insights into incidence, preventability … https://psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60876/psn-pdf
     September 02, 2020 - Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation … Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation … This retrospective study evaluated the impact of a pre-sedation checklist on serious adverse events … There were significantly more serious adverse events recorded after the implementation of the checklist … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73688/psn-pdf
     September 08, 2021 - Effect of medication reconciliation on patient reported potential adverse events after hospital discharge … Effect of medication reconciliation on patient reported potential adverse events after hospital discharge … https://psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events … events, it did reduce the number of potential adverse events. … https://psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73879/psn-pdf
     September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events … Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events … Hospital adverse events are common and can contribute to serious patient harm. … Findings indicate that hospital adverse events have increased over time and that over half are considered … https://psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review https://

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74270/psn-pdf
     January 19, 2022 - Adverse events associated with patient isolation: a systematic literature review and meta-analysis. … Adverse events associated with patient isolation: a systematic literature review and meta-analysis. … https://psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and … This systematic review examined adverse physical and psychosocial events associated with patient isolation … A meta-analysis of seven observational studies showed no adverse events related to clinical care or

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866346/psn-pdf
     July 24, 2024 - A human right-based approach to dealing with adverse events in residential care facilities. … A human right-based approach to dealing with adverse events in residential care facilities. … https://psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities … Many regulatory authorities require notification of adverse events involving vulnerable individuals … In the majority of adverse events and their management, residents' human rights were upheld.

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     March 15, 2025 - Triggers alert patient safety personnel to possible adverse events so they can review the medical record … There was no expectation that most cases would turn out to be adverse events. … Also, trigger tools are designed to detect all adverse events; reviewers are explicitly instructed to … Another influential study of temporal trends in adverse events also found markedly different rates when … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47545/psn-pdf
     December 19, 2018 - Adverse events during dental care for children: implications for practitioner health and wellness. … Adverse events during dental care for children: implications for practitioner health and wellness. … https://psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health … This review discusses adverse events in pediatric dental patients and suggests that when they occur, … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837891/psn-pdf
     August 24, 2022 - Emergency department adverse events detected using the emergency department trigger tool. … Emergency department adverse events detected using the emergency department trigger tool. … Trigger tools are a novel method of detecting adverse events. … This article describes the location, severity, omission/commission, and type of adverse events retrospectively … Understanding the characteristics of prior adverse events can guide future quality and safety improvement

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854990/psn-pdf
     November 01, 2023 - Identifying contributing factors associated with dental adverse events through a pragmatic electronic … Identifying contributing factors associated with dental adverse events through a pragmatic electronic … https://psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through … - pragmatic Understanding factors that contribute to adverse events (AE) is key to preventing them … https://psnet.ahrq.gov/issue/classifying-adverse-events-dental-office

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866863/psn-pdf
     October 02, 2024 - The nature of adverse events in dentistry. October 2, 2024 Tokede B, Yansane A, Walji MF, et al. … The nature of adverse events in dentistry. … https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry Patient safety in dentistry is relatively … This study examined the incidence and characteristics of adverse events occurring at two dental clinics … https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry https://psnet.ahrq.gov/perspective/adverse-events-dentistry

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60026/psn-pdf
     March 11, 2020 - Adverse events present on arrival to the emergency department: the ED as a dual safety net. … Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. … https://psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net … Trigger tools are one approach to identifying adverse events. … The most comment POA adverse events were medication-related (55.6%).