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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60251/psn-pdf
    April 22, 2020 - Exploring the association between organizational culture and large-scale adverse events: evidence from … Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Evidence from … at the Department of Veterans Affairs (VA) were associated with large-scale adverse events. … https://psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence … https://psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846439/psn-pdf
    March 22, 2023 - Which adverse events and which drugs are implicated in drug-related hospital admissions? … Which adverse events and which drugs are implicated in drug-related hospital admissions? … https://psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital … - admissions Adverse drug events (ADE) can result in patient harm, hospital admissions, and, in severe … https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851665/psn-pdf
    July 26, 2023 - Adverse Events Toolkit: Medical Record Review Methodology. July 26, 2023 Maxwell A. … https://psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology Medical record … This report discusses the review process used in the 2018 report  Adverse Events in Hospitals: A Quarter … /issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients … -2018 https://psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47634/psn-pdf
    January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. … Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. … OEI-06-14-00530 https://psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare … Nearly half of patients experienced adverse events or temporary harm events. … https://psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851914/psn-pdf
    August 02, 2023 - Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and … Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and … https://psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical … - consequences Insulin pump malfunctions are a known contributor to adverse events. … This study used six months of adverse events reported to the Food and Drug Administration's (FDA) Manufacturer
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843056/psn-pdf
    January 25, 2023 - Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and … Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and … https://psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care- … https://psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and … https://psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72567/psn-pdf
    December 16, 2020 - Transforming the medication regimen review process using telemedicine to prevent adverse events. … Transforming the medication regimen review process using telemedicine to prevent adverse events. … Medication reconciliation and medication regimen reviews can reduce adverse drug events (ADEs) in older … Residents in the program experienced fewer adverse drug events compared to a usual care group. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans https://
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836961/psn-pdf
    April 20, 2022 - Coping and recovery in surgical residents after adverse events: the second victim phenomenon. … Coping and recovery in surgical residents after adverse events: the second victim phenomenon. … https://psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https … ://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https:/
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45993/psn-pdf
    January 01, 2021 - 30-day potentially avoidable readmissions due to adverse drug events. … https://psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events Adverse … Nearly half of the adverse drug events were due to inappropriate prescribing, and the remainder were … https://psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events https: … //psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/perspective
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46526/psn-pdf
    December 22, 2018 - Risk factors for adverse events in emergency department procedural sedation for children. … Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation- children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72816/psn-pdf
    March 10, 2021 - Adverse events among emergency department patients with cardiovascular conditions: a multicenter study … Adverse events among emergency department patients with cardiovascular conditions: a multicenter study … Prior research has found that some patients may be at risk for adverse events after discharge from … This cohort study analyzed adverse events occurring among patients discharged from the ED with cardiovascular … https://psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45969/psn-pdf
    January 07, 2019 - Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … https://psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events- surgeons-attitude-bisa … Health care providers who experience psychological harm associated with adverse events are often referred … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851061/psn-pdf
    June 28, 2023 - events. … events. … events as well as both positive and negative implications of transparency regarding adverse events. … events. … https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47648/psn-pdf
    February 27, 2019 - Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency … Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency … Of the 285 adverse events identified during the study period, 77.2% were captured by reporting systems … https://psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60984/psn-pdf
    October 07, 2020 - Prospective validation of classification of intraoperative adverse events (ClassIntra): international … Prospective validation of classification of intraoperative adverse events (ClassIntra): international … https://psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra … https://psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international … https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50868/psn-pdf
    February 05, 2020 - Adverse medication events related to hospitalization in the United States: a comparison between adults … Adverse Medication Events Related to Hospitalization in the United States: A Comparison Between Adults … https://psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison … https://psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults … https://psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients- … events, such as treatment delays and adverse outcomes. … among patients with adverse events and no-harm incidents.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74152/psn-pdf
    December 08, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation … Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation … https://psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled- … This scoping review identified common extrinsic factors contributing to adverse events among older adults … https://psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61110/psn-pdf
    November 11, 2020 - Association between parent comfort with English and adverse events among hospitalized children. … Association between parent comfort with English and adverse events among hospitalized children. … https://psnet.ahrq.gov/issue/association-between-parent-comfort-english-and-adverse-events-among- hospitalized-children … Language barriers between patients and providers is a potential contributor to adverse events. … https://psnet.ahrq.gov/issue/association-between-parent-comfort-english-and-adverse-events-among-hospitalized-children
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74832/psn-pdf
    February 16, 2022 - Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors … Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors … https://psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence … Based on a retrospective review of obstetrical adverse events occurring at one German hospital in 2018 … , researchers created a matrix of preventable factors contributing to adverse events.

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