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psnet.ahrq.gov/node/39489/psn-pdf
June 11, 2010 - Adverse and potential
adverse events among a low-income, urban, ambulatory
population with diabetes … Adverse and potential adverse
events among a low-income, urban, ambulatory population with diabetes. … https://psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among- … https://psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban … https://psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
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psnet.ahrq.gov/node/40392/psn-pdf
February 10, 2015 - 'Global Trigger Tool' shows that adverse events in
hospitals may be ten times greater than previously … 'Global trigger tool' shows that adverse events in hospitals may be ten
times greater than previously … https://psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater … This study used the Institute for Healthcare Improvement's Global
Trigger Tool to detect adverse events … -2nd-edition
https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
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psnet.ahrq.gov/node/45868/psn-pdf
January 31, 2018 - Increasing trainee reporting of adverse events with
monthly, trainee-directed review of adverse events … Increasing Trainee Reporting of Adverse Events With Monthly Trainee-
Directed Review of Adverse Events … https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review … https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events … https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
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psnet.ahrq.gov/node/42548/psn-pdf
December 29, 2014 - What is known about adverse events in older medical
hospital inpatients? … What is known about adverse events in older medical hospital
inpatients? … This review sought to examine the scale, types, causes, preventability, and outcomes of adverse
events … The authors argue that the standard definition of adverse events
affecting geriatric patients should … This
review demonstrates that a more comprehensive picture of adverse events in older patients is required
-
psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State
Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
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psnet.ahrq.gov/node/38428/psn-pdf
February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence
Among Medicare Beneficiaries in Two Selected Counties … https://psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries … This report from the federal Office of the Inspector General (OIG) examines the adverse events in a … , including non-preventable adverse events. … https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
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psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medical-emergencies
February 18, 2009 - February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … September 20, 2011
Adverse Events in Hospitals: Methods for Identifying Events. … December 18, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event … September 20, 2011
Adverse Events in Hospitals: Methods for Identifying Events.
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psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
October 16, 2012 - January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … January 14, 2009
Adverse Events in Hospitals: Methods for Identifying Events. … March 17, 2010
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … May 21, 2014
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … August 1, 2012
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Associations between patient factors and adverse events
in the home care setting: a secondary data analysis … Associations between patient factors and adverse events in the home
care setting: a secondary data analysis … https://psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting … -
secondary-data
Adverse events occur frequently in the home care setting. … https://psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum … Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and- … Over a third of patients experienced an adverse event, and about 32% of
adverse events were deemed preventable … Most adverse events occurred in the inpatient setting.
-
psnet.ahrq.gov/node/46538/psn-pdf
February 21, 2018 - Adverse events in patients in home healthcare: a
retrospective record review using trigger tool
methodology … Adverse events in patients in home healthcare: a
retrospective record review using trigger tool methodology … https://psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using … They found that adverse events occurred frequently, were mostly preventable, and often led to
patient … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
-
psnet.ahrq.gov/node/44523/psn-pdf
January 01, 2016 - Electronic health record-based triggers to detect adverse
events after outpatient orthopaedic surgery … Electronic health record-based triggers to detect adverse events after
outpatient orthopaedic surgery … -
orthopaedic
Trigger tools facilitate detection of adverse events in medical records, which enables … This study identified adverse events following outpatient orthopedic surgeries using a trigger tool. … /issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
-
psnet.ahrq.gov/node/45945/psn-pdf
April 24, 2018 - adverse events remains a challenge across health care settings. … Investigators compared adverse events detected with these
mechanisms to adverse events identified through … Families were able to identify preventable adverse events that were not detected by any other method. … These results demonstrate that families can identify
otherwise undetected adverse events and their input … https://psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
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psnet.ahrq.gov/node/46481/psn-pdf
August 20, 2018 - An electronic trigger based on care escalation to identify
preventable adverse events in hospitalised … An electronic trigger based on care escalation to identify preventable
adverse events in hospitalised … https://psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events … -
hospitalised
Identifying adverse events in real time remains a patient safety challenge. … About half of trigger-positive cases represented preventable adverse events, and there
was moderate
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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - 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. … June 18, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … August 1, 2012
Adverse Events in Hospitals: Public Disclosure of Information About Events
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psnet.ahrq.gov/node/37217/psn-pdf
December 15, 2011 - Costs of adverse events in intensive care units. … Costs of adverse events in intensive care units. Crit Care Med.
2007;35(11):2479-83. … https://psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
The cost of adverse events has … Adverse events
were associated with increased costs of nearly $4000 per patient, which were only partially … https://psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
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psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - Root cause analysis of serious adverse events among
older patients in the Veterans Health Administration … Root cause analysis of serious adverse events among older patients in the
Veterans Health Administration … https://psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans … Inadequate communication was the most common root cause identified in adverse events, and
within this … category, poor communication among providers (such as handoffs) often resulted in adverse
events.
-
psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - Comparing patient-reported hospital adverse events with
medical record review: do patients know something … Comparing patient-reported hospital adverse events with
medical record review: do patients know something … https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do … -
patients-know
While many methods exist for detecting inpatient adverse events, ranging from medical … https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
https://psnet.ahrq.gov/
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psnet.ahrq.gov/issue/nursing-home-complaint-investigations
September 27, 2006 - February 11, 2015
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious … September 6, 2006
Adverse Events in Rehabilitation Hospitals: National Incidence Among … October 16, 2012
Adverse Events in Hospitals: Care Study of Incidence Among Medicare … November 16, 2011
Adverse Events in Hospitals: Methods for Identifying Events. … March 17, 2010
Adverse Events in Hospitals: Overview of Key Issues.
-
psnet.ahrq.gov/node/43630/psn-pdf
April 15, 2016 - Evaluation of adverse drug events and medication
discrepancies in transitions of care between hospital … Evaluation of Adverse Drug Events and Medication Discrepancies in
Transitions of Care Between Hospital … https://psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions- … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer … /medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital