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Showing results for "adverse events".
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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44541/psn-pdf
     September 30, 2015 - The effect of universal glove and gown use on adverse events in intensive care unit patients. … The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. … https://psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit- … Rates of adverse events were similar in units with universal gown and glove precautions and those with … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44331/psn-pdf
     September 09, 2015 - Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the … end of adverse events as a useful metric? … Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the … end of adverse events as a useful metric? … The authors also suggest that the study findings highlight some of the limitations of adverse events

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34651/psn-pdf
     March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical … Incidence and types of preventable adverse events in elderly patients: population based review of medical … https://psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population … Results indicated a significant number of adverse events in both elderly (>65) and nonelderly patient … https://psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45664/psn-pdf
     July 02, 2017 - Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay … Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay … https://psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating- … In this study, investigators found that intraoperative adverse events during abdominal surgery were … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46152/psn-pdf
     May 31, 2017 - Root cause analysis of adverse events in an outpatient anticoagulation management consortium. … Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. … https://psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management … - consortium Anticoagulation confers a high risk of adverse drug events. … Examining root cause analyses of anticoagulation–related adverse events, this study found that the majority

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38097/psn-pdf
     January 02, 2017 - Adverse events during hospitalization: results of a patient survey. … Adverse events during hospitalization: results of a patient survey. … https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey This survey … Prior work in this area has demonstrated that patients can identify adverse events that were not documented … /issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know https

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40982/psn-pdf
     March 23, 2012 - Emergency hospitalizations for adverse drug events in older Americans. … Emergency hospitalizations for adverse drug events in older Americans. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans Partnership … Adverse drug events contribute significantly to undesired outcomes and provide an ongoing area for prevention … /issue/partnership-patients https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries … https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44493/psn-pdf
     September 19, 2016 - Interventions in health organisations to reduce the impact of adverse events in second and third victims … Interventions in health organisations to reduce the impact of adverse events in second and third victims … https://psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and … Many organizations lacked protocols for responding to serious adverse events, especially in primary … ://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46924/psn-pdf
     March 07, 2018 - Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians … Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians … https://psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative- … interviews-physicians Regulatory agencies rely on physician reports of adverse events associated with … https://psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42547/psn-pdf
     May 19, 2014 - Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health … Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration … https://psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events … However, in this study the PSIs were able to identify adverse events after discharge in patients who … https://psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health

372. Trends in Nursing Home Deficiencies and Complaints. | PSNet
     psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
     February 18, 2009 - August 9, 2017 Adverse Events in Hospitals: Methods for Identifying Events. … March 17, 2010 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … November 16, 2011 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … January 23, 2008 Adverse Events Toolkit: Medical Record Review Methodology.

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41094/psn-pdf
     January 25, 2012 - Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … adverse events. … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40907/psn-pdf
     December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by … Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse- … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46294/psn-pdf
     October 29, 2017 - Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital … Reporting of Perioperative Adverse Events by Pediatric Anesthesiologists at a Tertiary Children's Hospital … https://psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary … - childrens Underreporting of adverse events is a known shortcoming of incident reporting systems. … This pre–post study demonstrated an increase in reporting of perioperative adverse events through a

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34671/psn-pdf
     June 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. … Confidential clinician-reported surveillance of adverse events among medical inpatients. … https://psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical … - inpatients Adverse events in hospitalized patients often go unrecognized or unreported. … The study found that adverse events occurred in 2.6% of all admissions.

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43067/psn-pdf
     November 23, 2014 - Characterization of adverse events detected in a large health care delivery system using an enhanced … Characterization of adverse events detected in a large health care delivery system using an enhanced … https://psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system … Surgical and procedural complications accounted for a large portion of adverse events in the hospital … Less than 5% of the hospital-acquired adverse events identified in this study would have been discovered

378. Hospital Reporting of Deaths Related to Restraint and Seclusion.  | PSNet
     psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
     September 20, 2006 - October 31, 2014 Adverse Events in Hospitals: Care Study of Incidence Among Medicare … February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. … February 11, 2015 Few Adverse Events in Hospitals Were Reported to State Adverse Event … January 20, 2010 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues.

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36427/psn-pdf
     December 22, 2010 - Adverse events detected by clinical surveillance on an obstetric service. … Adverse events detected by clinical surveillance on an obstetric service. … https://psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service This study … used a trained observer to monitor obstetric patients for potential adverse events. … , a number of potential adverse events raised questions about system problems.

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41209/psn-pdf
     March 24, 2012 - Assessment of adverse events in medical care: lack of consistency between experienced teams using the … Assessment of adverse events in medical care: lack of consistency between experienced teams using the … https://psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between- experienced-teams-using … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov … /issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance