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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38706/psn-pdf
    June 17, 2009 - Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory … Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory … https://psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults … - ambulatory-primary Trigger tools are a useful method to screen for adverse events and have been described … https://psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44406/psn-pdf
    December 04, 2016 - Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug … Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug … This study examined adverse drug events reported to the FDA by manufacturers. … Less than 10% of reports were delayed beyond the 15-day reporting requirement, but adverse events involving … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46496/psn-pdf
    October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals … Lessons learned for reducing the negative impact of adverse events on patients, health professionals … https://psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health- … professionals-and This review study examined policies to address the consequences of adverse events … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43255/psn-pdf
    June 18, 2014 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global … Characterisations of adverse events detected in a university hospital: a 4-year study using the Global … https://psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study … - using-global Hospitals employ various methods to detect adverse events, each with their own advantages … https://psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40061/psn-pdf
    December 15, 2010 - Exploring relationships between hospital patient safety culture and adverse events. … Exploring relationships between hospital patient safety culture and adverse events. … Survey on Patient Safety Culture, is associated with fewer hospital-based adverse events. … Adverse events were measured by the AHRQ Patient Safety Indicators. … https://psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39746/psn-pdf
    August 11, 2010 - Analysis of adverse events in pediatric surgery using criteria validated from the adult population: … Analysis of adverse events in pediatric surgery using criteria validated from the adult population: … https://psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult … - population This study sought to characterize the incidence and types of adverse events in pediatric … https://psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46683/psn-pdf
    February 14, 2018 - Changing experience of adverse medical events in the National Health Service: comparison of two population … Changing experience of adverse medical events in the National Health Service: Comparison of two population … https://psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service- comparison-two-population … Researchers found that the reported incidence of adverse events declined by one-third in 2013 compared … https://psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47300/psn-pdf
    October 13, 2018 - Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational … Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational … https://psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events- prospective … https://psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective … https://psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43387/psn-pdf
    August 20, 2014 - The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … https://psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units … This study used chart reviews to identify the rates of six adverse events considered to be directly … One in seven hospitalized adults experienced at least one of these adverse events.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. … National surveillance of emergency department visits for outpatient adverse drug events. … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events … https://psnet.ahrq.gov/issue/emergency-department-visits-outpatient-adverse-drug-events-demonstration-national
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40405/psn-pdf
    February 10, 2015 - The social cost of adverse medical events, and what we can do about it. … The social cost of adverse medical events, and what we can do about it. … https://psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it The annual … cost of preventable adverse events to the United States health care system has been estimated as $17 … billion, but this study estimates the total social cost of adverse events to approach $950 billion,
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45037/psn-pdf
    February 15, 2017 - Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses … Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses … https://psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration- … lessons-media Large-scale adverse events can diminish public trust. … https://psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39438/psn-pdf
    March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. … Time to listen: a review of methods to solicit patient reports of adverse events. … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events Identification … of adverse events relies primarily on well-tested methods such as voluntary error reporting by providers … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events https:
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41557/psn-pdf
    August 01, 2012 - Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care … Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care … https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events … - among-primary Adverse drug events (ADEs) are difficult to capture, particularly in the ambulatory … /issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35244/psn-pdf
    December 17, 2008 - Representative case series from public hospital admissions 1998 II: surgical adverse events. … Representative case series from public hospital admissions 1998 II: surgical adverse events. … https://psnet.ahrq.gov/issue/representative-case-series-public-hospital-admissions-1998-ii-surgical- adverse-events … The authors analyzed surgical adverse events to assess the occurrence, cause, patient impact, and … of preventability than other types of adverse events.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46224/psn-pdf
    July 12, 2017 - Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. … Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification … https://psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2 Adverse events … The second article discusses how to respond to adverse events, such as root cause analysis, error disclosure … https://psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2 https://psnet.ahrq.gov
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40296/psn-pdf
    October 01, 2014 - Applying trigger tools to detect adverse events associated with outpatient surgery. … Applying trigger tools to detect adverse events associated with outpatient surgery. … https://psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery … This study demonstrated the utility of trigger tools to detect adverse events related to outpatient … https://psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41432/psn-pdf
    October 19, 2012 - Adverse events are common on the intensive care unit: results from a structured record review. … Adverse events are common on the intensive care unit: results from a structured record review. … https://psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record- … review This study used the Global Trigger Tool to identify adverse events in intensive care unit patients … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37187/psn-pdf
    September 25, 2008 - Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. … Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998- … of drugs accounting for a disproportionate share of adverse events. … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41186/psn-pdf
    January 03, 2017 - The costs of adverse drug events in community hospitals. … The costs of adverse drug events in community hospitals. … https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs … ) are a leading cause of adverse events and a significant financial burden in the hospital setting. … /costs-adverse-drug-events-hospitalized-patients https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable

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