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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34960/psn-pdf
    June 22, 2009 - Making hospital care safer and better: the structure- process connection leading to adverse events. … Making hospital care safer and better: the structure-process connection leading to adverse events. … //psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading- adverse-events … The authors propose a model for identifying factors that contribute to adverse events in hospital care … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36717/psn-pdf
    July 26, 2011 - Design of a retrospective patient record study on the occurrence of adverse events among patients in … Design of a retrospective patient record study on the occurrence of adverse events among patients in … https://psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among … https://psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among-patients-dutch … https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45820/psn-pdf
    March 15, 2017 - Development of a pediatric adverse events terminology. … Development of a Pediatric Adverse Events Terminology. … This commentary describes the development of a terminology specific to adverse events in children for … https://psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology https://psnet.ahrq.gov/ … jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near https://psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38853/psn-pdf
    January 04, 2010 - Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. … Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. … https://psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge … - icu A structured discharge plan was associated with a reduction in preventable adverse events (but … an increase in overall adverse events) in patients who had been recently discharged from the intensive
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35117/psn-pdf
    June 22, 2009 - Adverse events associated with procedural sedation and analgesia in a pediatric emergency department … Adverse events associated with procedural sedation and analgesia in a pediatric emergency department … https://psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric- … They conclude that all patients receiving these drugs are at risk for adverse events. … https://psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36346/psn-pdf
    April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the … https://psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia- … However, adverse events with the potential for harm (near misses), such as unanticipated need for bag-mask … https://psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44831/psn-pdf
    January 27, 2016 - IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. … https://psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events Prior … Trigger tools can help to identify opportunities for patient harm and measure adverse events that occur … https://psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events https … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38333/psn-pdf
    January 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Levinson DR. … https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues The Tax Relief and Health … Of note, OIG expanded the study of never events to the broader topic of adverse events in their analysis … https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues https://psnet.ahrq.gov/primer … /never-events https://psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38371/psn-pdf
    January 28, 2009 - Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors … Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors … https://psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence … https://psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general … https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36005/psn-pdf
    March 28, 2011 - Active surveillance using electronic triggers to detect adverse events in hospitalized patients. … Active surveillance using electronic triggers to detect adverse events in hospitalized patients. … https://psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events- hospitalized-patients … The authors discuss the large percentage of preventable adverse events that were discovered along with … https://psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45810/psn-pdf
    May 05, 2017 - Adverse event and error of unexpected life-threatening events within 24h of emergency department admission … Adverse event and error of unexpected life-threatening events within 24hours of ED admission. … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h- … emergency-department Trigger tools are frequently utilized to identify adverse events. … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40543/psn-pdf
    March 23, 2012 - Can we rely on patients' reports of adverse events? … Can we rely on patients' reports of adverse events? … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events Traditional methods of error … This finding corroborates prior research showing that patient-reported adverse events provide an important … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events https://psnet.ahrq.gov/primer
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and … The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and … https://psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units … - retrospective-and This economic analysis estimated the impact of nurse-sensitive adverse events—including … The authors estimate that these adverse events led to more than 1300 excess hospital days per year,
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38837/psn-pdf
    June 28, 2011 - A comparison of hospital adverse events identified by three widely used detection methods. … A comparison of hospital adverse events identified by three widely used detection methods. … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection … This study compared the detection of adverse events in hospitals using the AHRQ patient safety indicators … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40566/psn-pdf
    June 29, 2011 - Comparison of computerized surveillance and manual chart review for adverse events. … Comparison of computerized surveillance and manual chart review for adverse events. … https://psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse- events … https://psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events … https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients https:/
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43209/psn-pdf
    December 15, 2014 - Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis … Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis … https://psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta … - regression This systematic review found that adverse events among hospitalized children are frequent … https://psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39639/psn-pdf
    August 03, 2010 - Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the … Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the … https://psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger … https://psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44989/psn-pdf
    July 01, 2016 - Can medical record reviewers reliably identify errors and adverse events in the ED? … Can medical record reviewers reliably identify errors and adverse events in the ED? … https://psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed … Classic studies of the epidemiology of adverse events in hospitalized patients have identified safety … This study examined this methodology to detect adverse events in emergency department patients and found
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35598/psn-pdf
    July 10, 2008 - Residents report on adverse events and their causes. … Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. … https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes This survey demonstrated … that more than half of residents reported patients experiencing adverse events under their care, a … The most frequent adverse events involved procedures and medication administrations, while predictors
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. … Relation between Malpractice Claims and Adverse Events Due to Negligence. … https://psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence- … They found that 1.53% of patients who had adverse events filed malpractice claims. … The ratio of adverse events caused by negligence to malpractice claims was 7.6:1.

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