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381. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Exploring relationships between hospital patient safety culture and adverse events. … Health care professionals as second victims after adverse events: a systematic review. … The natural history of recovery for the healthcare provider “second victim” after adverse patient events

382. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/silence.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Drug Events During Transfer of Care from Hospital to Home Carole … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

383. Silence A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/silence.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Drug Events During Transfer of Care from Hospital to Home Carole Hemmelgarn Three … Some of the key elements of CRPs are reporting and responding to adverse events, continuous communication … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals.

384. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=175
     January 01, 2024 - Events (ADE), Adverse Events Abraham NS Antiplatelets, anticoagulants, and colonoscopic … Keywords: Blood Thinners, Medication, Medication: Safety, Colonoscopy, Adverse Drug Events (ADE), Adverse … Keywords: Adverse Events, Cardiovascular Conditions, Surgery, Patient-Centered Outcomes Research, Outcomes … Keywords: Cancer, Surgery, Adverse Events, Outcomes Lee HH , Patel KR , Singam V Associations … Keywords: Critical Care, Medication, Medication: Safety, Adverse Drug Events (ADE), Adverse Events,

385. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
     January 01, 2010 - for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse … three-quarters of these could have been prevented or ameliorated.1 Common post-discharge complications include adverse … drug events, hospital-acquired infections, and procedural complications.1 Many of these complications … The incidence and severity of adverse events affecting patients after discharge from the hospital.

386. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=401
     January 01, 2024 - Keywords: Antimicrobial Stewardship, Medication, Chronic Conditions, Adverse Drug Events (ADE), Clinical … Keywords: Healthcare-Associated Infections (HAIs), Orthopedics, Patient Safety, Adverse Events, Surgery … Keywords: Patient Safety, Adverse Events, Adverse Drug Events (ADE), Medication Lemke AA , … Keywords: Blood Thinners, Heart Disease and Health, Cardiovascular Conditions, Adverse Drug Events ( … ADE), Adverse Events, Risk, Registries, Patient-Centered Outcomes Research, Evidence-Based Practice

387. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=163
     January 01, 2024 - Moreover, prolonged intravenous antibiotic regimens are associated with high rates of adverse events. … Keywords: Children/Adolescents, Diagnostic Safety and Quality, Medical Errors, Adverse Events, Patient … Health care provider factors associated with patient-reported adverse events and harm. … Keywords: Adverse Events, Medical Errors, Patient Safety, Quality of Care Herrick HM , Lorch … Keywords: Medication, Substance Abuse, Opioids, Medicaid, Adverse Drug Events (ADE), Adverse Events,

388. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/sands.html
     August 01, 2017 - adverse events and errors. … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … events. … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

389. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/sands.html
     August 01, 2017 - adverse events and errors. … Its goals are to (1) proactively identify adverse events, (2) differentiate between injuries caused by … The DA&O approach to adverse events initially did not gain momentum as a risk management practice and … events. … When things go wrong: responding to adverse events: a consensus statement of the Harvard Hospitals. 

390. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - events (AEs) associated with drugs to initiate an investigation.8 Historically, voluntary spontaneous … These include an affiliation with the Research on Adverse Drug Events and Reports Project (RADAR),26 … events. … The Research on Adverse Drug Events and Reports (RADAR) project. … Outpatient benzodiazepine prescribing, adverse events, and costs.

391. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - events Most hospital adverse events are AVOIDABLE Science of Improving Patient Safety … In addition, surgery is linked to half of all hospital adverse events. … Most hospital adverse events are avoidable. … events resulting in harm. … events and other defects.

392. Project Summaries for ACTION III Projects Awarded in 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/actioniii-2016-summaries-revised.pdf
     January 01, 2016 - The goal is that when ACFs use the toolkit, patients at high risk for adverse events and the families … • Assess the sensitivity and comprehensiveness of QSRS in identifying all adverse events recorded … The data that are collected will be analyzed for true positive and false positive adverse events. … The 10 HACs being studied are: • Adverse drug events (anticoagulants, opioids, and hypoglycemic agents … • Obstetric adverse events. • Pressure ulcers.

393. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=134
     January 01, 2024 - Associations among team stress, adverse TI-associated events, and TI characteristics were evaluated. … events. … Team stress and adverse events during neonatal tracheal intubations: a report from NEAR4NEOS. … events, with yields that are superior to estimates for traditional approaches to adverse event detection … Keywords: Children/Adolescents, Critical Care, Intensive Care Unit (ICU), Adverse Events, Patient Safety

394. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - We have since come to realize that preventable medical deaths and adverse events happen in Wisconsin … events? … The IOM estimates that preventable adverse drug events resulted in approximately $2 billion in increased … events. … Systems analysis of adverse drug events. JAMA 1995;288:501–13. 3. Borden S. U.S.

395. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
     May 19, 2003 - Further, 13.6 percent of the adverse events led to the death of the patient. … Death occurred in 6.6 percent (SD of 1.2 percent) of the adverse events. … Incidence of adverse events and negligence in hospitalized patients. … Incidence and types of adverse events and negligent care in Utah and Colorado. … The nature of adverse events in hospitalized patients.

396. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-references.html
     June 01, 2023 - Families as partners in hospital error and adverse event surveillance. … Comparing patient-reported hospital adverse events with medical record review: do patients know something … An exploration of the implementation of open disclosure of adverse events in the UK: a scoping review … Long-term impacts faced by patients and families after harmful healthcare events. … Health care complaints and adverse events as a means of user involvement for quality and safety improvement

397. The Science of Improving Patient Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
     March 01, 2009 - suffer a medication error2 On average, every patient admitted to an intensive care unit suffers an adverse … Incidence of adverse drug events and potential adverse drug events. JAMA. 1995;274(1):29–34. … An alternative strategy for studying adverse events in medical care.

398. Acknowledgments | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/ackowledgements.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders’ Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Advances

399. Acknowledgments | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/acknowledgements.html
     August 01, 2017 - System in the Sanford Health System Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery Patient Safety Culture and Medical Liability—Recommendations for Measurement … Transitional Care Medication Safety: Stakeholders' Perspectives Medication Discrepancies and Potential Adverse … Drug Events During Transfer of Care from Hospital to Home Advances in Patient Safety

400. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=269
     January 01, 2024 - Keywords: Medication, Medication: Safety, Adverse Drug Events (ADE), Adverse Events, Cardiovascular … Keywords: Risk, Adverse Drug Events (ADE), Adverse Events, Medication, Patient Safety Hudson … Keywords: Adverse Events, Evidence-Based Practice, Patient-Centered Outcomes Research, Research Methodologies … An information enhanced framework for reporting medication events. … Keywords: Adverse Drug Events (ADE), Adverse Events, Medical Errors, Medication, Medication: Safety,