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261. National trends in patient safety for four common conditions, 2005–2011. | PSNet
     psnet.ahrq.gov/issue/national-trends-patient-safety-four-common-conditions-2005-2011
     August 03, 2016 - heart failure, translating to an estimated 81,000 in-hospital adverse events averted in 2010–2011. … July 27, 2022 Relationship between in-hospital adverse events and hospital performance … November 10, 2010 View More Related Resources Adverse Events in … November 27, 2013 Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 9, 2011 Adverse Events in Hospitals: Care Study of Incidence Among Medicare

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839314/psn-pdf
     November 02, 2022 - Correlation between the number of patient-reported adverse events, adverse drug events, and quality … Correlation between the number of patient- reported adverse events, adverse drug events, and quality … not patient-reported adverse drug events.   … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality … https://psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866526/psn-pdf
     August 14, 2024 - Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate … Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate … This systematic review including 66 studies evaluated tools used to identify adverse events in intermediate … The authors found that most tools are designed to identify specific adverse events or safety risks ( … Common adverse events impacting this population include adverse drug events, delirium, malnutrition,

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33588/psn-pdf
     March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second … Victims: Support for Clinicians Involved in Errors and Adverse Events. … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet … Background Multiple studies have shown that involvement in medical errors and adverse events can take … It is estimated that one in seven patients is affected by adverse events, and that as many as half of

265. Related Office of Inspector General (OIG) Reports | PSO
     pso.ahrq.gov/resources/oig-reports
     October 01, 2024 - AHRQ is disseminating information related to these reports to increase understanding of adverse events … Acute-care Hospitals: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in … October 2018 (May 2022) Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … in Two Selected Counties (December 2008) (PDF, 821 KB) Long-Term-Care Hospitals: Adverse Events in … Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries (July 2016) Adverse

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/764402/psn-pdf
     March 02, 2022 - A systematic review of methods for medical record analysis to detect adverse events in hospitalized … A systematic review of methods for medical record analysis to detect adverse events in hospitalized … https://psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events- … MRR reveals more adverse events than other methods; however, research is still lacking or is of moderate … /issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846156/psn-pdf
     March 15, 2023 - Communication matters when it comes to adverse events: associations of adverse events during implant … Communication matters when it comes to adverse events: associations of adverse events during implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse- … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837589/psn-pdf
     June 29, 2022 - Monitoring preventable adverse events and near misses: number and type identified differ depending on … Monitoring preventable adverse events and near misses: number and type identified differ depending on … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type- … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866646/psn-pdf
     September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. … Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts- medical-mishaps … Adverse events and patient safety events can lead to long-term psychological harm for patients and … https://psnet.ahrq.gov/issue/adverse-events-and-perceived-abandonment-learning-patients-accounts-medical-mishaps

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866825/psn-pdf
     September 25, 2024 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. … Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. … AHRQ Publication no. 24-0084 https://psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients … -2021-and-2022 In-hospital adverse events provide a window into the state of patient safety. … events since the peak of the COVID-19 pandemic, with a 13% to 15% reduction in adverse events in 2022

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73399/psn-pdf
     June 16, 2021 - Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective … Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective … This study used trained reviewers to examine root causes of adverse events in 571 deceased hospital … Preventable adverse events were commonly caused by technical, organizational, and human causes; technical … causes also commonly contributed to preventable deaths from adverse events.

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73389/psn-pdf
     June 16, 2021 - Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical … https://psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients … - medical-and-surgical Some adverse events are sensitive to aspects of nursing care, including pressure … Extrapolated nationally, the authors estimate the economic burden of nurse-sensitive adverse events

273. Nanji, Karen C. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/nanji-karen-c
     January 01, 2023 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Patient harm in cataract surgery: A series of adverse events in Massachusetts.

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74754/psn-pdf
     February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis … Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis … The authors conducted a systematic review and meta-analysis of all types of adverse events, critical … or life-threatening adverse events, and death occurring during intra-hospital transport. … adverse events and death are low.

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/859348/psn-pdf
     December 20, 2023 - Are adverse events related to the completeness of clinical records? … Are adverse events related to the completeness of clinical records? … Identifying, measuring and tracking adverse events is an important component of continuous safety … This retrospective study used the Global Trigger Tool to evaluate the prevalence of adverse events documented … The researchers observed that completeness of the clinical records correlated with fewer adverse events

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47815/psn-pdf
     January 01, 2021 - The relationship between culture of safety and rate of adverse events in long-term care facilities. … The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. … https://psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care … - facilities Prior research on the relationship between culture of safety and adverse events has produced … https://psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867690/psn-pdf
     March 05, 2025 - Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective … https://psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four … - retrospective Longitudinal trends in adverse events (AEs) can provide insights into incidence, preventability … https://psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     March 15, 2025 - Triggers alert patient safety personnel to possible adverse events so they can review the medical record … There was no expectation that most cases would turn out to be adverse events. … Also, trigger tools are designed to detect all adverse events; reviewers are explicitly instructed to … Another influential study of temporal trends in adverse events also found markedly different rates when … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48130/psn-pdf
     August 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. … Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. … Investigators found that adverse events occurred after approximately half of discharges. … Common adverse events included falls, pressure ulcers, health care–associated infections, and adverse … Most adverse events were deemed preventable or ameliorable.

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866346/psn-pdf
     July 24, 2024 - A human right-based approach to dealing with adverse events in residential care facilities. … A human right-based approach to dealing with adverse events in residential care facilities. … https://psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities … Many regulatory authorities require notification of adverse events involving vulnerable individuals … In the majority of adverse events and their management, residents' human rights were upheld.