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  1. effectivehealthcare-admin.ahrq.gov/health-topics/adverse-effects
    July 06, 2023 - Home Health Topics A Adverse … S T U V W X Y Z Health Topics AdverseEvents in Those Undergoing Insertion of Implantable Cardiovascular Devices Rapid Evidence … Product July 6, 2023 Efficacy of Dental Services for Reducing Adverse Events in Those Receiving … Treatments of Major Depression in Older Adults Research Protocol February 7, 2018 Adverse
  2. pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
    July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable … or Likely Preventable by Clinical Category Page 1 of 4 Adverse and Temporary Harm Events in Rehabilitation … Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Adverse … period of unresponsiveness and blood glucose of 29 resulting in transfer to an acute-care hospital AdverseAdverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06-
  3. psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
    March 05, 2008 - Study Preventable adverse drug events causing hospitalisation: identifying root causes … Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance … Adverse drug events – many of which are preventable – are a major source of patient harm. … May 5, 2021 Preventable adverse drug events: descriptive epidemiology. … August 24, 2022 Correlation between the number of patient-reported adverse events, adverse
  4. psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
    September 20, 2011 - February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … January 14, 2009 Adverse Events in Hospitals: Methods for Identifying Events. … October 31, 2012 Few Adverse Events in Hospitals Were Reported to State Adverse Event … February 18, 2009 Adverse Events in Hospitals: Overview of Key Issues.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33592/psn-pdf
    December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. … Adverse events may be preventable or nonpreventable. … Examples of nonpreventable adverse events and preventable adverse events from the Harvard Medical Practice … of postdischarge of adverse events. … Important subcategories of adverse events include: Preventable adverse events: those that occurred
  6. 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
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
    January 01, 2003 - drug events using 247 adverse drug events in 207 hospitalized patients in 2 hospitals in Boston over … adverse events. … events and 8.37 percent for those without potentially preventable adverse medical events. … medical events, and 5.61 percent for those without potentially preventable adverse medical events. … by patients experiencing adverse events.
  8. 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
  9. 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,
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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.
  15. 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
  16. 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.
  17. 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
  18. 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
  19. 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.
  20. 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