-
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.
-
psnet.ahrq.gov/node/852444/psn-pdf
August 16, 2023 - Comparing rates of adverse events detected in incident
reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting
and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … This systematic
review examined the difference in adverse events detected using the Global Trigger Tool … In 12 of the 14 included studies, less than 10% of adverse
events detected using the Global Trigger
-
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
-
psnet.ahrq.gov/node/60876/psn-pdf
September 02, 2020 - Serious adverse events in pediatric procedural sedation
before and after the implementation of a pre-sedation … Serious adverse events in pediatric procedural sedation before and after the
implementation of a pre-sedation … This retrospective study evaluated the impact of a pre-sedation checklist on serious adverse events … There were significantly
more serious adverse events recorded after the implementation of the checklist … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
-
psnet.ahrq.gov/node/73688/psn-pdf
September 08, 2021 - Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge … Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge … https://psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events … events, it did
reduce the number of potential adverse events. … https://psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital
-
psnet.ahrq.gov/node/73879/psn-pdf
September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events … Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events … Hospital adverse events are common and can contribute to serious patient harm. … Findings indicate that hospital adverse events have increased over time
and that over half are considered … https://psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
https://
-
psnet.ahrq.gov/node/74270/psn-pdf
January 19, 2022 - Adverse events associated with patient isolation: a
systematic literature review and meta-analysis. … Adverse events associated with patient isolation: a systematic
literature review and meta-analysis. … https://psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and … This
systematic review examined adverse physical and psychosocial events associated with patient isolation … A
meta-analysis of seven observational studies showed no adverse events related to clinical care or
-
psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - Adverse events during dental care for children:
implications for practitioner health and wellness. … Adverse events during dental care for children: implications for practitioner health and
wellness. … https://psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health … This review discusses adverse events in pediatric dental patients and
suggests that when they occur, … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
-
psnet.ahrq.gov/node/837891/psn-pdf
August 24, 2022 - Emergency department adverse events detected using
the emergency department trigger tool. … Emergency department adverse events detected using the
emergency department trigger tool. … Trigger tools are a novel method of detecting adverse events. … This article describes the location, severity,
omission/commission, and type of adverse events retrospectively … Understanding the characteristics of prior adverse events
can guide future quality and safety improvement
-
psnet.ahrq.gov/node/854990/psn-pdf
November 01, 2023 - Identifying contributing factors associated with dental
adverse events through a pragmatic electronic … Identifying contributing factors associated with dental adverse
events through a pragmatic electronic … https://psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through … -
pragmatic
Understanding factors that contribute to adverse events (AE) is key to preventing them … https://psnet.ahrq.gov/issue/classifying-adverse-events-dental-office
-
psnet.ahrq.gov/node/60026/psn-pdf
March 11, 2020 - Adverse events present on arrival to the emergency
department: the ED as a dual safety net. … Adverse Events Present on Arrival to the Emergency Department:
The ED as a Dual Safety Net. … https://psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net … Trigger tools are one approach to identifying adverse events. … The most comment POA adverse events were medication-related (55.6%).
-
psnet.ahrq.gov/node/60251/psn-pdf
April 22, 2020 - Exploring the association between organizational culture
and large-scale adverse events: evidence from … Exploring the Association Between Organizational Culture and
Large-Scale Adverse Events: Evidence from … at the Department of
Veterans Affairs (VA) were associated with large-scale adverse events. … https://psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence … https://psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
-
psnet.ahrq.gov/node/846439/psn-pdf
March 22, 2023 - Which adverse events and which drugs are implicated in
drug-related hospital admissions? … Which adverse events and which drugs are implicated in
drug-related hospital admissions? … https://psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital … -
admissions
Adverse drug events (ADE) can result in patient harm, hospital admissions, and, in severe … https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
-
psnet.ahrq.gov/node/851665/psn-pdf
July 26, 2023 - Adverse Events Toolkit: Medical Record Review
Methodology.
July 26, 2023
Maxwell A. … https://psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
Medical record … This
report discusses the review process used in the 2018 report Adverse Events in Hospitals: A Quarter … /issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients … -2018
https://psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
-
psnet.ahrq.gov/node/47634/psn-pdf
January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National
Incidence Among Medicare Beneficiaries. … Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare
Beneficiaries. … OEI-06-14-00530
https://psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare … Nearly half of
patients experienced adverse events or temporary harm events. … https://psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-244-safety-vaccines-update-evidence-summary.pdf
May 01, 2021 - There continues to be no evidence of
increased risk of adverse events for vaccines currently recommended … • There remains insufficient evidence to draw conclusions about some rare potential
adverse events … events
Red circle indicates evidence of risk of specific adverse events
White box indicates insufficient … events
Red circle indicates evidence of risk of specific adverse events
White box indicates insufficient … events
Red circle indicates evidence of risk of specific adverse events
White box indicates insufficient
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/cer-244-safety-vaccines-update-evidence-summary.pdf
May 01, 2021 - There continues to be no evidence of
increased risk of adverse events for vaccines currently recommended … • There remains insufficient evidence to draw conclusions about some rare potential
adverse events … events
Red circle indicates evidence of risk of specific adverse events
White box indicates insufficient … events
Red circle indicates evidence of risk of specific adverse events
White box indicates insufficient … events
Red circle indicates evidence of risk of specific adverse events
White box indicates insufficient
-
psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - Insulin pump-associated adverse events: a qualitative
descriptive study of clinical consequences and … Insulin pump-associated adverse events: a qualitative descriptive
study of clinical consequences and … https://psnet.ahrq.gov/issue/insulin-pump-associated-adverse-events-qualitative-descriptive-study-clinical … -
consequences
Insulin pump malfunctions are a known contributor to adverse events. … This study used six months of
adverse events reported to the Food and Drug Administration's (FDA) Manufacturer
-
psnet.ahrq.gov/node/843056/psn-pdf
January 25, 2023 - Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and … Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and … https://psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care- … https://psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and … https://psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis
-
psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - Transforming the medication regimen review process
using telemedicine to prevent adverse events. … Transforming the medication regimen review process using
telemedicine to prevent adverse events. … Medication reconciliation and medication regimen reviews can reduce adverse drug events (ADEs) in older … Residents in the program experienced fewer
adverse drug events compared to a usual care group. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
https://