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Showing results for "adverse events".
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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45945/psn-pdf
     April 24, 2018 - adverse events remains a challenge across health care settings. … Investigators compared adverse events detected with these mechanisms to adverse events identified through … Families were able to identify preventable adverse events that were not detected by any other method. … These results demonstrate that families can identify otherwise undetected adverse events and their input … https://psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46481/psn-pdf
     August 20, 2018 - An electronic trigger based on care escalation to identify preventable adverse events in hospitalised … An electronic trigger based on care escalation to identify preventable adverse events in hospitalised … https://psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events … - hospitalised Identifying adverse events in real time remains a patient safety challenge. … About half of trigger-positive cases represented preventable adverse events, and there was moderate

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44523/psn-pdf
     January 01, 2016 - Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery … Electronic health record-based triggers to detect adverse events after outpatient orthopaedic surgery … - orthopaedic Trigger tools facilitate detection of adverse events in medical records, which enables … This study identified adverse events following outpatient orthopedic surgeries using a trigger tool. … /issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43207/psn-pdf
     April 25, 2016 - Root cause analysis of serious adverse events among older patients in the Veterans Health Administration … Root cause analysis of serious adverse events among older patients in the Veterans Health Administration … https://psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans … Inadequate communication was the most common root cause identified in adverse events, and within this … category, poor communication among providers (such as handoffs) often resulted in adverse events.

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37940/psn-pdf
     June 16, 2010 - Comparing patient-reported hospital adverse events with medical record review: do patients know something … Comparing patient-reported hospital adverse events with medical record review: do patients know something … https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do … - patients-know While many methods exist for detecting inpatient adverse events, ranging from medical … https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care https://psnet.ahrq.gov/

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37217/psn-pdf
     December 15, 2011 - Costs of adverse events in intensive care units. … Costs of adverse events in intensive care units. Crit Care Med. 2007;35(11):2479-83. … https://psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units The cost of adverse events has … Adverse events were associated with increased costs of nearly $4000 per patient, which were only partially … https://psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44541/psn-pdf
     September 30, 2015 - The effect of universal glove and gown use on adverse events in intensive care unit patients. … The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. … https://psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit- … Rates of adverse events were similar in units with universal gown and glove precautions and those with … https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43630/psn-pdf
     April 15, 2016 - Evaluation of adverse drug events and medication discrepancies in transitions of care between hospital … Evaluation of Adverse Drug Events and Medication Discrepancies in Transitions of Care Between Hospital … https://psnet.ahrq.gov/issue/evaluation-adverse-drug-events-and-medication-discrepancies-transitions- … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer … /medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34651/psn-pdf
     March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical … Incidence and types of preventable adverse events in elderly patients: population based review of medical … https://psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population … Results indicated a significant number of adverse events in both elderly (>65) and nonelderly patient … https://psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review

370. Trends in Nursing Home Deficiencies and Complaints. | PSNet
     psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
     February 18, 2009 - August 9, 2017 Adverse Events in Hospitals: Methods for Identifying Events. … March 17, 2010 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … November 16, 2011 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … January 23, 2008 Adverse Events Toolkit: Medical Record Review Methodology.

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44331/psn-pdf
     September 09, 2015 - Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the … end of adverse events as a useful metric? … Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the … end of adverse events as a useful metric? … The authors also suggest that the study findings highlight some of the limitations of adverse events

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45664/psn-pdf
     July 02, 2017 - Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay … Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay … https://psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating- … In this study, investigators found that intraoperative adverse events during abdominal surgery were … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46152/psn-pdf
     May 31, 2017 - Root cause analysis of adverse events in an outpatient anticoagulation management consortium. … Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. … https://psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management … - consortium Anticoagulation confers a high risk of adverse drug events. … Examining root cause analyses of anticoagulation–related adverse events, this study found that the majority

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40907/psn-pdf
     December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by … Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse- … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40982/psn-pdf
     March 23, 2012 - Emergency hospitalizations for adverse drug events in older Americans. … Emergency hospitalizations for adverse drug events in older Americans. … https://psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans Partnership … Adverse drug events contribute significantly to undesired outcomes and provide an ongoing area for prevention … /issue/partnership-patients https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries … https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38097/psn-pdf
     January 02, 2017 - Adverse events during hospitalization: results of a patient survey. … Adverse events during hospitalization: results of a patient survey. … https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey This survey … Prior work in this area has demonstrated that patients can identify adverse events that were not documented … /issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know https

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44493/psn-pdf
     September 19, 2016 - Interventions in health organisations to reduce the impact of adverse events in second and third victims … Interventions in health organisations to reduce the impact of adverse events in second and third victims … https://psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and … Many organizations lacked protocols for responding to serious adverse events, especially in primary … ://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46924/psn-pdf
     March 07, 2018 - Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians … Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians … https://psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative- … interviews-physicians Regulatory agencies rely on physician reports of adverse events associated with … https://psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42547/psn-pdf
     May 19, 2014 - Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health … Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration … https://psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events … However, in this study the PSIs were able to identify adverse events after discharge in patients who … https://psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health