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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - Quantitative questions
included: “General Issues of Adverse Events,” “Causes of Adverse Events,” “Strategies … to
Reduce Adverse Events,” and “Malpractice Issues.” … to think of adverse
events. … Causes of adverse events. … Strategies for reducing adverse events.
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Associations between patient factors and adverse events
in the home care setting: a secondary data analysis … Associations between patient factors and adverse events in the home
care setting: a secondary data analysis … https://psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting … -
secondary-data
Adverse events occur frequently in the home care setting. … https://psnet.ahrq.gov/issue/incidence-adverse-events-among-home-care-patients
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46404/psn-pdf
December 07, 2017 - Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum … Preventable and mitigable adverse events in cancer care:
measuring risk and harm across the continuum … https://psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and- … Over a third of patients experienced an adverse event, and about 32% of
adverse events were deemed preventable … Most adverse events occurred in the inpatient setting.
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psnet.ahrq.gov/node/46538/psn-pdf
February 21, 2018 - Adverse events in patients in home healthcare: a
retrospective record review using trigger tool
methodology … Adverse events in patients in home healthcare: a
retrospective record review using trigger tool methodology … https://psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using … They found that adverse events occurred frequently, were mostly preventable, and often led to
patient … https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
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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
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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
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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
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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - 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. … June 18, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … August 1, 2012
Adverse Events in Hospitals: Public Disclosure of Information About Events
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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
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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.
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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/
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psnet.ahrq.gov/issue/nursing-home-complaint-investigations
September 27, 2006 - February 11, 2015
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious … September 6, 2006
Adverse Events in Rehabilitation Hospitals: National Incidence Among … October 16, 2012
Adverse Events in Hospitals: Care Study of Incidence Among Medicare … November 16, 2011
Adverse Events in Hospitals: Methods for Identifying Events. … March 17, 2010
Adverse Events in Hospitals: Overview of Key Issues.
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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
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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
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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
-
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
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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
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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
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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
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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