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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital … Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital … https://psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software- … Investigators discovered no difference in readmissions, emergency department visits, or adverse events … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45382/psn-pdf
    January 23, 2017 - The impact of major intraoperative adverse events on hospital readmissions. … The impact of major intraoperative adverse events on hospital readmissions. … https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions Hospital … https://psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions https:/ … /psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce-adverse-events
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35069/psn-pdf
    June 22, 2009 - Towards an organization with a memory: exploring the organizational generation of adverse events in … Towards an organization with a memory: exploring the organizational generation of adverse events in … events-health-care The authors examine the organizational factors that lead to adverse events as identified … https://psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care … https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39819/psn-pdf
    April 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients … Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients … https://psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time … https://psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time-hospitalized … -2nd-edition https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40678/psn-pdf
    December 01, 2011 - Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican … Study of Adverse Events' (IBEAS). … Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican … Study of Adverse Events' (IBEAS). … https://psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46526/psn-pdf
    December 22, 2018 - Risk factors for adverse events in emergency department procedural sedation for children. … Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation- children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children … https://psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38706/psn-pdf
    June 17, 2009 - Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory … Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory … https://psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults … - ambulatory-primary Trigger tools are a useful method to screen for adverse events and have been described … https://psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42249/psn-pdf
    May 08, 2013 - Is detection of adverse events affected by record review methodology? … Is detection of adverse events affected by record review methodology? … https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation- … https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical … https://psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42854/psn-pdf
    March 20, 2014 - Medication event huddles: a tool for reducing adverse drug events. … Medication event huddles: a tool for reducing adverse drug events. … https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events Retrospective … analysis of adverse events is traditionally performed using tools such as root cause analysis. … /primer/root-cause-analysis https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43721/psn-pdf
    December 03, 2014 - Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from … https://psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day- unplanned-hospital … https://psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital … https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42761/psn-pdf
    November 27, 2013 - Assessing adverse events among home care clients in three Canadian provinces using chart review. … Assessing adverse events among home care clients in three Canadian provinces using chart review. … https://psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian- provinces-using-chart-review … Adverse events are thought to be common in patients receiving home health care, but few high-quality … https://psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45969/psn-pdf
    January 07, 2019 - Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. … https://psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events- surgeons-attitude-bisa … Health care providers who experience psychological harm associated with adverse events are often referred … https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events https
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46077/psn-pdf
    September 06, 2017 - Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged … -45- years-and-over This study elicited patients' reports of adverse events during hospitalization. … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39438/psn-pdf
    March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. … Time to listen: a review of methods to solicit patient reports of adverse events. … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events Identification … of adverse events relies primarily on well-tested methods such as voluntary error reporting by providers … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events https:
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41557/psn-pdf
    August 01, 2012 - Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care … Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care … https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events … - among-primary Adverse drug events (ADEs) are difficult to capture, particularly in the ambulatory … /issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. … National surveillance of emergency department visits for outpatient adverse drug events. … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events … https://psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events … https://psnet.ahrq.gov/issue/emergency-department-visits-outpatient-adverse-drug-events-demonstration-national
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40405/psn-pdf
    February 10, 2015 - The social cost of adverse medical events, and what we can do about it. … The social cost of adverse medical events, and what we can do about it. … https://psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it The annual … cost of preventable adverse events to the United States health care system has been estimated as $17 … billion, but this study estimates the total social cost of adverse events to approach $950 billion,
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39746/psn-pdf
    August 11, 2010 - Analysis of adverse events in pediatric surgery using criteria validated from the adult population: … Analysis of adverse events in pediatric surgery using criteria validated from the adult population: … https://psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult … - population This study sought to characterize the incidence and types of adverse events in pediatric … https://psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46683/psn-pdf
    February 14, 2018 - Changing experience of adverse medical events in the National Health Service: comparison of two population … Changing experience of adverse medical events in the National Health Service: Comparison of two population … https://psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service- comparison-two-population … Researchers found that the reported incidence of adverse events declined by one-third in 2013 compared … https://psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47300/psn-pdf
    October 13, 2018 - Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational … Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational … https://psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events- prospective … https://psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective … https://psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective