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psnet.ahrq.gov/taxonomy/term/3437/feed
September 01, 2019 - Adverse Event
Adverse Event
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psnet.ahrq.gov/taxonomy/term/3437
Adverse Event
Any injury caused by medical care. … hospital-acquired delirium (or "sundowning") in elderly patients Identifying something as an adverse event … Thus, pneumothorax from central venous catheter placement counts as an adverse event regardless of insertion … Subscribe to Adverse Event
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psnet.ahrq.gov/issue/sentinel-event
May 30, 2012 - Multi-use Website
Classic
Sentinel Event. … Citation Text:
Sentinel Event. The Joint Commission. … The Sentinel Event Alert Web site includes a complete library of previous sentinel event alerts, along … November 26, 2013
Sentinel Event Alert. … December 23, 2016
Sentinel Event Alert.
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psnet.ahrq.gov/issue/ehr-event
December 01, 2010 - Multi-use Website
Published December 1, 2010
EHR Event
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psnet.ahrq.gov/training-catalog/event-listings
Event Listings
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Facebook … Organization
Betsy Lehman Center for Patient Safety
Event … Event Location: Online
Date: On Demand
Event Fee: Free
CE or CME Offered? … No
Weblink:
Weblink
https://betsylehmancenterma.gov/news/event-listings
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psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
July 03, 2016 - Study
Automated adverse event detection collaborative: electronic adverse event identification … Automated adverse event detection collaborative: electronic adverse event identification, classification … This study investigated the use of an automated adverse event detection system at two academic children's … Automated adverse event detection collaborative: electronic adverse event identification, classification … October 6, 2016
Relationship between medication event rates and the Leapfrog computerized
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psnet.ahrq.gov/issue/wise-event
October 09, 2024 - Commentary
Wise before the event.
Citation Text:
Watts G. … Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. … Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.
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psnet.ahrq.gov/issue/sentinel-event-program
October 15, 2008 - Government Resource
Sentinel Event Program. … Citation Text:
Sentinel Event Program. … provides information about Maine's statewide incident reporting initiative and includes annual sentinel event … Copy URL
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Citation
Citation Text:
Sentinel Event
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psnet.ahrq.gov/issue/sentinel-event-alert
May 30, 2012 - Newsletter/Journal
Sentinel Event Alert. … Citation Text:
Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission. … The Joint Commission issues these sentinel event alerts to review selected incidents, determine the root … Copy URL
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Citation
Citation Text:
Sentinel Event … December 23, 2016
Sentinel Event.
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psnet.ahrq.gov/issue/lessons-event-reports
January 16, 2025 - Multi-use Website
Lessons from Event Reports. … Citation Text:
Lessons from Event Reports. Patient Safety Authority. … This searchable collection of projects initiated in response to event reports supports the spread of … Copy URL
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Citation
Citation Text:
Lessons from Event … safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting. … Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4). … Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. … Copy URL
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Diagnostic safety event … Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event
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psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
July 07, 2021 - Study
Identifying health information technology related safety event reports from … patient safety event report databases. … Identifying health information technology related safety event reports from patient safety event report … Identifying health information technology related safety event reports from patient safety event report … March 1, 2017
Electronic approaches to making sense of the text in the adverse event
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psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
July 03, 2016 - Study
Introduction of a mobile adverse event reporting system is associated with … participation in adverse event reporting. … Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event … Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event … used in daily workflow increases adverse event reporting by physicians.
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psnet.ahrq.gov/issue/defending-never-event
February 14, 2017 - Commentary
Defending a "never event."
Citation Text:
Shepperd JR. … Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. … Surgical fires are considered a never event . … Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. … November 6, 2024
Sentinel Event Alert 68: updated surgical fire prevention for the 21st
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psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
February 28, 2018 - Measurement Tool/Indicator
Sentinel Event Data Summary. … Citation Text:
Sentinel Event Data Summary. Joint Commission. … This website provides sentinel event data reported to The Joint Commission, which includes information … Copy URL
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Citation Text:
Sentinel Event … May 10, 2023
Common general surgical never events: analysis of NHS England never event
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psnet.ahrq.gov/issue/risk-and-event-assessment
August 12, 2020 - Special or Theme Issue
Risk and Event Assessment. … Citation Text:
Risk and Event Assessment. Jt Comm J Qual Patient Saf. 2010;36:348-385. … Copy URL
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Citation Text:
Risk and Event
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psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
March 03, 2021 - Study
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in … adverse event rates in the Irish healthcare system. … The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the … This longitudinal study set in Ireland found that adverse event rates remained stable between 2009 … The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the
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psnet.ahrq.gov/issue/redesigning-event-review-rca2
September 10, 2024 - United States Meeting/Conference
Redesigning Event Review with RCA2. … Citation Text:
Redesigning Event Review with RCA2. Institute for Healthcare Improvement. … Copy URL
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Citation Text:
Redesigning Event
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psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
December 15, 2011 - Study
Using estimated true safety event rates versus flagged safety event rates: … Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling … This retrospective study of hospital data found that estimated adverse event rates varied between use … Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling
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psnet.ahrq.gov/training-catalog/webinar-and-event-calendar
Webinar and Event Calendar
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Share … Organization:
Organization
ECRI Institute
Event … Event Location: Online
Date: On Demand and various upcoming dates
Event Fee: Free
CE or