Results

Total Results: over 10,000 records

Showing results for "event".

101. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
     psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
     December 15, 2024 - adverse events, and that as many as half of all clinicians will be involved in a serious adverse event … from near misses to serious errors, and 81% reported some degree of job-related stress linked to the event … the patient seem to be predictive of the degree of distress clinicians experience after an adverse event … error, or patient injury and "become victimized in the sense that the provider is traumatized by the event … August 9, 2017 Care of the clinician after an adverse event.

102. A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet
     psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
     December 21, 2016 - multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event … Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. … Hospitals often rely on voluntary patient safety event reporting systems to identify safety issues. … Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. … September 19, 2016 Adverse drug event detection in pediatric oncology and hematology

103. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet
     psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
     October 21, 2016 - Solicitation for written comments on draft National Action Plan for Adverse Drug Event … Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event … This notice calls for comments on a proposed government plan to research and promote adverse drug event … Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event … Related Resources From the Same Author(s) National Action Plan for Adverse Drug Event

104. Near-miss event analysis enhances the barcode medication administration process. | PSNet
     psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
     February 13, 2013 - Newspaper/Magazine Article Near-miss event analysis enhances the barcode medication … Citation Text: Near-miss event analysis enhances the barcode medication administration process. … events, this report outlines practices and strategies that contributed to success such as promoting event … Copy URL Cite Citation Citation Text: Near-miss event … February 13, 2013 Electronic approaches to making sense of the text in the adverse event

105. Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet
     psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
     February 14, 2024 - Classic Implications of electronic health record downtime: an analysis of patient safety event … Implications of electronic health record downtime: an analysis of patient safety event reports. … Implications of electronic health record downtime: an analysis of patient safety event reports. … October 17, 2018 Identifying health information technology related safety event reports … from patient safety event report databases.

106. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
     psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
     November 13, 2024 - proposed the formalization of second victim "rights" in the aftermath of an unanticipated clinical event … ( 17 ) Almost one in seven staff members (175/1,160) reported they had experienced a patient safety event … Time lapse since the unanticipated clinical event ranged from 3 weeks to 44 months (mean = 14 months) … Some were able to cite the exact date of the event while others provided event-specific details such … as the color of scrubs worn when the event occurred.

107. Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet
     psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
     May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients … Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. … structured format for communication to debrief and support a health care team following an adverse event … Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

108. Preventing violence in the health care setting. | PSNet
     psnet.ahrq.gov/issue/preventing-violence-health-care-setting
     April 26, 2023 - Sentinel Event Alerts Preventing violence in the health care setting. … Sentinel Event Alert. 2010;(45):1-3. … Facebook Twitter Linkedin Copy URL June 18, 2021 Sentinel Event … The Joint Commission issues sentinel event alerts to highlight areas of high risk and to promote rapid … Sentinel Event Alert. 2010;(45):1-3.

109. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. | PSNet
     psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
     September 15, 2011 - The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event … The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event … Previous research suggests that residents may underutilize adverse event reporting tools. … Researchers found the collaborative increased participation in event investigation and improved the quality … The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event

110. Behaviors that undermine a culture of safety. | PSNet
     psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
     April 24, 2024 - Sentinel Event Alerts Behaviors that undermine a culture of safety. … Sentinel event alert. 2008;(40):1-3. … The Joint Commission issues sentinel event alerts  one to two times yearly to highlight areas of high … This newly released sentinel event alert focuses on intimidating and disruptive behaviors and the role … Sentinel event alert. 2008;(40):1-3.

111. Training Catalog | PSNet
     psnet.ahrq.gov/training-catalog
     March 03, 2025 - Event Location: Online Date: On demand Event Fee: Free CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered? … Event Location: Online Date: On Demand Event Fee: Free CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered?

112. Preventing unintended retained foreign objects. | PSNet
     psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
     January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. … Sentinel event alert. 2013;(51):1-5. … Sentinel event alerts are issued periodically by The Joint Commission to identify common or emerging … Sentinel event alert. 2013;(51):1-5. … April 27, 2019 Sentinel Event Alert.

113. Detecting and treating suicide ideation in all settings. | PSNet
     psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings
     March 25, 2025 - Sentinel Event Alerts Detecting and treating suicide ideation in all settings. … Sentinel event alert. 2016;(56):1-7. … The Joint Commission publishes sentinel event alerts to emphasize pressing safety issues, determine … Sentinel event alert. 2016;(56):1-7. … September 19, 2016 Inpatient suicide: preventing a common sentinel event.

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Limitations of Event Reporting The limitations of voluntary event reporting systems have been well documented … Failure to receive feedback after reporting an event is a commonly cited barrier to event reporting … Using Event Reports to Improve Safety A 2016 article contrasted event reporting in health care with … event reporting in other high-risk industries (such as aviation), pointing out that event reporting … analysis, rather than encouraging event reporting for its own sake.

115. The effect of an organizational network for patient safety on safety event reporting. | PSNet
     psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
     October 16, 2013 - Study The effect of an organizational network for patient safety on safety event … The effect of an organizational network for patient safety on safety event reporting. … for communication, and a reward system, led to a significant increase in voluntary patient safety event … The effect of an organizational network for patient safety on safety event reporting. … August 24, 2022 The effects of power, leadership and psychological safety on resident event

116. Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting. | PSNet
     psnet.ahrq.gov/issue/assessing-potential-adoption-and-usefulness-concurrent-action-oriented-electronic-adverse
     October 01, 2014 - Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event … Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event … This AHRQ-funded study assessed the usefulness of different adverse drug event triggers in the outpatient … November 10, 2010 Consensus building for development of outpatient adverse drug event … March 4, 2011 Families as partners in hospital error and adverse event surveillance.

117. Medical adverse events in the US 2018 mortality data. | PSNet
     psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
     December 21, 2022 - Accurate measurement of adverse event rates is critical to patient safety improvement efforts. … States compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to an adverse event. … Procedure-related complications contributed to the majority of adverse event deaths. … The risk of death due to adverse event was higher for younger patients and Black patients.

118. Sentinel Event Alert 69: Environmental disasters: preparing to safely evacuate or shelter in place. | PSNet
     psnet.ahrq.gov/issue/sentinel-event-alert-69-environmental-disasters-preparing-safely-evacuate-or-shelter-place
     April 10, 2024 - Sentinel Event Alerts Sentinel Event Alert 69: Environmental disasters: preparing … Citation Text: Sentinel Event Alert 69: Environmental disasters: preparing to safely evacuate or shelter … Copy URL Cite Citation Citation Text: Sentinel Event … April 3, 2024 Sentinel Event Alert 68: updated surgical fire prevention for the 21st … November 1, 2023 Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack

119. A text mining approach to categorize patient safety event reports by medication error type. | PSNet
     psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
     December 07, 2022 - Study A text mining approach to categorize patient safety event reports by medication … A text mining approach to categorize patient safety event reports by medication error type. … A text mining approach to categorize patient safety event reports by medication error type. … October 17, 2018 Identifying health information technology related safety event reports … from patient safety event report databases.

120. Preventing pediatric medication errors. | PSNet
     psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
     August 05, 2020 - Sentinel Event Alerts Preventing pediatric medication errors. … Sentinel event alert. 2008;39:1-4. … The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high … This newly released Sentinel Event Alert focuses on pediatric medication errors, in light of recent … Sentinel event alert. 2008;39:1-4.