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psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
March 13, 2024 - Sentinel Event Alerts
Sentinel Event Alert 67: Preserving Patient Safety After a … Citation Text:
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. … Copy URL
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Sentinel Event … March 13, 2024
Sentinel Event Alert 68: updated surgical fire prevention for the 21st
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psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
June 30, 2019 - Responding to health information technology reported safety events: insights from patient safety event … Responding to health information technology reported safety events: insights from patient safety event … Responding to health information technology reported safety events: insights from patient safety event … 21, 2022
A machine learning approach to reclassifying miscellaneous patient safety event … May 11, 2019
Using event reports in real-time to identify and mitigate patient safety
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Study
Making patient safety event data actionable: understanding patient safety analyst … Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. … Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. … May 29, 2024
Identifying health information technology related safety event reports from … patient safety event report databases.
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psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
March 06, 2013 - Newspaper/Magazine Article
JCAHO views medication reconciliation as adverse-event … JCAHO views medication reconciliation as adverse-event prevention. … JCAHO views medication reconciliation as adverse-event prevention.
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psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
December 21, 2017 - Review
Adverse drug event reporting systems: a systematic review. … Adverse drug event reporting systems: a systematic review. … Adverse drug event reporting systems: a systematic review.
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psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
October 31, 2011 - Study
Semi-supervised classification of patient safety event reports. … Semi-supervised classification of patient safety event reports. … Semi-supervised classification of patient safety event reports. … April 29, 2020
Adverse drug event detection in pediatric oncology and hematology patients … March 24, 2012
Adverse-event-reporting practices by US hospitals: results of a national
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
October 16, 2013 - Book/Report
National Action Plan for Adverse Drug Event Prevention. … Citation Text:
National Action Plan for Adverse Drug Event Prevention. … Cite
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National Action Plan for Adverse Drug Event … Author(s)
Solicitation for written comments on draft National Action Plan for Adverse Drug Event … for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event
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psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
November 21, 2021 - Study
Elucidating reasons for resident underutilization of electronic adverse event … Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. … Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. … January 31, 2018
Adverse event reporting: harnessing residents to improve patient safety
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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - Study
Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … 25, 2022
Toward safer health care: a review strategy of FDA medical device adverse event … 2011
Multispecialty physician online survey reveals that burnout related to adverse event
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event … safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event … safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event … solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event … July 15, 2020
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Related Resources
Lessons from Event Reports
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psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event … scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event … March 3, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … in adverse event rates in the Irish healthcare system. … in adverse event rates in the Irish healthcare system.
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psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture
November 24, 2021 - Sentinel Event Alerts
The essential role of leadership in developing a safety culture … Sentinel Event Alert. 2021;57(57):1-8. … Facebook
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April 3, 2017
Sentinel Event … The Joint Commission issues sentinel event alerts to highlight commonly reported, novel, or previously … Sentinel Event Alert. 2021;57(57):1-8.
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event. … Leading a highly visible hospital through a serious reportable event. … Leading a highly visible hospital through a serious reportable event.
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Sentinel Event Alerts
Preventing infection from the misuse of vials. … Sentinel Event Alert. 2014;June 16(52):1-6. … Facebook
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December 23, 2016
Sentinel Event … The Joint Commission has issued a sentinel event alert regarding infections caused by the misuse of … Sentinel Event Alert. 2014;June 16(52):1-6.
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psnet.ahrq.gov/node/72698/psn-pdf
February 03, 2021 - The Irish National Adverse Event Study-2 (INAES-2):
longitudinal trends in adverse event rates in the … The Irish National Adverse Event Study-2 (INAES-2): longitudinal
trends in adverse event rates in the … -
event-rates-irish
This longitudinal study set in Ireland found that adverse event rates remained … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish … https://psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
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psnet.ahrq.gov/node/866109/psn-pdf
June 12, 2024 - Grading recommendations for enhanced patient safety in
sentinel event analysis: the recommendation … https://psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis- … recommendation
Strong recommendations coming out of sentinel event investigations are more likely … to reduce recurrence
of the event. … The RIM consists of two elements—whether the intervention occurs
before or after the event and whether
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psnet.ahrq.gov/node/47265/psn-pdf
February 22, 2019 - Introduction of a mobile adverse event reporting system
is associated with participation in adverse … event
reporting. … Event Reporting. … https://psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event … https://psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - Sentinel Event Alerts
Leadership committed to safety. … Sentinel Event Alert. August 27, 2009;(43):1-3. … Facebook
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December 23, 2016
Sentinel Event … This Sentinel Event Alert was retired in March 2017. … Sentinel Event Alert. August 27, 2009;(43):1-3.
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psnet.ahrq.gov/node/865525/psn-pdf
April 10, 2024 - Standardizing patient safety event reporting between care
delivered or purchased by the Veterans Health … Standardizing patient safety event reporting between care
delivered or purchased by the Veterans Health … https://psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or- … purchased-veterans
Event reporting is an essential component of patient safety improvement efforts. … The researchers identified fluctuations in
safety event reporting over the study period, which may be
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psnet.ahrq.gov/node/866812/psn-pdf
September 25, 2024 - Patient perspectives on adverse event investigations in
health care. … Patient perspectives on adverse event investigations in
health care. … https://psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
After an … adverse event, the way hospitals involve families plays a significant role in the families'
perspectives … of the event.