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psnet.ahrq.gov/node/47447/psn-pdf
February 22, 2019 - 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 … -
safety-event
Researchers describe the development of a model to distinguish safety events related … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - Sentinel Event Alerts
Preventing maternal death. … Sentinel Event Alert. 2010;44(44):1-4. … Facebook
Twitter
Linkedin
Copy URL
August 22, 2018
Sentinel Event … The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the … Sentinel Event Alert. 2010;44(44):1-4.
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psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
May 27, 2011 - Study
Understanding pharmacist decision making for adverse drug event (ADE) detection … Understanding pharmacist decision making for adverse drug event (ADE) detection. … Understanding pharmacist decision making for adverse drug event (ADE) detection. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … June 21, 2015
Relationship between medication event rates and the Leapfrog computerized
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psnet.ahrq.gov/node/866199/psn-pdf
June 26, 2024 - The role of pediatric nurses during preventable adverse
event disclosure: a scoping review. … The role of pediatric nurses during preventable adverse event disclosure: a
scoping review. … https://psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping … -
review
Full disclosure after a preventable patient safety event is encouraged in healthcare, but … a significant gap
in the literature examining the role of pediatric nurses during a patient safety event
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psnet.ahrq.gov/training-catalog/ihi-redesigning-event-review-root-cause-analyses-and-actions-rca2
IHI Redesigning Event Review with Root Cause Analyses and Actions (RCA2)
Save
Save … Organization
Institute for Healthcare Improvement (IHI)
Event … Description: Learn to improve your event review process with a unique approach that expands upon traditional … root cause analysis
Event Location: Online
Date: September 10-17, 2024
Event Fee: Fee Associated … Weblink:
Weblink
https://www.ihi.org/education/training/redesigning-event-review-root-cause-anal
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psnet.ahrq.gov/node/866192/psn-pdf
June 26, 2024 - A systemwide strategy to embed equity into patient safety
event analysis. … A systemwide strategy to embed equity into patient safety event
analysis. … https://psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
Root cause … analysis (RCA) investigations are conducted to identify systemic issues that contributed to an
adverse event … /primer/root-cause-analysis
https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists … Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists … https://psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system- … chiropractors-and
Voluntary adverse event reporting among chiropractors is an ongoing challenge. … physiotherapist office visits between October 2015 and December 2017, 21% reported
experiencing an adverse event
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psnet.ahrq.gov/node/36110/psn-pdf
April 04, 2024 - Sentinel Event Data Summary.
April 4, 2024
Joint Commission. … https://psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
This website provides sentinel event … graphs are updated regularly and include a 10 year trend analysis and specific analysis associated
with event … https://psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
https://psnet.ahrq.gov/issue/sentinel-event
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psnet.ahrq.gov/node/836755/psn-pdf
March 16, 2022 - Adverse event and complication tracking in
anaesthesiology: dependence on self-reporting despite
implementation … Adverse event and complication tracking in anaesthesiology:
dependence on self-reporting despite implementation … https://psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self- … reporting-despite
Adverse event reporting and tracking are essential components to safety improvement … This letter to the
editor summarizes the barriers to accurate adverse event tracking in anesthesiology
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psnet.ahrq.gov/training-catalog/ambulatory-care-conference-live-virtual
Organization:
Organization
Joint Commision Resources
Event … Description: This 3 day live-virtual event will provide health care professionals with tips, tools, … Event Location: Online
Date: November 3-5, 2021
Event Fee: Fee Associated
CE or CME Offered
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psnet.ahrq.gov/node/60730/psn-pdf
January 01, 2021 - A machine learning approach to reclassifying
miscellaneous patient safety event reports. … A machine learning approach to reclassifying miscellaneous patient
safety event reports. … https://psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event … -
reports
Health systems rely on accurate event reporting to monitor patient safety, but most reporting … a machine learning approach to
reclassifying “miscellaneous” patient safety reports to a specific event-type
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psnet.ahrq.gov/node/837666/psn-pdf
July 13, 2022 - Developing and aligning a safety event taxonomy for
inpatient psychiatry. … Developing and aligning a safety event taxonomy for inpatient
psychiatry. … https://psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
Patient … safety event taxonomies provide a standardized framework for data classification and analysis. … https://psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
https
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psnet.ahrq.gov/node/72604/psn-pdf
December 23, 2020 - Organizational characteristics and perceptions of clinical
event notification services in healthcare … Organizational characteristics and perceptions of clinical event
notification services in healthcare … https://psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification … -
services
Optimal use of health information exchange approaches such as event notification systems … This study found that healthcare organizations whose positive
perceptions of event alerts fit within
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools … September 23, 2020
Adverse event rates as measures of hospital performance. … May 18, 2022
Adverse event and complication tracking in anaesthesiology: dependence on
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psnet.ahrq.gov/node/50772/psn-pdf
January 08, 2020 - Integrating adverse event reporting into a free-text mobile
application used in daily workflow increases … adverse
event reporting by physicians. … Integrating Adverse Event Reporting Into a Free-Text Mobile
Application Used in Daily Workflow Increases … Adverse Event Reporting by Physicians. … https://psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily
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psnet.ahrq.gov/node/60957/psn-pdf
September 30, 2020 - A narrative review of strategies to increase patient safety
event reporting by residents. … A narrative review of strategies to increase patient safety event reporting by
residents. … https://psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents … review, the authors examined current literature on effective strategies to increase patient
safety event … combined
strategies that successfully minimized physician involvement time, incorporated accessible event
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture. … Leveraging a safety event management system to improve
organizational learning and safety culture. … https://psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning … usability, de-centralized event follow-up, and
closed-loop communication. … The new SEMS resulted in more event reporting and less staff time spent on
each report.
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psnet.ahrq.gov/training-catalog/apc-internal-medicine-meeting
Organization
American College of Physicians ACP
Event … Description: This three-day in person conference is the APCs largest yearly event that focuses on Internal … Event Location: In Person: San Diego, CA and Online
Date: April 27 - 29, 2023
Event Fee:
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psnet.ahrq.gov/node/73632/psn-pdf
January 01, 2022 - I-PSI: short- and long-term efficacy of a comprehensive
initiative to promote patient safety event reporting … I-PSI: short- and long-term efficacy of a comprehensive initiative to
promote patient safety event reporting … Encouraging adverse event reporting among clinicians, including medical trainees, is essential to improving … using a combination of branding,
education and outreach, and feedback – to increase patient safety event … The
intervention led to increased event reporting in the short- and long-term.
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psnet.ahrq.gov/node/841152/psn-pdf
December 07, 2022 - Interprofessional clinical event debriefing-does it make a
difference? … Attitudes of emergency department care
providers to INFO clinical event debriefings. … Interprofessional clinical event debriefing-does it make a difference? … Attitudes of emergency department care providers to INFO clinical event debriefings. … https://psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes