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Showing results for "event".

21. The attributes of medical event reporting systems. | PSNet
    psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
    February 14, 2024 - Study Classic The attributes of medical event reporting … The attributes of medical event-reporting systems: experience with a prototype medical event-reporting … This article describes an effort to design, develop, and implement a medical event reporting system for … The authors conclude that developing event-reporting systems can help organizations address systems … The attributes of medical event-reporting systems: experience with a prototype medical event-reporting

22. Adverse Event During Intrahospital Transport | PSNet
    psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - Adverse Event During Intrahospital Transport Citation Text: Bergman L, Chaboyer W. … Adverse Event During Intrahospital Transport. PSNet [internet]. … Adverse Event During Intrahospital Transport. PSNet [internet]. … Adverse Event During Intrahospital Transport. PSNet [internet].

23. Adverse event reporting priorities: an integrative review. | PSNet
    psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
    March 10, 2021 - Review Adverse event reporting priorities: an integrative review. … Adverse event reporting priorities: an integrative review. … Adverse event reporting is foundational to improving patient safety, but many events go unreported. … barriers ; improving perceptions of adverse event reporting within healthcare hierarchies; improving … Adverse event reporting priorities: an integrative review.

24. Adverse event rates as measures of hospital performance. | PSNet
    psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
    July 29, 2020 - Study Adverse event rates as measures of hospital performance. … Adverse event rates as measures of hospital performance. … This study concluded that adverse event rates in themselves are a poor marker of hospital performance … Adverse event rates as measures of hospital performance. … July 29, 2020 When safety event reporting is seen as punitive: "I've been PSN-ed!"

25. Sepsis: recognizing the next event. | PSNet
    psnet.ahrq.gov/issue/sepsis-recognizing-next-event
    July 13, 2010 - Commentary Sepsis: recognizing the next event. … Sepsis: recognizing the next event. … Sepsis: recognizing the next event.

26. Disparities in adverse event reporting for hospitalized children. | PSNet
    psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
    July 27, 2022 - Study Disparities in adverse event reporting for hospitalized children. … Disparities in adverse event reporting for hospitalized children. … Voluntary event reporting (VER) systems are required in most hospitals, but their effectiveness is … Disparities in adverse event reporting for hospitalized children. … May 18, 2022 Adverse event reporting priorities: an integrative review.

27. Patient perspectives on adverse event investigations in health care. | PSNet
    psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
    December 18, 2024 - Study Patient perspectives on adverse event investigations in health care. … Patient perspectives on adverse event investigations in health care. … After an adverse event, the way hospitals involve families plays a significant role in the families' … perspectives of the event. … Patient perspectives on adverse event investigations in health care.

28. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. | PSNet
    psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
    May 29, 2024 - 'Connecting the dots': leveraging visual analytics to make sense of patient safety event … 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. … a way to reduce the burden of analyzing internal incident reports, increase awareness of adverse event … 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. … from patient safety event report databases.

29. Common Formats for Event Reporting. | PSNet
    psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
    September 06, 2011 - Measurement Tool/Indicator Common Formats for Event Reporting. … Citation Text: Common Formats for Event Reporting. National Quality Forum. … URL Cite Citation Citation Text: Common Formats for Event … for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event

30. Care of the clinician after an adverse event. | PSNet
    psnet.ahrq.gov/issue/care-clinician-after-adverse-event
    March 03, 2021 - Review Care of the clinician after an adverse event. … Care of the clinician after an adverse event. … Care of the clinician after an adverse event. … National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event

31. Is excessive resource utilization an adverse event? | PSNet
    psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
    February 02, 2022 - Commentary Is excessive resource utilization an adverse event? … Is Excessive Resource Utilization an Adverse Event? … Is Excessive Resource Utilization an Adverse Event? … Problem September 1, 2014 Families as partners in hospital error and adverse event

32. Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet
    psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event … Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event … The most frequently reported event continues to be Error Related to Procedure/Treatment/Test followed … July 24, 2024 Patient safety concerns in COVID-19–related events: a study of 343 event … October 12, 2022 A new safety event reporting system improves physician reporting in

33. Study of a multisite prospective adverse event surveillance system. | PSNet
    psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
    October 16, 2019 - Study Study of a multisite prospective adverse event surveillance system. … Study of a multisite prospective adverse event surveillance system. … among the trigger event reviewers was responsible for some of the variation in observed events. … These results underscore the challenge of accurate adverse event surveillance . … Study of a multisite prospective adverse event surveillance system.

34. Inpatient suicide: preventing a common sentinel event. | PSNet
    psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
    May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. … Inpatient suicide: preventing a common sentinel event. … Suicide attempts by inpatients are considered a never event , and, as such, are also considered reportable … rate in hospitals, related risk factors, methods of suicidal behavior, factors that contribute to the event … Inpatient suicide: preventing a common sentinel event.

35. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet
    psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
    June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased … Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health … 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 … September 1, 2018 Using estimated true safety event rates versus flagged safety event

36. Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet
    psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
    March 17, 2021 - Study Integrating adverse event reporting into a free-text mobile application used … in daily workflow increases adverse event reporting by physicians. … Adverse Event Reporting by Physicians. … Adverse Event Reporting by Physicians. … participation in adverse event reporting.

37. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet
    psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event … safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event … The most commonly reported event type were errors related to procedures, tests or treatments (accounting … July 24, 2024 Patient safety concerns in COVID-19–related events: a study of 343 event … October 12, 2022 A new safety event reporting system improves physician reporting in

38. Accuracy of harm scores entered into an event reporting system. | PSNet
    psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
    October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. … Accuracy of harm scores entered into an event reporting system. … Voluntary event reporting systems are a mainstay of efforts to identify system failures that expose … Accuracy of harm scores entered into an event reporting system. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

39. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. | PSNet
    psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals
    July 24, 2024 - Study Patient safety concerns in COVID-19–related events: a study of 343 event reports … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … of improvement for healthcare facilities, the authors analyzed data reported to one state’s adverse event … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event

40. Special Section: Event Analysis and Risk Management. | PSNet
    psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
    March 11, 2020 - Book/Report Special Section: Event Analysis and Risk Management. … Citation Text: Special Section: Event Analysis and Risk Management. Alemi F ed. … Adverse event analysis is core for organizational learning from poor performance. … Copy URL Cite Citation Citation Text: Special Section: Event