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Showing results for "event".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74751/psn-pdf
     February 09, 2022 - A quality improvement initiative to improve patient safety event reporting by residents. … A quality improvement initiative to improve patient safety event reporting by residents. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents … Prior research has shown low rates of voluntary safety event reporting by resident physicians. … The QI team identified barriers to reporting (e.g., lack of awareness of the organization’s event reporting

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853071/psn-pdf
     August 30, 2023 - A natural language processing approach to categorise contributing factors from patient safety event … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient- safety-event … This study found that natural language processing can be used to process unstructured patient safety event … reports and reduce the burden of manually identifying and extracting factors contributing to the event … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862604/psn-pdf
     February 14, 2024 - 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. … https://psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error … https://psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853067/psn-pdf
     August 30, 2023 - 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 … pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows- patient-safety Previous research suggests that residents may underutilize adverse event … collaborative among 16 sites intended to increase resident and fellow participation in patient safety event … Researchers found the collaborative increased participation in event investigation and improved the

205. National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use. | PSNet
     psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
     August 05, 2015 - Commentary National Action Plan for Adverse Drug Event Prevention: recommendations … National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use … National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use … June 3, 2020 Measuring harm in health care: optimizing adverse event review. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74694/psn-pdf
     January 26, 2022 - This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the … United 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.

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45992/psn-pdf
     January 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. … Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their … This qualitative study explored perceptions of adolescent patients and their parents about adverse event … Positive perceptions of care led to participants being more willing to report an adverse event; whereas

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60669/psn-pdf
     July 08, 2020 - Participation in a system-thinking simulation experience changes adverse event reporting. … Participation in a system-thinking simulation experience changes adverse event reporting. … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event … - reporting This study found that improvements in systems thinking increase adverse event (AE) reporting … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47090/psn-pdf
     January 01, 2019 - 10,000 good catches: increasing safety event reporting in a pediatric health care system. … June 27, 2018 Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event … https://psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care … This study describes a quality improvement initiative to increase event reporting across a pediatric … https://psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system

210. NAHQ Next 2024 | PSNet
     psnet.ahrq.gov/training-catalog/nahq-next-2024
     January 01, 2024 - Organization National Association of Healthcare Quality (NAHQ) Event … NAHQ next 2024 will be a virtual-only event. Registration will open in June 2024! … Event Location: Online Date: Sept 9-11, 2024 Event Fee: Fee Associated CE or CME Offered … Yes Weblink: Weblink https://nahq.org/event/nahq-next-2024/

211. Consensus building for development of outpatient adverse drug event triggers. | PSNet
     psnet.ahrq.gov/issue/consensus-building-development-outpatient-adverse-drug-event-triggers
     November 10, 2010 - Study Consensus building for development of outpatient adverse drug event triggers … Consensus building for development of outpatient adverse drug event triggers. … Consensus building for development of outpatient adverse drug event triggers. … Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event … March 3, 2010 Understanding pharmacist decision making for adverse drug event (ADE) detection

212. Medical device alarm safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
     December 23, 2016 - Sentinel Event Alerts Medical device alarm safety in hospitals. … Sentinel event alert. 2013;(50):1-3. … Facebook Twitter Linkedin Copy URL December 23, 2016 Sentinel event … The sentinel event database includes 98 alarm-related events (80 of which resulted in death) between … Sentinel event alert. 2013;(50):1-3.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866645/psn-pdf
     September 04, 2024 - Technology-related safety event analysis in community clinical informatics: a case study. … Technology-related safety event analysis in community clinical informatics: a case study. … https://psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case … https://psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study … https://psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60749/psn-pdf
     August 05, 2020 - Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". … Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". … psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients- never-event … psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event … psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event

215. The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet
     psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
     March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error.

216. Training
     psnet.ahrq.gov/training
     October 06, 2007 - Event Location: Online Date: October 6-7, 2021 Event Fee: CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered? … Event Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered? … Event Location: Online Date: October 25-27, 2021 Event Fee: CE or CME Offered? … Event Location: Online Date: On Demand Event Fee: Free CE or CME Offered?

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837025/psn-pdf
     May 04, 2022 - Central venous catheter guidewire retention: lessons from England's never event database. … Central venous catheter guidewire retention: lessons from England's never event database. … https://psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event … database A retained foreign object can lead to serious clinical consequences and is considered a never event … https://psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60670/psn-pdf
     July 08, 2020 - Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports- … of improvement for healthcare facilities, the authors analyzed data reported to one state’s adverse event … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-

219. Training Catalog | PSNet
     psnet.ahrq.gov/taxonomy/term/5371
     October 06, 2007 - Event Date October 28-31, 2021 Event Fee Fee Associated CE or CME Offered? … Event Date On demand Event Fee Fee Associated CE or CME Offered? … Event Date On demand Event Fee Fee Associated CE or CME Offered? … Event Date On demand Event Fee Fee Associated CE or CME Offered? … Event Date Fall 2021 Event Fee Fee Associated CE or CME Offered?

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73113/psn-pdf
     April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. … Analysis of results from event investigations in industrial and patient safety contexts. … https://psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts … This study reviewed three sets of event investigations (one from industrial companies and two from hospitals … https://psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts