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Showing results for "event".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60318/psn-pdf
     January 01, 2022 - Social determinants of health and patient safety: an analysis of patient safety event reports related … Social determinants of health and patient safety: an analysis of patient safety event reports related … https://psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event … language barriers  contribute to patient safety events, the authors analyzed near- miss and adverse event … https://psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60033/psn-pdf
     March 11, 2020 - Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and … Interventions to Reduce Adverse Drug Event-Related Outcomes in Older Adults: A Systematic Review and … https://psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults- … Meta-analysis did not find any significant benefits from these interventions on drug event-related hospitalizations … https://psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867134/psn-pdf
     November 13, 2024 - Improving adverse drug event reporting by healthcare professionals. … Improving adverse drug event reporting by healthcare professionals. … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals Adverse … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals https:// … psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73588/psn-pdf
     August 11, 2021 - Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … https://psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse- event-reports … Based on medical device adverse event data reported to the FDA's Manufacturer and User Facility Device … https://psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855105/psn-pdf
     January 01, 2024 - Sentinel Event Alert 68: updated surgical fire prevention for the 21st Century. … November 8, 2023 Sentinel Event Alert 68: Updated Surgical Fire Prevention for the 21st Century. … https://psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century Surgical … fires are a rare yet potentially harmful event for both patients and care teams. … https://psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century https

226. Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling | PSNet
     psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
     June 28, 2023 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling Save Save to

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854982/psn-pdf
     November 01, 2023 - Adverse drug event prevention and detection in older emergency department patients. … Adverse drug event prevention and detection in older emergency department patients. … https://psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department- … https://psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients … https://psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852746/psn-pdf
     August 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event … psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109- serious-adverse-event … This study analyzed more than 100 serious adverse event (SAE) reports in acute care using four investigation … psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836824/psn-pdf
     March 30, 2022 - Collaborative case review: a systems-based approach to patient safety event investigation and analysis … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event- … analysis is a commonly used tool to identify systems-related factors that contributed to an adverse event … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73109/psn-pdf
     April 07, 2021 - Common general surgical never events: analysis of NHS England never event data. … Common general surgical never events: analysis of NHS England never event data. … https://psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event- … data Never events, a significant type of adverse event, should never occur  in healthcare. … https://psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data

231. Developing an adverse event reporting system using administrative data. | PSNet
     psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
     September 23, 2009 - Study Developing an adverse event reporting system using administrative data. … Citation Text: Developing an adverse event reporting system using administrative data. … URL Cite Citation Citation Text: Developing an adverse event

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47474/psn-pdf
     April 07, 2019 - Toward safer health care: a review strategy of FDA medical device adverse event database to identify … Toward safer health care: a review strategy of FDA medical device adverse event database to identify … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event … - database-identify Improved health information technology (IT) event databases are necessary to better … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849325/psn-pdf
     January 01, 2024 - Medication safety event reporting: factors that contribute to safety events during times of organizational … Medication safety event reporting: factors that contribute to safety events during times of organizational … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times

234. Measuring harm in health care: optimizing adverse event review. | PSNet
     psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
     May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … Measuring Harm in Health Care: Optimizing Adverse Event Review.

235. Rapid learning of adverse medical event disclosure and apology. | PSNet
     psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
     November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … Rapid Learning of Adverse Medical Event Disclosure and Apology. … January 9, 2014 Assessing residents' communication skills: disclosure of an adverse event

236. Common Formats for Event Reporting - Diagnostic Safety Version 1.0 | PSNet
     psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
     December 24, 2008 - Measurement Tool/Indicator Common Formats for Event Reporting - Diagnostic Safety … Version 1.0 Citation Text: Common Formats for Event Reporting - Diagnostic Safety Version … URL Cite Citation Citation Text: Common Formats for Event

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840153/psn-pdf
     November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing … Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing … //psnet.ahrq.gov/issue/team-debriefing-covid-19-pandemic-qualitative-study-hospital-wide-clinical- event-debriefing … This article describes the implementation of a hospital-wide COVID-19 clinical event debriefing program … https://psnet.ahrq.gov/issue/team-debriefing-covid-19-pandemic-qualitative-study-hospital-wide-clinical-event-debriefing

238. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
     January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm. … February 15, 2011 Families as partners in hospital error and adverse event surveillance … January 2, 2017 Adverse drug event detection in pediatric oncology and hematology patients

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851199/psn-pdf
     July 05, 2023 - Understanding the root cause analysis process to increase safety event reporting. … Understanding the root cause analysis process to increase safety event reporting. … https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting … an ideal process, but it still creates opportunities for learning and improvement after a sentinel event … https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856590/psn-pdf
     November 29, 2023 - Team experiences of the root cause analysis process after a sentinel event: a qualitative case study … Team experiences of the root cause analysis process after a sentinel event: a qualitative case study … https://psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative … https://psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study … https://psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study