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Showing results for "event".

241. 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

242. 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

243. 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

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866401/psn-pdf
     January 01, 2025 - Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event … Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event … psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient- nurse-and-event … psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event … psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event

245. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet
     psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
     September 29, 2017 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … Related Resources From the Same Author(s) National Action Plan for Adverse Drug Event … September 29, 2017 Families as partners in hospital error and adverse event surveillance

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46586/psn-pdf
     January 01, 2020 - Adverse event reporting: harnessing residents to improve patient safety. … Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. … https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety Physicians … https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety https … ://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https://psnet.ahrq.gov

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837667/psn-pdf
     July 13, 2022 - Challenges and opportunities of patient safety event reporting. July 13, 2022 Gong Y. … Challenges and opportunities of patient safety event reporting. … https://psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting Reporting incidents … https://psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting https://psnet.ahrq.gov … /primer/reporting-patient-safety-events#Limitations-of-Event-Reporting https://psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854995/psn-pdf
     November 01, 2023 - Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative … Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative … /psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug- event-qualitative … ://psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative … ://psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative

249. Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet
     psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
     February 22, 2019 - reports from patient safety event report databases. … Developing an evaluation strategy to assess large language models for patient safety event report analysis … December 11, 2024 Making patient safety event data actionable: understanding patient … 2017 Social determinants of health and patient safety: an analysis of patient safety event … Identifying electronic medication administration record (eMAR) usability issues from patient safety event

250. APSF Stoelting Conference 2024 | PSNet
     psnet.ahrq.gov/training-catalog/apsf-stoelting-conference-2024
     January 01, 2024 - Organization Anasthesia Patient Safety Foundation (APSF) Event … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered? … No Weblink: Weblink https://www.apsf.org/event/apsf-stoelting-conference

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33561/psn-pdf
     September 15, 2024 - Background The term "Never Event" was first introduced in 2001 by Ken Kizer, MD, former CEO of the  … Since the initial never event list was developed in 2002, it has been revised multiple times, and now … The Joint Commission mandates performance of a  root cause analysis after a sentinel event. … , and waive all costs associated with the event. … https://www.jointcommission.org/resources/sentinel-event/sentinel-event-policy-and-procedures/ https

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46362/psn-pdf
     January 01, 2021 - Making patient safety event data actionable: understanding patient safety analyst needs. … Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. … https://psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety … https://psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs … https://psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837139/psn-pdf
     May 18, 2022 - Multispecialty physician online survey reveals that burnout related to adverse event involvement may … Multispecialty physician online survey reveals that burnout related to adverse event involvement may … https://psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event … https://psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may … https://psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48140/psn-pdf
     July 31, 2019 - Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies … Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies … https://psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating … https://psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre … https://psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60688/psn-pdf
     July 15, 2020 - The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. … The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. … //psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact- event … https://psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event … https://psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60893/psn-pdf
     January 01, 2021 - When safety event reporting is seen as punitive: "I've been PSN-ed!" … When safety event reporting is seen as punitive: "I've been PSN-ed!". … https://psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed This study characterized …  patient safety event report submissions over a six-month period at one university health system and … https://psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed https://psnet.ahrq.gov

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45284/psn-pdf
     January 27, 2019 - Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency … Emergency Medical Services Provider Pediatric Adverse Event Rate Varies by Call Origin. … https://psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call … https://psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric … https://psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42822/psn-pdf
     December 18, 2013 - Automated adverse event detection collaborative: electronic adverse event identification, classification … Automated adverse event detection collaborative: electronic adverse event identification, classification … https://psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event … https://psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification … https://psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification

259. Uptake of quality-related event standards of practice by community pharmacies. | PSNet
     psnet.ahrq.gov/issue/uptake-quality-related-event-standards-practice-community-pharmacies
     November 09, 2016 - Study Uptake of quality-related event standards of practice by community pharmacies … Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. … Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. … November 9, 2016 Quality-related event learning in community pharmacies: manual versus … October 16, 2013 A new safety event reporting system improves physician reporting in

260. Optimizing smart infusion pump safety with DERS. | PSNet
     psnet.ahrq.gov/issue/optimizing-smart-infusion-pump-safety-ders
     April 21, 2021 - Legislation/Regulation Sentinel Event Alerts … Sentinel Event Alert. Apr 14, 2021;63;1-6. … Safety Target Infusion Pumps Administration Errors Resource Type Sentinel Event … Origin/Sponsor United States of America Cite Sentinel Event … Sentinel event alert . 2008 :1-4 .