-
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 .
-
psnet.ahrq.gov/node/45871/psn-pdf
January 01, 2019 - The relationship between safety culture and voluntary
event reporting in a large regional ambulatory … The Relationship Between Safety Culture and Voluntary Event
Reporting in a Large Regional Ambulatory … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large- … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory
-
psnet.ahrq.gov/node/837634/psn-pdf
July 06, 2022 - safety trends in 2021: an analysis of 288,882
serious events and incidents from the nation’s largest
event … safety trends in 2021: an analysis of 288,882 serious events and incidents
from the nation’s largest event … psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-
nations-largest-event … psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event … psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
-
psnet.ahrq.gov/node/851655/psn-pdf
July 26, 2023 - Exploring everyday work as a dynamic non-event and
adaptations to manage safety in intraoperative
anaesthesia … Exploring everyday work as a dynamic non-event and adaptations to
manage safety in intraoperative anaesthesia … https://psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety- … https://psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative … https://psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative
-
psnet.ahrq.gov/node/72684/psn-pdf
January 27, 2021 - National Partnership for Maternal Safety: consensus
bundle on support after a severe maternal event. … National Partnership for Maternal Safety: Consensus Bundle on
Support After a Severe Maternal Event. … psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-
maternal-event … psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event … psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
-
psnet.ahrq.gov/node/60053/psn-pdf
January 01, 2021 - A review of adverse event reports from emergency
departments in the Veterans Health Administration. … A Review of Adverse Event Reports From Emergency Departments in the
Veterans Health Administration. … https://psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-
administration … https://psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration … https://psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
-
psnet.ahrq.gov/node/48076/psn-pdf
July 24, 2019 - Simulation-based event analysis improves error
discovery and generates improved strategies for error … Simulation-based event analysis improves error discovery and
generates improved strategies for error … https://psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates- … https://psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies … https://psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
-
psnet.ahrq.gov/node/73169/psn-pdf
April 21, 2021 - Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan”
event … Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan” event … psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-
approach-black-swan-event … psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event … psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event
-
psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
December 23, 2016 - Sentinel Event Alerts
Health care worker fatigue and patient safety. … Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). … Facebook
Twitter
Linkedin
Copy URL
May 14, 2018
Sentinel Event … The combination of the ACGME regulations and this sentinel event alert provides a powerful incentive … Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018).
-
psnet.ahrq.gov/node/73601/psn-pdf
August 18, 2021 - From implementation to sustainment: a large-scale
adverse event disclosure support program generated … From implementation to sustainment: a large-scale adverse
event disclosure support program generated … https://psnet.ahrq.gov/issue/implementation-sustainment-large-scale-adverse-event-disclosure-support- … https://psnet.ahrq.gov/issue/implementation-sustainment-large-scale-adverse-event-disclosure-support-program-generated … https://psnet.ahrq.gov/issue/implementation-sustainment-large-scale-adverse-event-disclosure-support-program-generated
-
psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - What is a “Never Event”? … Wrong Patient and Wrong Side
A “never event” is defined as adverse event that is distinct, serious, … A sentinel event is defined as a “patient safety event (not primarily related to the natural course of … https://www.jointcommission.org/resources/sentinel-event/sentinel-event-policy-and-procedures/
https … ://www.jointcommission.org/resources/sentinel-event/sentinel-event-policy-and-procedures/
https://www.ncbi.nlm.nih.gov
-
psnet.ahrq.gov/node/867186/psn-pdf
November 20, 2024 - Hospital COVID-19 burden and adverse event rates. … Hospital COVID-19 burden and adverse event rates. … https://psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
Previous studies have … https://psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
https://psnet.ahrq.gov/
-
psnet.ahrq.gov/node/60340/psn-pdf
May 20, 2020 - Association between cancer-specific adverse event
triggers and mortality: a validation study. … specific adverse event triggers and
mortality: A validation study. … https://psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality … https://psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study … https://psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study
-
psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event. … Why an open disclosure procedure is and is not followed after an
avoidable adverse event. … https://psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-
event … https://psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event … https://psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
-
psnet.ahrq.gov/node/60743/psn-pdf
July 29, 2020 - 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 … https://psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance … https://psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools … https://psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
-
psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 … Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 … https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns … https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid … -19
https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid
-
psnet.ahrq.gov/training-catalog/ashrm-academy-2024
January 01, 2024 - Organization
American Society for Healthcare Risk Management (ASHRM)
Event … Description: This six-day in-person event provides courses that advance participants' grasp and application … Event Location: In Person: Phoenix, AZ
Date: April 15 - 20, 2024
Event Fee: Fee Associated
-
psnet.ahrq.gov/issue/promoting-professionalism-addressing-behaviors-undermine-culture-safety
April 01, 2021 - Event Date
April 8, 2021 - 5:00pm EDT
- April 10, 2021 - 12:30pm EDT
Registration … Event Date
May 27, 2021
- May 27, 2021
Meeting/Conference … Event Date
July 8, 2021
- July 11, 2021
Meeting/Conference … Event Date
February 1, 2021
- March 31, 2021
Audiovisual … Event Date
April 19, 2021
- June 11, 2021
View More Related Resources
-
psnet.ahrq.gov/issue/integrating-patient-safety-and-clinician-well-being-new-leadership-tools-reduce-burnout-and
March 24, 2021 - Event Date
April 15, 2021 - 2:00pm EDT
- April 15, 2021 - 3:00pm EDT
Conference … Event Date
May 27, 2021
- May 27, 2021
Meeting/Conference … Event Date
April 8, 2021
- April 10, 2021
Meeting/Conference … Event Date
May 13, 2021
- May 14, 2021
Meeting/Conference … Event Date
July 8, 2021
- July 11, 2021
View More Related Resources
-
psnet.ahrq.gov/node/50573/psn-pdf
October 23, 2019 - Preventing patient harm via adverse event review: An
APSA survey regarding the role of morbidity and … Preventing patient harm via adverse event review: An APSA survey
regarding the role of morbidity and … https://psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role- … https://psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and … https://psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and