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psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
September 08, 2021 - March 2, 2022
Harnessing event report data to identify diagnostic error during the COVID … used in daily workflow increases adverse event reporting by physicians. … January 8, 2020
Introduction of a mobile adverse event reporting system is associated … with participation in adverse event reporting. … September 7, 2016
Use of a handheld computer application for voluntary medication event
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psnet.ahrq.gov/node/74840/psn-pdf
February 16, 2022 - Addressing mistreatment of providers by patients and
family members as a patient safety event. … Addressing mistreatment of providers by patients and family
members as a patient safety event. … psnet.ahrq.gov/issue/addressing-mistreatment-providers-patients-and-family-members-patient-
safety-event … //psnet.ahrq.gov/issue/addressing-mistreatment-providers-patients-and-family-members-patient-safety-event … //psnet.ahrq.gov/issue/addressing-mistreatment-providers-patients-and-family-members-patient-safety-event
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psnet.ahrq.gov/node/74177/psn-pdf
January 01, 2022 - Harnessing event report data to identify diagnostic error
during the COVID-19 pandemic. … Harnessing event report data to identify diagnostic error during the COVID-
19 pandemic. … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19- … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - by adverse events, and that as many
as half of all clinicians will be involved in a serious adverse event … from near misses to serious errors, and 81% reported
some degree of job-related stress linked to the event … the
patient seem to be predictive of the degree of distress clinicians experience after an adverse event … error, or patient injury and "become victimized in the sense that the provider is
traumatized by the event … emotional distress, feelings of guilt and inadequacy, and loss of
reputation following an adverse event
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psnet.ahrq.gov/node/845640/psn-pdf
March 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse
event rates in hospitalized children with complex … PASS on adverse event rates in
hospitalized children with complex chronic conditions. … https://psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized … https://psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex … https://psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex
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psnet.ahrq.gov/training-catalog/ipssw2022-online
August 13, 2022 - Organization
International Pediatric Simulation Society (IPSS)
Event … Event Location: Online
Date: Available through August 13, 2022
Event Fee: Fee Associated … Weblink:
Weblink
https://ipss.wildapricot.org/event-4815674
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psnet.ahrq.gov/training-catalog/aorn-global-surgical-conference-expo-2021
January 01, 2021 - Organization
Association of periOperative Registered Nurses (AORN)
Event … Event Location: Online [Moved to a virtual event due to COVID-19]
Date: On Demand through September … 24, 2021
Event Fee: Fee Associated
CE or CME Offered?
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psnet.ahrq.gov/node/73542/psn-pdf
July 28, 2021 - Diagnostic safety event reporting.
July 28, 2021
Carr S. ImproveDx. July 2021;8(4). … https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
Adverse event reporting can clarify when … https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
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psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - Sentinel Event Alert. 2008;41(41):1-4. … This sentinel event alert issued by the
Joint Commission discusses the root causes of anticoagulant-associated … Sentinel event alerts are intended to promote rapid implementation of patient safety strategies, and … Please see Sentinel event alert 61: Managing the risks of direct
oral anticoagulants. … medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
https://psnet.ahrq.gov/issue/national-patient-safety-goals
https://psnet.ahrq.gov/issue/sentinel-event-alert
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - It is not just an event that happens and goes on a shelf. … These events
require an RCA to ensure we create actions based on the event. … Another piece is the event mapping and causality process. … We also see that traditional event investigation is mostly designed as event
investigation in an acute … A systemwide strategy to embed equity into Patient Safety
Event Analysis.
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psnet.ahrq.gov/node/859341/psn-pdf
January 01, 2024 - Disparities in patient safety voluntary event reporting: a
scoping review. … Disparities in patient safety voluntary event reporting: a scoping review. … https://psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
Voluntary … https://psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
https
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psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
November 29, 2009 - Book/Report
Maximizing the Use of State Adverse Event Data to Improve Patient Safety … Citation Text:
Maximizing the Use of State Adverse Event Data to Improve Patient Safety. … Cite
Citation
Citation Text:
Maximizing the Use of State Adverse Event … November 29, 2009
2014 Guide to State Adverse Event Reporting Systems. … December 23, 2012
2007 Guide to State Adverse Event Reporting Systems.
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psnet.ahrq.gov/node/61031/psn-pdf
October 14, 2020 - Special Section: Event Analysis and Risk Management.
October 14, 2020
Alemi F ed. … https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
Adverse event analysis … https://psnet.ahrq.gov/issue/special-section-event-analysis-and-risk-management
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/health-care-workers-midst-crisis
February 15, 2023 - Sentinel Event Alerts
Health care workers in the midst of crisis. … Sentinel Event Alert. Feb 2, 2021;(62):1-7. … Facebook
Twitter
Linkedin
Copy URL
February 10, 2021
Sentinel Event … Sentinel Event Alert. Feb 2, 2021;(62):1-7. … March 18, 2020
Effect of Patient and Family Centered I-PASS on adverse event rates in
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psnet.ahrq.gov/node/852803/psn-pdf
August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a
Cyberattack. … August 23, 2023
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. … https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
Cyberattacks … https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
https
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psnet.ahrq.gov/issue/diagnostic-overshadowing-among-groups-experiencing-health-disparities
February 10, 2021 - Sentinel Event Alerts
Diagnostic overshadowing among groups experiencing health disparities … Sentinel Event Alert. June 22, 2022;(65):1-7. … Facebook
Twitter
Linkedin
Copy URL
June 29, 2022
Sentinel Event … Sentinel Event Alert. June 22, 2022;(65):1-7. … January 25, 2023
Sentinel Event Alert 63: optimizing smart infusion pump safety with
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psnet.ahrq.gov/training-catalog/patient-safety-evaluation-system-2022-virtual-summit
January 01, 2022 - Organization:
Organization
Hospital Quality Institute
Event … Event Location: Online
Date: May 24 - 25, 2022
Event Fee: Fee Associated
CE or CME Offered … No
Weblink:
Weblink
https://www.hqinstitute.org/event/patient-safety-evaluation-system
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psnet.ahrq.gov/training-catalog/2022-hqi-annual-conference
January 01, 2022 - Organization:
Organization
Hospital Quality Institute
Event … Event Location: In Person: Long Beach, CA (October) and Napa, CA (November)
Date: October 3 - … 4, 2022 (Southern CA) and November 6 - 7, 2022 (Northern CA)
Event Fee: Fee Associated
CE or CME … Weblink:
Weblink
https://www.hqinstitute.org/event/2022-hqi-annual-conference
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psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
December 30, 2014 - Study
Adverse-event-reporting practices by US hospitals: results of a national survey … Adverse-event-reporting practices by US hospitals: results of a national survey. … Adverse-event-reporting practices by US hospitals: results of a national survey. … September 20, 2011
Families as partners in hospital error and adverse event surveillance … January 18, 2013
Semi-supervised classification of patient safety event reports.
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psnet.ahrq.gov/node/837607/psn-pdf
June 29, 2022 - Common Formats for Event Reporting - Diagnostic Safety
Version 1.0
June 29, 2022
Agency for Healthcare …
https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
Effective … https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
https://psnet.ahrq.gov … improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
https://psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version