Results

Total Results: over 10,000 records

Showing results for "event".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43257/psn-pdf
     August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … //psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse- event-surveillance … study examined leadership, clinician, and administrator perspectives on implementation of an adverse event … A trained clinical observer assessed triggers designed to indicate a possible adverse event in general

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73137/psn-pdf
     April 14, 2021 - Adverse drug event-related admissions to a pediatric emergency unit. … Adverse drug event-related admissions to a pediatric emergency unit. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit This study … https://psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit https://psnet.ahrq.gov

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47856/psn-pdf
     June 02, 2019 - The impact of patient–physician alliance on trust following an adverse event. … The impact of patient-physician alliance on trust following an adverse event. … https://psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event Maternal … https://psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event https://

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44215/psn-pdf
     November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000 … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … https://psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers … - united-states-2000 Vaccination-related errors reported to the National Vaccine Adverse Event Reporting … One-fourth of reported errors caused an adverse health event, with 8% of these resulting in serious

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44949/psn-pdf
     February 01, 2019 - Sentinel event alert. 2016;(56):1-7. … issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event … psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare https://psnet.ahrq.gov/issue/sentinel-event-alert … https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event https://psnet.ahrq.gov

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48101/psn-pdf
     August 14, 2019 - Partnering with families and patient advocates: another line of defense in adverse event surveillance … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance … https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44727/psn-pdf
     December 02, 2015 - Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students … Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students … https://psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled … - students-college Exploring a sentinel event at a college involving a student with mental health issues … https://psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47942/psn-pdf
     July 01, 2019 - Responding to health information technology reported safety events: insights from patient safety event … psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights- patient-safety-event … psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event … psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38521/psn-pdf
     September 19, 2016 - Inpatient suicide: preventing a common sentinel event. September 19, 2016 Tishler CL, Reiss NS. … Inpatient suicide: preventing a common sentinel event. … https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event Suicide attempts by … inpatients are considered a never event, and, as such, are also considered reportable sentinel events … https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event https://psnet.ahrq.gov

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850166/psn-pdf
     June 07, 2023 - classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event … https://psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports … https://psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs

331. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
     January 01, 2020 - : Evaluating a Near-Miss Wrong Transfusion Event Source and Credits • This presentation is based … Evaluating a Near-Miss Wrong Transfusion Event 4 Case: “This is the wrong patient’s blood” A 74 … Evaluating a Near-Miss Wrong Transfusion Event 8 The Commentary By Sarah Barnhard MD GENERAL RESPONSE … barcode scanning and bedside label printing significantly reduces the risk of a wrong blood in tube event … includes 1) report the event to accreditation/regulatory agencies as required 2) perform a root cause

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35114/psn-pdf
     April 06, 2011 - A qualitative study of why general practitioners may participate in significant event analysis and educational … A qualitative study of why general practitioners may participate in significant event analysis and educational … https://psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event … Scottish practitioners in a focus group setting to explore the perceived benefits of participating in event … https://psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40791/psn-pdf
     February 09, 2012 - Adverse event rates as measures of hospital performance. … Adverse event rates as measures of hospital performance. … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance This study concluded … that adverse event rates in themselves are a poor marker of hospital performance, largely because of … https://psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance https://psnet.ahrq.gov

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41394/psn-pdf
     December 29, 2014 - An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired … - diagnoses This study found high levels of physician agreement using an adverse event screening tool … https://psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses

335. Addressing health care disparities by improving quality and safety. | PSNet
     psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
     January 27, 2021 - Sentinel Event Alerts Addressing health care disparities by improving quality and … Sentinel Event Alert. Nov 10 2021;(64):1-7. … Facebook Twitter Linkedin Copy URL November 24, 2021 Sentinel Event … Sentinel Event Alert. Nov 10 2021;(64):1-7. … National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38964/psn-pdf
     November 27, 2009 - Development of a measure of patient safety event learning responses. … Development of a measure of patient safety event learning responses. … https://psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses Voluntary error … The authors defined a set of indicators that evaluate the analysis of the event and the dissemination … of learnings from the event.

337. Events Calendar | PSNet
     psnet.ahrq.gov/training-catalog/events-calendar
     Centers for Medicare and Medicaid Services Quality Improvement Organizations Event … Event Location: Online Date: Various Dates Event Fee: Free CE or CME Offered?

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42036/psn-pdf
     March 18, 2013 - Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective … - patient-record A random sampling of hospitals in the Netherlands found that adverse event rates increased … https://psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44000/psn-pdf
     July 18, 2016 - Elucidating reasons for resident underutilization of electronic adverse event reporting. … Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event- … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting … https://psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44378/psn-pdf
     August 05, 2015 - 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. … //psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug- event-prevention … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention … https://psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention