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Showing results for "event".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44081/psn-pdf
     April 22, 2015 - Accuracy of harm scores entered into an event reporting system. … Accuracy of harm scores entered into an event reporting system. … https://psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system Voluntary event reporting … In order to improve the utility of event reporting systems, AHRQ developed the Common Formats for defining … https://psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system https://psnet.ahrq.gov

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44923/psn-pdf
     June 07, 2016 - Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug … - administration-2014 According to this study, many adverse drug event reports submitted by drug manufacturers … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847042/psn-pdf
     April 05, 2023 - relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event … relationship between patient safety culture and the intentions of the nursing staff to report a near-miss event … psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports https://psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed … https://psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43625/psn-pdf
     October 29, 2014 - Assessing distractors and teamwork during surgery: developing an event-based method for direct observation … Assessing distractors and teamwork during surgery: developing an event-based method for direct observation … https://psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based … https://psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct … https://psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44212/psn-pdf
     September 19, 2016 - Assessing the perceived level of institutional support for the second victim after a patient safety event … Assessing the perceived level of institutional support for the second victim after a patient safety event … psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient- safety-event … not feel that adequate support was available for clinicians whose patients experienced an adverse event … psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event

346. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet
     psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
     July 08, 2020 - the Same Author(s) Patient safety concerns in COVID-19–related events: a study of 343 event … safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event … safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event … safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event … September 1, 2021 Families as partners in hospital error and adverse event surveillance

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42490/psn-pdf
     August 14, 2013 - Sentinel Event Program. … https://psnet.ahrq.gov/issue/sentinel-event-program This Web site provides information about Maine's … statewide incident reporting initiative and includes annual sentinel event reports. … https://psnet.ahrq.gov/issue/sentinel-event-program https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44345/psn-pdf
     October 05, 2015 - Apologies following an adverse medical event: the importance of focusing on the consumer's needs. … Apologies following an adverse medical event: The importance of focusing on the consumer's needs. … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers- … study, participants observed two video-recorded scenarios of a surgeon apologizing for an adverse event … https://psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46146/psn-pdf
     June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. … Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency … Technical and psychological factors can affect adverse event reporting. … ://psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting https

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44276/psn-pdf
     July 08, 2015 - 2014 Guide to State Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems State reporting systems … This analysis of 27 state-level reporting programs highlights that while adverse event reporting has … https://psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems https://psnet.ahrq.gov/ … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45818/psn-pdf
     September 29, 2017 - National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid … National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37814/psn-pdf
     April 11, 2011 - Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … /psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug- event … This study found that events captured from safety reporting systems resulted in similar adverse drug event … ://psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45308/psn-pdf
     September 28, 2016 - Measurement of patient safety: a systematic review of the reliability and validity of adverse event … Measurement of patient safety: a systematic review of the reliability and validity of adverse event … psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse- event-detection … Consistency of event identification was adequate, but data are lacking regarding validity of medical … /psnet.ahrq.gov/issue/measurement-patient-safety-systematic-review-reliability-and-validity-adverse-event-detection

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45074/psn-pdf
     June 01, 2016 - Post-event debriefings during neonatal care: why are we not doing them, and how can we start? … Post-event debriefings during neonatal care: why are we not doing them, and how can we start? … https://psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and … https://psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start … https://psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40408/psn-pdf
     July 08, 2013 - Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. … Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event- standardized-patient … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient … https://psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41397/psn-pdf
     June 06, 2012 - Semi-supervised classification of patient safety event reports. June 6, 2012 McKnight SD. … Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4. … https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports This study … https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports https://psnet.ahrq.gov … /issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38021/psn-pdf
     August 27, 2008 - A review of the current evidence base for significant event analysis. … A review of the current evidence base for significant event analysis. … https://psnet.ahrq.gov/issue/review-current-evidence-base-significant-event-analysis This review assessed … research on the benefits and disadvantages of significant event analysis and identified implementation … https://psnet.ahrq.gov/issue/review-current-evidence-base-significant-event-analysis

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35576/psn-pdf
     December 23, 2012 - Anatomy of a patient safety event: a pediatric patient safety taxonomy. … Anatomy of a patient safety event: a pediatric patient safety taxonomy. … https://psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy The authors … organizing information into four key categories: problem type, medical domain, contributing factors, and event … https://psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43389/psn-pdf
     July 30, 2014 - Simulation based adverse event reporting system: development and feasibility. … Simulation Based Adverse Event Reporting System: Development and Feasibility. … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility … This study introduced an online adverse event reporting system into simulation training for nursing … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38649/psn-pdf
     May 20, 2009 - Managing the adverse event occurring during elective, ambulatory pediatric surgery. … Managing the adverse event occurring during elective, ambulatory pediatric surgery. … https://psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric- … https://psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery … https://psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery