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psnet.ahrq.gov/node/35129/psn-pdf
June 22, 2009 - Aftermath of an adverse event: supporting health care
professionals to meet patient expectations through … Aftermath of an adverse event: supporting health care professionals to meet patient
expectations through … https://psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient … https://psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations … https://psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
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psnet.ahrq.gov/node/42826/psn-pdf
December 18, 2013 - Improvement of medication event interventions through
use of an electronic database. … Improvement of medication event interventions through use of an
electronic database. … https://psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database … A medication event huddle team completed more intervention projects following the implementation of … https://psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
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psnet.ahrq.gov/node/37919/psn-pdf
July 16, 2008 - Adverse event protocol for interventional pain medicine:
the importance of an organized response. … Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized
Response. … https://psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized … https://psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response … https://psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events. … Medication event huddles: a tool for reducing adverse drug events. … https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
Retrospective … This article
describes how a children's hospital implemented medication event huddles as a way of analyzing … leadership along with the
unit's frontline staff, took place immediately after any clinical adverse drug event
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psnet.ahrq.gov/node/39253/psn-pdf
January 27, 2010 - Acquisition of critical intraoperative event management
skills in novice anesthesiology residents by … Acquisition of critical intraoperative event management skills in
novice anesthesiology residents by … https://psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-
anesthesiology-residents … https://psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents … https://psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
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psnet.ahrq.gov/node/42602/psn-pdf
October 16, 2013 - Solicitation for written comments on draft National Action
Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event … This notice calls for comments on a proposed government plan to research and promote adverse drug
event … https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention … https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
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psnet.ahrq.gov/node/35147/psn-pdf
June 22, 2009 - Accuracy of adverse-drug-event reports collected using
an automated dispensing system. … Accuracy of adverse-drug-event reports collected using an automated dispensing
system. … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
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psnet.ahrq.gov/node/37223/psn-pdf
December 23, 2011 - Studying critical values: adverse event identification
following a critical laboratory values study … Studying critical values: adverse event identification following a critical
laboratory values study … https://psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical … https://psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values … https://psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
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psnet.ahrq.gov/node/40121/psn-pdf
August 01, 2011 - Increasing patient safety event reporting in 2 intensive
care units: A prospective interventional study … Increasing patient safety event reporting in 2 intensive care units: a
prospective interventional study … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
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psnet.ahrq.gov/node/41094/psn-pdf
January 25, 2012 - Adverse event reporting tool to standardize the reporting
and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and
tracking of adverse events during procedural … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse- … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during … https://psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
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psnet.ahrq.gov/node/35982/psn-pdf
September 17, 2010 - Follow-up study of medication errors reported to the
Vaccine Adverse Event Reporting System (VAERS). … Follow-up study of medication errors reported to the vaccine
adverse event reporting system (VAERS). … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting- … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers … https://psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
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psnet.ahrq.gov/node/35391/psn-pdf
April 06, 2011 - Effectiveness of a graduate medical education program
for improving medical event reporting attitude … Effectiveness of a graduate medical education program for
improving medical event reporting attitude … https://psnet.ahrq.gov/issue/effectiveness-graduate-medical-education-program-improving-medical-event … https://psnet.ahrq.gov/issue/effectiveness-graduate-medical-education-program-improving-medical-event-reporting-attitude … https://psnet.ahrq.gov/issue/effectiveness-graduate-medical-education-program-improving-medical-event-reporting-attitude
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psnet.ahrq.gov/node/41692/psn-pdf
September 19, 2012 - Quality-related event learning in community pharmacies:
manual versus computerized reporting processes … Quality-related event learning in community pharmacies: Manual
versus computerized reporting processes … https://psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-
computerized-reporting … https://psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting … https://psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
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psnet.ahrq.gov/node/46316/psn-pdf
August 02, 2017 - Defending a "never event."
August 2, 2017
Shepperd JR. Defending a "Never Event". … https://psnet.ahrq.gov/issue/defending-never-event
Surgical fires are considered a never event. … https://psnet.ahrq.gov/issue/defending-never-event
https://psnet.ahrq.gov/primer/never-events
https:/
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psnet.ahrq.gov/node/44035/psn-pdf
May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of
pump safety standards, adverse event reporting … Insulin pump risks and benefits: a clinical appraisal of pump
safety standards, adverse event reporting … psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-
adverse-event … This policy statement describes ways to
use adverse event data, manufacturer information, and technical … psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
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psnet.ahrq.gov/node/38364/psn-pdf
June 14, 2011 - Excess cost and length of stay associated with voluntary
patient safety event reports in hospitals. … Excess Cost and Length of Stay Associated With Voluntary
Patient Safety Event Reports in Hospitals. … https://psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports … https://psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals … https://psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
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psnet.ahrq.gov/node/37836/psn-pdf
September 25, 2008 - Staff attitudes about event reporting and patient safety
culture in hospital transfusion services. … Staff attitudes about event reporting and patient safety culture in
hospital transfusion services. … https://psnet.ahrq.gov/issue/staff-attitudes-about-event-reporting-and-patient-safety-culture-hospital … https://psnet.ahrq.gov/issue/staff-attitudes-about-event-reporting-and-patient-safety-culture-hospital-transfusion … https://psnet.ahrq.gov/issue/staff-attitudes-about-event-reporting-and-patient-safety-culture-hospital-transfusion
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psnet.ahrq.gov/node/42504/psn-pdf
August 14, 2014 - The effect of an organizational network for patient safety
on safety event reporting. … The effect of an organizational network for patient safety on safety event
reporting. … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
An … for communication, and a reward system, led to a significant increase in voluntary patient
safety event … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
https
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psnet.ahrq.gov/node/42153/psn-pdf
April 03, 2013 - Creating an infrastructure for safety event reporting and
analysis in a multicenter pediatric emergency … Creating an infrastructure for safety event reporting and
analysis in a multicenter pediatric emergency … https://psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter- … https://psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency … https://psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
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psnet.ahrq.gov/node/36895/psn-pdf
March 10, 2011 - A systematic review of the performance characteristics of
clinical event monitor signals used to detect … A systematic review of the performance characteristics of clinical
event monitor signals used to detect … https://psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals … https://psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect … https://psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect