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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36013/psn-pdf
    September 22, 2010 - A new safety event reporting system improves physician reporting in the surgical intensive care unit … A new safety event reporting system improves physician reporting in the surgical intensive care unit … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical- … reporting from physicians, a group very involved in patient care but infrequently participating in the event … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42486/psn-pdf
    August 14, 2013 - An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38511/psn-pdf
    March 25, 2009 - The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting … It observes trends of adverse event reporting, finds that New York City hospitals report dramatically … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38108/psn-pdf
    September 30, 2014 - No more blame & shame: developing event-reporting systems may go a long way to reducing patient care … Developing event-reporting systems may go a long way to reducing patient care errors in EMS. … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way- … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37274/psn-pdf
    December 23, 2011 - A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length … A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43250/psn-pdf
    December 01, 2016 - Adverse drug event–related emergency department visits associated with complex chronic conditions. … Adverse drug event-related emergency department visits associated with complex chronic conditions. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39373/psn-pdf
    March 17, 2010 - The impact of electronic medical records data sources on an adverse drug event quality measure. … The impact of electronic medical records data sources on an adverse drug event quality measure. … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39832/psn-pdf
    September 08, 2010 - transplantation of three organs from an HIV- positive donor: report of the analysis of an adverse event … Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event … psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis- adverse-event … psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event … psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41205/psn-pdf
    June 15, 2012 - Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received- … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42459/psn-pdf
    July 31, 2013 - Improving adverse drug event detection in critically ill patients through screening intensive care unit … Improving adverse drug event detection in critically ill patients through screening intensive care unit … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through- … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44772/psn-pdf
    January 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. … Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. … https://psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff … structured format for communication to debrief and support a health care team following an adverse event … https://psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42673/psn-pdf
    October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis … Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39485/psn-pdf
    November 23, 2016 - A human factors and survey methodology-based design of a web-based adverse event reporting system for … A human factors and survey methodology-based design of a web- based adverse event reporting system for … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse- event-reporting-system … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40049/psn-pdf
    April 12, 2011 - Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS … Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System … https://psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug- event-reporting … https://psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting … https://psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46777/psn-pdf
    January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. … Safety analysis over time: seven major changes to adverse event investigation. … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation … This commentary suggests that the early event analysis approaches have not achieved their potential. … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45810/psn-pdf
    May 05, 2017 - Adverse event and error of unexpected life-threatening events within 24h of emergency department admission … Adverse event and error of unexpected life-threatening events within 24hours of ED admission. … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h- … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44094/psn-pdf
    November 03, 2015 - Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure- controlled-after … Those patients exposed to a large- scale adverse event during dental care were more likely to seek non-VA … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39124/psn-pdf
    February 18, 2011 - Adverse drug event rates in six community hospitals and the potential impact of computerized physician … Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact- … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45691/psn-pdf
    January 11, 2017 - Qualitative study about the experiences of colleagues of health professionals involved in an adverse event … Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved- adverse-event … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42992/psn-pdf
    July 03, 2014 - Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related … Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory- study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related

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